EMS is Dangerous

The Impact of Road Safety on Clinical Care

BEFOREAFTERAssoc Prof Dr Mohd Idzwan bin ZakariaConsultant Emergency PhysicianMalaysia

Pray for MH370

Ambulance safety: a knee jerk phenomena

Especially if there is mortality

What will we discuss?Ambulance DispatchHow are we managing it?Problems todaySolutions availableBenefits of being innovative Ambulance with Road SafetyConclusion

What is Ambulance Dispatch?Emergency medical carepublic healthpublic safety patient transportBridge between the community and the hospitalOperated by professionals or volunteers Owned by Private / NGO / GovernmentCoverage can be both urban and/or ruralDisaster responseHow Are Calls Being Managed

How Are You Managing it?What kind of systems do you use today?How long does it take to capture callers information? Is there duplication of work?How do you assign your calls?Have you experienced errors?How do you track and see your dispatchs location?Can you help provide directions, mapping and routing to crew?Too many calls, too few manpower?

Timing is Critical Call CenterTiming is Critical - DriverTiming - ParamedicTiming HospitalHow Innovation Helps

LinkElectronic patient care reporting

GIS: government integrated system143 Key Criteria in Choosing The Right PartnerInnovative & Comprehensive Product OfferingsProvides Complete Hardware and Software supportKnows and Understands EMS

Whats Available Today - ProgramsRescueNet Dispatch and DispatchPRO/ CommCAD - Most comprehensive and intergrated SystemRescueNet @Work Window into Dispatch RescueNet NetTransit Monitor request via the web RescueNet Crew Scheduler - Manages Scheduling challenges link to Dispatch RescueNet Resource Planner - Maintain Optimum Shifts planning RescueNet Billing Improve Efficiencies and Cash Flow RescueNet ePCR Suite Most Customized Solution RescueNet Navigator Less Noise, Higher Accuracy RescueNet FireRMS Manages All Fire Records RescueNet Link Integrated link to the HospitalRescueNet Road Safety Real Time Driver Modification System

16Choosing The Right Service Partners Services Deployment Consulting Custom Solutions Group Custom Reporting Education and Training Technical Support Project Management

Singapore pilot study

Product Offering Around The Chain of Survival

We have built our product offerings around the Chain of Survival, a familiar concept to most of you.

We feel very strongly that understanding the link between information and data among all of the links is very important to improving outcomesif you cant measure something you really cant improve it.

And so we have built a product portfolio that addresses every link in the Chain of Survival, and we underpin it all with a very, very robust and complete set of information and data around all of these important links. 18How Will Everyone Benefit?Call Center CommCAD (computer aided dispatch)Faster and easier to assign resourcesReduce errorCut down paper workDriver Navigator /Road SafetyFastest and quickest routeDirection and locationSafer driving habitsParamedics ePCR/LinkFaster monitoringEasy patient records link Seamless connectivity and transmission of 12-Lead ECG

Organizational BenefitsHospital (A&E) Link/BillingPatients vital information (from the ambulance)Prepared and equipped for patient Faster turn around timeAgency/organization Zolls productsFaster response time (Improved KPIs)Reduce manual and duplicate workIncrease productivityTrack performanceReview fleet management

Cost Benefits ...?

21Whats Innovation without Safety ?

Improving EMS Safety: 4 levelsGovernment / ministry levelSets the bar and enforces complianceAdopt evidence based Safety standards (EN1789)Encourages / supports research and changeAmbulance OrganizationAdopts a culture of safetySets appropriate SOPsEnsures proper training, vehicle, equipment, crewingAmbulancesDesign Standards & Safety complianceUse of appropriate materials (ABS and steel)Crews (drivers and medics)Qualified staffDuty cyclesSafe Drivers??Safety Innovations?

Data Collection & Driver Feedback SystemOnboard computer installed in each vehicle to assess driving performance

Real Time Feedback puts drivers in control of performance (Choice of tones or voice messages)

Audio SpeakerOnboard Computer

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What is Road Safety?

OUTPUTS

Audible Warning

Reports

Onboard Monitoring & Vehicle TrackingINPUTS

Seat beltsSpeed (mph)Turns (g-force)Acceleration (rpm)BrakingBack-up spotterTurn signalLights & sirens

Inputs are analyzed by the RS on-board computer (SafeForce algorithm) to allow (1) proactive feedback, (2) driver performance reports and (3) fleet monitoring & tracking.26Reward and Coach

Driver TrainingData Upload and ReportingCost SavingsImmediate ImprovementsReal-time FeedbackBenchmark DriversEvent AnalysisHow Road Safety Works

Singapores Experience with Road Safety2 Emergency vehicles selected for 6 weeks trialRoad Safety was installed and left without tones for 3 weeks (same function as conventional black boxes- recording)After 3 weeks tones were turned on and drivers were given basic briefing and a 10mins ride along orientationData were downloaded after 6 weeks (3 weeks before and 3 week after tones) for comparison

Pilot Study in SingaporeWhy So Many Agencies Uses Zoll RescueNet?To enhance safetyTo improve driver performanceBetter patient care and outcomesSave maintenance costsImprove patient / occupant comfortAid accident and Incident investigationReduce manpowerMonitor individual driver performanceLogical investment in incident preventionSee immediate ROI

In ConclusionLook at Technology to help support the CHAIN OF SURVIVAL Select the right partner who truly knows and understands EMSImproving dispatch does NOT mean more manpower and hefty hardware costsConsider real-time and seamless data transmission to improve outcomesSafety and Cost Savings can be achieved from better drivingInnovation can help in cutting down response time, improve outcome and safety because Lives matter!Thank you!Arrive Faster, Arrive Safer, Arrive Alive!