Presentation cover image - see next slide for original text - the following is converted from Microsoft PowerPoint Presentation, approximate slide layout retained

(Converted from Microsoft PowerPoint Presentation, approximate slide layout retained)

 

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The Future of Emergency Medical Services (EMS) Communications (Hints: "Broadband"/"ITS")
Image of EMS officials helping a victim
Kevin McGinnis, MPS, EMT-P
Communications Technology Advisor
National Association of State EMS Officials National Association of EMS Physicians
National Association of EMTs National Association of EMS Educators
Vice-Chair
Public Safety Spectrum Trust

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Image of TV doctors, nurses and EMS workers

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EMS Frequencies
 VHF-155.xxxMHz
- 155.340/155.175 (ambulance to hospital)
- 155.280 (hospital to hospital)
■ UHF - 463.xxx/468.xxx MHz -(10 "MED Channels")
- Frequency Coordination -Voice Communications
- Biotelemetry
■ Telephone
■ 700/800 MHz

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Image of temporary road sign "Prepare to be Annoyed"

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Illustration showing notification flow and questions for and from dispatchy

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Golden Hour is not equal to 20 + 20+ 10 + 30 +120 + 40 Minutes; 1970s, 1980s, Today??; image of ambulance with EMS and victim by side of a lake or river

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Golden Hour is not equal to 20 + 20 +20 + 30 Minutes; image of helicopter arriving at ambulance and accident scene

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What We Lack

Situational Awareness (SA)
– Events
– Resources

Common Operating Picture (COP)

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What We Need for SA & COP
Image of two-headed llama
“Push-me-pull-you”

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What We Need for SA & COP
More Than Voice Communications Receive Information
- Updated in Real Time
- Parked Tor Easy "Pulling" When We Need It
- Multiple Types & Sources
Share Information
- "Push" to "Park" When We Are Ready
- Fast and Easy "Push" Transfer
- Only Once

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EMS Resource and Event Monitoring System (EMSREMS)
"Polling Device"
Illustration of man at radar station

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EMSREMS Circular diagram showing all the included organizations

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Database "Network of Networks"
Zenn Diagram showing intersection of FREMS, EMSREMS, LEREMS, DOTREMS

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EMS Communications: Current and Future
"I wonder..." vs. "I know..."
- System Status Pre-Dispatch
- Event
- Dispatch
- To Scene
- At Scene
- To Hospital
- Emergency Department/Specialty Unit
- Transfer To Specialty Center

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Current Pre-Dispatch
Ambulance System Status: "I wonder..."
Crew
Vehicle/Equipment/Supplies Hospitals
Neighboring Services
Specialty Responders/Police/Fire

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EMS 1 1800-0600; K. McGinnis P11024; G Smith E86054; EMS 2 Out of Svc. Circular diagram of associated organization

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Event: “I have no clue…”

Image of damaged car off-road in snowy log-strewn forest

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2 Patients/45mph; 1001 Hendrix Highway (Nash/Oak Sts.); Toyota Prius/Object/Head On; ++ Airbags ++ Belts; Circular diagram showing all associated organizations

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Image of cirular diagram with Toyota Prius 2004 Model 2nd Generation Emergency Response Guide

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Dispatch/To Scene: "I wonder..."
Image of dispatcher
Image of ambulance leaving its garage, EMS official driving and talking into radio

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Circular diagram with associated organizations with image of snowy car crash

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At Scene, "I wonder..."
Image of EMS officials, police cars and ambulance arriving at accident scene
Image of EMS officials working at accident scene

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Images of EMS technology and devices including speech recognition input, electronic health record, portable PSCD Type Platform, wireless patient monitoring

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Image of other EMS technology and devices

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Circular diagram with associated organizations, SOAP notes, 3/4 Lead EKG, 12 Lead EKG, VS Monitor

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Where Do I Sign Up?????
Illustration and image of people cheering, lifting arms into the air

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VHF/UHF
Won't Cut It:
- Current: 9.6+ kbps @ 25KHz bandwidth
■ Early Dial-Up: 14.4 kbps Current Dial-Up: 56 kbps
Mote V.S. Transmission: 76+ kbps
■ Basic video (300-700 kbps)
■ Ultrasound/CT?
- Narrow-banding by 2013: 12.5/6.25 KHz
- Narrowband 700/800 MHz

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Commercial Wireless
Current EMS Gateway Technology Commercial Wireless:
- No priority for public safety users
Air Card Access Reliability
- Little cost savings for public safety users
- Systems not hardened/redundant to public safety standards
- Buyer beware
■ Own a Blackberry??

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Mobile Wireless Data Technology Options
Chart showing mobile wireless data technology options, rate over mobility/coverage by miles

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Image of man painting white line on a road, Questions? Kevin McGinnis mcginnis@nasemso.org 207-512-0975