Rita H. Wouhaybi
Mark D. Yarvis
Abstract
In emergency medicine, patient care is intense and stressful, often requiring paramedics to consult with remote physicians to convey the patient's condition. We present a framework for context-management in telemedicine developed in collaboration between engineers, physicians, and paramedics. We describe a mobile platform and embedded wireless sensors to capture physiological and audio context into a comprehensive patient record, accessible locally and remotely. We describe a first evaluation of this technology by trained paramedics in simulated scenarios and evaluate key aspects of system performance. Early results suggest that wireless sensing can provide reliable and low latency data both locally and to remote physicians. In addition, audio context capture is a promising approach to capturing a comprehensive patient record, with a low rate of medically important errors.
- A&D Medical. 2010. Automatic blood pressure monitors. http://www.andmedical.com/and_med.nsf/html/Automatic++Blood+Pressure+Monitors.Google Scholar
- Bluetooth SIG. 2010. http://www.bluetooth.com/bluetooth/.Google Scholar
- Corscience. 2010. ECG devices. http://www.corscience.de/en/medical-engineering/products-systems/ecg-devices.html.Google Scholar
- Curry, M., Norton, R., Harper, R., Sahni, R., Jimison, H., Hatt, W., and Lowe, R. A. 2010. The development of new technology for paramedics and medical control physicians using qualitative assessment. In Proceedings of the Society for Academic Emergency Medicine Western Regional Research Forum Western Regional Research Forum.Google Scholar
- Curtis, D. W., Pino, E. J., Bailey, J. M., Shih, E. I., Waterman, J., Vinterbo, S. A., Stair, T. O., Guttag, J. V., Greenes, R. A., and Ohno-Machado, L. 2008. SMART: An integrated, wireless system for monitoring unattended patients. J. Amer. Med. Inform. Assoc. 15, 1, 44--53.Google ScholarCross Ref
- Dadd, M., Doyle, B., Wilson, L., and Gunaratnam, M. 2002 Lessons learned from the Hospital Without Walls Project. 2002. J. Telemedicine Telecare 8, 11--14.Google ScholarCross Ref
- E-Cardio. 2010. eTRIGGER AF920. http://www1.ecardio.com/Shared/pdf/eTrigger920.pdf.Google Scholar
- Farmer, A., Gibson, O., Hayton, P., Bryden, K., Dudley, C., Neil, A., and Tarassenko, L. 2005 A real-time, mobile phone-based telemedicine system to support young adults with type 1 diabetes. Informatics Primary Care 13, 3, 171--177.Google Scholar
- Frail, J. A., Bajo, J., Corchado, J. M., and Abraham, A. 2010. Applying Wearable Solutions in Dependent Environments. IEEE Trans. Inf. Technol. Biomed. 14, 6, 1459--1467. Google ScholarDigital Library
- General Devices. 2010. e-Bridge: A System for EMS Telemedicine. http://www.general-devices.com/e-bridge.Google Scholar
- Huo, H., Xu, Y., Yan, H., Mubeen, S., and Zhang, H. 2009. An elderly health care system using wireless sensor networks at home. Sensorcomm. In Proceedings of the International Conference on Sensor Technologies and Applications, 158--163. Google ScholarDigital Library
- Laerdal. 2010. http://www.laerdal.com.Google Scholar
- Lopez, G., Custodio, V., and Moreno, J. I. 2010. LOBIN: E-textile and wireless-sensor-network-based platform for healthcare monitoring in future hospital environments. IEEE Trans. Inf. Technol. Biomed. 14, 6, 1446--1458. Google ScholarDigital Library
- Malan, D., Fulford-Jones, T., Welsh, M., and Moulton, S. 2004. CodeBlue: An ad hoc sensor network infrastructure for emergency medical care. In Proceedings of the International Workshop on Wearable and Implantable Body Sensor Networks.Google Scholar
- Marcin, J. P., Kupperman, N., Andrada, E. R., Cole, S. L., and Romano, P. S. 2006. The impact of telemedicine consultations on the quality of care provided to critically ill children in rural emergency departments. In Proceedings of the Pediatric Academic Societies' Annual Meeting.Google Scholar
- Meisel, W. 2010. Comparative evaluation of voicemail-to-text services. http://www.scribd.com/doc/26017529/Accuracy-of-Voicemail-To-text-Services.Google Scholar
