Government Technology

Wi-Fi Platform Sends Lifesaving Data Between Ambulances, Hospitals




Photo courtesy of Rowan County, N.C.

November 29, 2011 By

Seconds can save lives — especially when a patient is being rushed to a hospital. And Wi-Fi platforms that transmit a patient’s medical information from the ambulance to the hospital are helping to save time.

By installing this technology in its ambulances, Rowan County, N.C., is sending vital information to hospitals before a patient arrives, thus enabling better preparation and health-care response.

Rowan County installed wireless communication platforms in its 11 ambulances within the county’s Emergency Medical Services Division so responders taking an individual to a hospital can transmit a patient care report to the facility prior to the ambulance’s arrival at the hospital, said Frank Thomason, the county’s chief of emergency services. The communication platform provides a Wi-Fi access point in the ambulances, making them function as mobile hotspots. Using laptops inside the ambulances, emergency responders fill out a patient care report and with the assistance of the communication platform, the information is transmitted wirelessly to the hospital.

Also inside the ambulances, cardiac monitors are connected to the communication platforms so if a patient is suffering from a potential heart attack, the information regarding the individual’s heart rhythm is transmitted to the hospital before the ambulance’s arrival, Thomason said.

“We can connect that cardiac monitor to [the platform],” Thomason said, “and we can transmit the heart rhythms — the EKGs — to the physician at the hospital and with that information ahead of time, the hospitals can prepare whatever’s needed to best care for that patient upon their arrival.”

Thomason said software was installed on hospital computers, which enables the health-care facilities to receive the patient care reports and cardiac monitoring information. Through the software, the information is received as an email and an attachment includes a graphic of the cardiac trace of the patient’s heart rhythm. From there, the physician can take proper action upon the patient’s arrival, Thomason said.

The communication platform — called the onBoard Mobile Gateway by In Motion Technology, a New Westminster, British Columbia, Canada-based mobile data communications company — functions as a multi-network that communicates across an enterprise’s fleet so multiple users in the field can communicate with one another, according to In Motion Technology. Multiple devices can connect to the platform by Wi-Fi, Bluetooth, USB, Serial and Ethernet, and it can also function as a multi-radio mobile router.

Thomason said the county’s Emergency Services Department initially rolled out the technology two years ago in the Emergency Medical Services and Emergency Management divisions, and is currently implementing the system in the Fire Services Division, which is responsible for the county’s 28 fire departments. The technology was paid for from the department’s general fund.

The Emergency Services Department originally implemented the system as a way to convert its paper-based field reporting to an electronic system. The Emergency Management Division uses the technology to create reports about incidences in the field, such as hazardous material spills or activities involving extreme weather recovery, that are transmitted wirelessly back to the department.

“Using our laptop computers and utilizing the [onBoard] Mobile Gateway gives us the ability to access those electronic reports directly from the field and to be able to write those reports right there in the field,” Thomason said.


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Comments

Randy    |    Commented November 30, 2011

Yeah... I don't see any risks in sending patient data wirelessly to the hospital.

John Kies    |    Commented December 6, 2011

My background is in technology rather than Public Safety directly and in that aspect I am surprised this item is considered innovative. Frankly I think this kind of connectivity should be required the same way lights and sirens are required. If I am the patient in that ambulance, I want to be connected to the point of care with all information possible to collect and transmit. I want to carry a card in my wallet with a magnetic strip or smart chip with all my key medical data. Swipe that card, understand my history, medications, and allergies and begin my treatment while I am still in transit. Hats Off to Rowan County!

Jim Kulczyk    |    Commented December 12, 2011

Ok, so the Rig becomes a mobile hotspot. It has to be relayed out over another means of communications such as a paid cellular service, no?

Al Wickheim    |    Commented December 13, 2011

We've had wireless modem in our LP12's for five or six years now in Victoria and Vancouver for 3 or 4. If we suspect an MI, we 12 Ld it, send that to the ER and 24/hrs a day a cath lab team is waiting - sometimes we meet the cardiologist in the ER just for a quick, literally 2 minute check and we are in the Cath lab with great regularity and success. So successful is this system that in conjunction with increased B-Blocker use, no more lysing attempts in the ER for 90 minutes, our encounters with CHF, particularly APE and very sick 'failure' patients, are way down. Our senior paramedics and ER docs have all commented on this. Regardless of the method, communication of accdurate, timely information is so critical. We, EMS, are moving ahead in all fields - good for you guys in Rowan county.

Scott    |    Commented December 20, 2011

The article notes In Motion was a new company, it's been around for years and there are a number of Fire-EMS agencies who have been using this technology. CAD, ePCR, ECG Telemetry (among others) can share the same cellular 'pipe'. Sending real time data to hospitals and other agencies hinges greatly upon the strength of the ePCR systems ability to manage the different components. Our agency uses SafetyPAD, which I know is also in a lot of large systems around the US. Our ePCR system can use the in motion box to manage CAD, data to hospitals and ECG telemetry via Physios application running in the background. This technology can save money by reducing the number of cell contracts we need. Limitations are associated with proximity to the unit, but still postitive nonetheless.


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