Satellite-enabled eHealth applications in disaster management-experience from a readiness exercise

Despite progress in information and communication technologies (ICT), communication is still a bottleneck for health early warning and response systems. Satellite communications combined with a local WiFi network promise rapid deployment and facilitate coordinated response and optimal adjustment of resources for disaster management. In this paper, we present experiences with extending eHealth applications to support disaster medicine over an emergency hybrid satellite-WiFi infrastructure. The prehospital health emergency information system (PHEIS) of Crete was extended to provide mobile access to volunteer rescue workers and enable triage on the field. Moreover, an Electronic Health Record (EHR) system was extended for rapid entry of chronic diseases and medication needs, as well as epidemiology protocols through the SAFE system. Operational validation in a 2-day earthquake readiness exercise confirmed the effectiveness of PHEIS, while asserting the need for disaster-specific EHR workflows.

[1]  David L. Brown,et al.  Disparate effects of the 1989 Loma Prieta and 1994 Northridge earthquakes on hospital admissions for acute myocardial infarction: importance of superimposition of triggers. , 1999, American heart journal.

[2]  M. Kodama,et al.  Increased incidence of transient left ventricular apical ballooning (so-called 'Takotsubo' cardiomyopathy) after the mid-Niigata Prefecture earthquake. , 2006, Circulation journal : official journal of the Japanese Circulation Society.

[3]  R. Kloner,et al.  Natural disaster plus wake-up time: a deadly combination of triggers. , 1999, American heart journal.

[4]  Michael W. Link,et al.  Chronic Disease in Health Emergencies: In the Eye of the Hurricane , 2006, Preventing chronic disease.

[5]  J. Vest,et al.  Health Conditions and Risk Factors of Sheltered Persons Displaced by Hurricane Katrina , 2006, Prehospital and Disaster Medicine.

[6]  I. Kutz,et al.  Effect of Iraqi missile war on incidence of acute myocardial infarction and sudden death in Israeli civilians , 1991, The Lancet.

[7]  Catherine E. Chronaki,et al.  A Satellite Infrastructure for Health Early Warning in Post-Disaster Health Management , 2007, MedInfo.

[8]  F. Feliciani,et al.  OPPORTUNITIES AND CHALLENGES OF EHEALTH AND TELEMEDICINE VIA SATELLITE , 2005 .

[9]  F. Mostashari,et al.  Cardiac events in New Jersey after the September 11, 2001, terrorist attack , 2004, Journal of Urban Health.

[10]  T. Rea,et al.  Disaster Events and the Risk of Sudden Cardiac Death: A Washington State Investigation , 2007, Prehospital and Disaster Medicine.

[11]  Catherine E. Chronaki,et al.  Satellite-enabled Applications for Health Early Warning in Public Health after a Disaster: Experience from a Readiness Exercise , 2008 .

[12]  E. Antman,et al.  Analysis of possible triggers of acute myocardial infarction (the MILIS study). , 1990, The American journal of cardiology.