- Milenkovic, A., Otto, C., and Jovanov, E. 2006. Wireless sensor networks for personal health monitoring: Issues and an implementation. Comput. Comm. 29, 13--14, 2521--2533. Google ScholarDigital Library
- Motion Computing. 2010, Motion C5 Mobile Clinical Assistant (MCA) website. http://www.motioncomputing.com/products/index_c5.asp.Google Scholar
- Nonin Medical. 2010, SpO2 Solutions website. http://www.nonin.com/productsList.asp?PageID=2000&sec= 1&sub=0.Google Scholar
- Nuance. 2010. Dragon NaturallySpeaking SDK. http://www.nuance.com/naturallyspeaking/products/sdk/sdk_client.asp.Google Scholar
- Oliver, N., and Flores-Mangas, F. 2006. HealthGear: A real-time wearable system for monitoring and analyzing physiological signals. In Proceedings of the International Conference on Body Sensor Networks. Google ScholarDigital Library
- Otto, C., Milenkovic, A., Sanders, C., and Jovanov, E. 2006. System architecture of a wireless body area sensor network for ubiquitous health monitoring. J. Mobile Multimedia 1, 4. Google ScholarDigital Library
- PDS Heart. 2010. CardioNet digital Holter system. http://www.pdsheart.com/products.html.Google Scholar
- Philips. 2010. HeartStart MRx monitor/defibrillabor. http://www.healthcare.philips.com/main/products/resuscitation/products/mrx.Google Scholar
- Physio-Control. 2010. LIFEPAK 12 defibrillator/monitor datasheet. http://www.physio-control.com/uploadedFiles/products/defibrillators/product_data/data_sheets/LP12_Brochure_3207916-000.pdf.Google Scholar
- Sennheiser. 2010. BW900 headset. http://www.sennheiserusa.com.Google Scholar
- Uc Davis. 2010. Center for Health and Technology. http://www.ucdmc.ucdavis.edu/cht/services/telemedicine/.Google Scholar
- Wan, C-Y. and Prasad, S. 2009. Challenges to building bluetooth-based sensing solutions. In Proceedings of the 4th International Conference on Body Area Networks. Google ScholarDigital Library
- Wood, A., Stankovic, J., Virone, G., Selavo, L., He, Z., Cao, Q., Doan, T., Wu, Y., Fang, L., and Stoleru, R. 2008. Context-aware wireless sensor networks for assisted-living and residential monitoring. IEEE Network 22, 4, pp 26--33. Google ScholarDigital Library
- Wouhaybi, R. H., Yarvis, M. D., Muse, P., Wan, C., Sharma, S., Prasad, S., Durham, L., Sahni, R., Norton, R., Curry, M., Jimison, H., Harper, R., and Lowe, R. 2010. A context-management framework for telemedicine: An emergency medicine case study. In Proceedings of Wireless Health. Google ScholarDigital Library
- Zhao, X., Rafiq, A., Hummel, R., Fei, D. Y., and Merrell, R. C. 2006. Integration of information technology, wireless networks, and personal digital assistants for triage and casualty. Telemedicine J. E-Health 12, 4, 466--474.Google ScholarCross Ref
- Zoll. 2010. M Series defibrillator. http://www.zoll.us/Zoll-M-Series/Zoll-M-Series-Defibrillator-p7.htm.Google Scholar
Index Terms
- Experiences with context management in emergency medicine
Recommendations
A context-management framework for telemedicine: an emergency medicine case study
WH '10: Wireless Health 2010Patient care can be intense and stressful, especially in emergency care situations. Emergency care has two parts, field care by a paramedic and in-hospital care. Paramedics often consult with physicians before the patient reaches the hospital. To do ...
Experiences in mHealth for chronic disease management in 4 countries
ISABEL '11: Proceedings of the 4th International Symposium on Applied Sciences in Biomedical and Communication TechnologiesThis paper describes mHealth applications to deal with Non Communicable Diseases in North and Latin America: In Chile, a project focused on Diabetes Mellitus type 2; In the United States, Honduras, and Mexico, projects focused in diabetes, heart failure,...
Emergency Telemedical Operation System for Pre-hospital Emergency Care
i-CREATe '23: Proceedings of the 16th International Convention on Rehabilitation Engineering and Assistive TechnologyThis paper presents a novel framework for pre-hospital emergency care named Emergency Telemedical Operation (ETO) system which serves the requirements of local administrative organizations who provide emergency medicine and emergency vehicles in response ...
Comments