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4 / CEEX 2005 - INFOSOC Programme

Telematic system using cooperative mobile intervention units applied in catastrophes and emergency medicine

Thematic fields S/T: 3. Information and communication technologies 3.3. Applications Research - ICT meeting societal challenges 3.3.1. Health
Technology platforms: PT3 Embedded Systems



The Project's Phases

I. Technical study and system analysis
Dead line - 30.12.2005

II. Hardware and Software Design
Dead line - 30.06.2006

III. Elaboration of application programs at the mobile intervention units level
Dead line - 15.12.2006

IV. Elaboration of programs at the telemedicine centre level
Dead line - 29.06.2007

V. Elaboration of a complex application; testing certification, optimization
Dead line - 17.12.2007

VI. Dissemination of results
Dead line - 30.06.2008

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The Project's Presentation

The main goal of the proposal is to develop an eHealth tool for performance enhancement of emergency medical services, based on FAST (Focussed Assessment with Sonography for Trauma) concept.
The objectives are to: develop an integrated regional system able to provide telehealthcare services and remote transfer of medical data using mobile communication networks in order to ensure early diagnosis in case of major trauma, optimize the entire system functionality in distress conditions by dynamic allocation of resources and implementation of cooperative techniques, develop interactive image processing techniques for ultrasound examinations, in order to allow system functionality in degraded behavior, design the entire system for the biomedical data processing used in evaluation and quantification of solid organs - a potential source for transplant programs, enhance outer medical emergency services concerned with prehospital resuscitation and life maintaining.
CoopUrg will be a pilot system based on a distributed architecture containing a regional command center for acquisition, processing and retransmission of multimedia information. It will be the support for a medical image database, communicating with other medical centers, in order to transfer certain injured patients according to their condition or connecting with transplant centers to identify potential donors. Online communication with mobile units in the field enables teleassistance for surgical triage and low invasive UltraSound (US) guided procedures. The mobile intervention units compose a cooperative unit system, for the evaluation of disaster conditions and access roads. They are provided with technical support for US image acquisition and transmission to the pilot center, and with mobile teleassistance server.
CoopUrg project therefore proposes the realization of an integrated system, based on modern medical investigation methods, last generation computation and communication equipment, using ICT technologies for connecting resources at different levels. The designed system applies information and communication technologies in healthcare domain, to enhance the quality of emergency medical assistance for patients in trauma under conditions like isolated or collective accidents, and disasters. In parallel, we develop a network for receiving potential organ donors by the transplant centers.

Implementing this project, there will be achieved the following expected results:
* patients from prehospital system have access to medical investigations through teleconsulting and telediagnosis system realized by the project
* enhancement of quality and quantity of medical information about patients (medical data, images, and others) available for specialists or students activating in medical institutions
* assuring access for emergency medical personnel to interdisciplinary medical connections when patient status requires this
The project's impact - Prehospital teleassistance, using FAST concept and mobile ultrasonography equipment will solve the problem of fast surgical trial in case of emergency in remote or isolated areas, optimizing the intervention protocols in case of trauma. Utilizing telediagnosis and telemonitoring of the miniinvasive maneuvers with vital impact will make possible the survival of the patients with severe injuries and definitive therapeutic tackling of these injuries in specialized hospital units. The immediate impact will result in the growing chance of survival of the trauma patients, no matter the geographic area where the accident occurred. Another aspect is the reduction of the temporary or definitive invalidity degree along with shortening of period between accident and optimal treatment, results that have positive psychological impact on patients and their family members. Shortening the recuperation period conducts to diminution of hospital days, facilitating professional reinsertion, these are positive aspects concerning economic costs. Integration of emergency services through a emergency teleassistance centre, as well as creation of a parallel control system based on adequate indicators (mortality, invalidity degree, number of hospital days, etc.) that are comparatively analyzed, will demonstrate the medical and strategic importance of the system.

The Objectives

The development of a telematic system based on medical intervention units instated with computation and communication equipments that allow them a cooperative behaviour, and on utrasound image acquisition and transmission to the specialized emergency centers, offers technological support for medical assistance in case of emergency and catastrophes.
By creating the infrastructure of an integrated system for acquisition, storage, processing and transmission of medical data in normal and degraded conditions (e.g. disasters, catastrophes) we allow optimization of the diagnostic trial in case of trauma and, implicit, the shotage of the "accident - final therapy" period. The data accumulated in time will afford the examination of different diagnosis and therapeutic protocols, giving the possibility to create new guides for medical assistance of pacients in trauma. Also, we will develop an informational space that allows the management of a database containing transplant requestes, that is accessed online when a potential donor is identified. Developing a telemedicine center of such complexity will allign Romania to international standards - high technology networks integrated in similar european platforms.
The development of the CoopUrg project assumes the following scientifical and technological objectives:
O1. Develop an integrated regional system able to provide telehealthcare services and remote transfer of medical data using cooperative communication networks and units in order to ensure early diagnosis in case of major trauma.
O2. Enhance the performance of emergency services by connecting different specialists in order to provide telediagnosis, teleconsultancy and teleassistance for diagnostic trial.
O3. Optimize the US guided low invasive manoeuvre according to FAST protocol.
O4. Optimize the entire system functionality in distress conditions by dynamic allocation of resources and implementation of cooperative techniques.
O5. Design the entire system as an infrastructure for biomedical data processing, data base development, data processing and transmissions in normal and catastrophic conditions.
O6. Implementation of an efficient teleultrasonographic system for evaluation and quantification of organs, as potential transplant source.
O7. Creation of a network and a database - support for research in teleassisted emergency assistance domain.
O8. Launch collaborative works and establish multi-disciplinary participation.