Development and Validation of a Portable Platform for Deploying Decision-Support Algorithms in Prehospital Settings

A. T. Reisner; M. Y. Khitrov; L. Chen; A. Blood; K. Wilkins; W. Doyle; S. Wilcox; T. Denison; J. Reifman

doi:10.4338/ACI-2013-04-RA-0023

Applied Clinical Informatics, Table of Contents

Appl Clin Inform 2013; 04(03): 392-402
DOI: 10.4338/ACI-2013-04-RA-0023

Case Report

Schattauer GmbH

Development and Validation of a Portable Platform for Deploying Decision-Support Algorithms in Prehospital Settings

A. T. Reisner

¹Biotechnology High Performance Computing Software Applications Institute (BHSAI), Telemedicine and Advanced Technology Research Center (TATRC), U.S. Army Medical Research and Materiel Command (USAMRMC), Fort Detrick, MD, USA

²Massachusetts General Hospital Department of Emergency Medicine, Boston, MA, USA

,

M. Y. Khitrov

¹Biotechnology High Performance Computing Software Applications Institute (BHSAI), Telemedicine and Advanced Technology Research Center (TATRC), U.S. Army Medical Research and Materiel Command (USAMRMC), Fort Detrick, MD, USA

,

L. Chen

¹Biotechnology High Performance Computing Software Applications Institute (BHSAI), Telemedicine and Advanced Technology Research Center (TATRC), U.S. Army Medical Research and Materiel Command (USAMRMC), Fort Detrick, MD, USA

,

A. Blood

²Massachusetts General Hospital Department of Emergency Medicine, Boston, MA, USA

,

K. Wilkins

³Boston MedFlight, Bedford, MA, USA

,

W. Doyle

³Boston MedFlight, Bedford, MA, USA

,

S. Wilcox

²Massachusetts General Hospital Department of Emergency Medicine, Boston, MA, USA

³Boston MedFlight, Bedford, MA, USA

,

T. Denison

³Boston MedFlight, Bedford, MA, USA

,

J. Reifman

¹Biotechnology High Performance Computing Software Applications Institute (BHSAI), Telemedicine and Advanced Technology Research Center (TATRC), U.S. Army Medical Research and Materiel Command (USAMRMC), Fort Detrick, MD, USA

› Author Affiliations

Abstract

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Keywords

Decision-support algorithms - prehospital care - device connectivity - vital-sign data - combat casualty care

References

References
1 Medical Device Interoperability: A ‘Wicked Problem’ of Our Time [Internet], [cited 2013 May 27]. Available from: http://www.psqh.com/january-february-2013/1536-medical-device-interoperability-a-wicked-problem-of-our-time.html.
2 Hoyt RW, Reifman J, Coster TS, Buller MJ. Combat medical informatics: present and future.. Proc AMIA Symp 2002: 335-339.
3 Bellamy RF. The causes of death in conventional land warfare: implications for combat casualty care research.. Mil Med 1984; 149 (02) 55-62.
4 Eastridge BJ, Mabry RL, Seguin P, Cantrell J, Tops T, Uribe P, Mallett O, Zubko T, Oetjen-Gerdes L, Rasmussen TE, Butler FK, Kotwal RS, Holcomb JB, Wade C, Champion H, Lawnick M, Moores L, Black-bourne LH.. Death on the battlefield (2001–2011): Implications for the future of combat casualty care.. J Trauma Acute Care Surg 2012; 73 (06) S431-S437.
5 Medical Device Plug-and-Play (MD PnP) Interoperability Program [Internet], [cited 2013 May 27]. Available from: http://www.mdpnp.org/uploads/Oct12_MD_PnP_White_Paper.pdf.
6 Chen L, McKenna TM, Reisner AT, Gribok A, Reifman J. Decision tool for the early diagnosis of trauma patient hypovolemia.. J Biomed Inform 2008; 41 (03) 469-478.
7 Reisner AT, Chen L, Reifman J. The association between vital signs and major hemorrhagic injury is significantly improved after controlling for sources of measurement variability.. J Crit Care 2012; 27 (05) 533e1-533e10.
8 Propaq Encore Monitors [Internet], [cited 2012 June 12]. Available from: http://www.welchallyn.com/apps/products/product.jsp?id=11-ac-100-0000000001101.
9 Rugged Ultra Mobile PC [Internet], [cited 2012 June 12]. Available from: http://www.gditronix.com index.cfm?page=Products:MR-1.
10 MATLAB [Internet], [cited 2012 June 12]. Available from: http://www.mathworks.com.
11 Chen L, McKenna TM, Reisner AT, Reifman J. Algorithms to qualify respiratory data collected during the transport of trauma patients.. Physiol Meas 2006; 27 (09) 797-816.
12 Yu C, Liu Z, McKenna TM, Reisner AT, Reifman J. A method for automatic identification of reliable heart rates calculated from ECG and PPG waveforms.. J Am Med Inform Assoc 2006; 13 (03) 309-320.
13 Reisner AT, Chen L, McKenna TM, Reifman J. Automatically-computed prehospital severity scores are equivalent to scores based on medic documentation.. J Trauma 2008; 65 (04) 915-923.
14 Holcomb JB, Gumbert S. Potential value of protocols in substantially bleeding trauma patients.. Curr Opin Anaesthesiol 2013; 26 (02) 215-220.
15 IBM Stream Computing [Internet], [cited 2013 May 27]. Available from: http://www-01.ibm.com/software/data/infosphere/stream-computing/.
16 Cardiopulmonary Corp (CPC) [Internet]. [cited 2013 May 27], Available from: http://www.cardiopulmonarycorp.com/Medical%20Device%20Integration.
17 DocBox [Internet], [cited 2013 May 27]. Available from: http://www.docboxinc.com.
18 Boston Children’s Hospital [Internet], [cited 2013 May 27]. Available from: http://www.childrenshospital.org/clinicalservices/Site880/mainpageS880P11.html.
19 Khitrov MY, Rutishauser M, Montgomery K, Reisner AT, Reifman J. A platform for testing and comparing of real-time decision-support algorithms in mobile environments.. Conf Proc IEEE Eng Med Bio Soc 2009: 3417-3420.
20 Kyriacou E, Pavlopoulos S, Berler A, Neophytou M, Bourka A, Georgoulas A, Anagnostaki A, Karayiannis D, Schizas C, Pattichis C, Andreou A, Koutsouris D. Multi-purpose healthcare telemedicine systems with mobile communication link support.. BioMedical Engineering OnLine 2003; 2 (07) 1-12.
21 Switchback Ultra-Rugged, Reconfigurable Field PC. [Internet], [cited 2012 June 12].. Available from: http://web.archive.org/web/20100429065634/http://www.bdatech.com/switchback.
22 Chen L, Reisner AT, Gribok A, McKenna TM, Reifman J. Can we improve the clinical utility of respiratory rate as a monitored vital sign?. Shock 2009; 31 (06) 574-580.
23 Kilbridge P. Computer crash-lessons from a system failure.. N Engl J Med 2003; 348 (10) 881-882.
24 Medical Device Integration: A Look Past the EHR [Internet], [cited 2013 May 27]. Available from: http://www.clinical-innovation.com/topics/technology-management/medical-device-integration-look-past-ehr?page=0%2C1.
25 Chen L, McKenna TM, Gribok A, Reifman J. LAM: A landscape matching algorithm for respiratory data alignment.. Conf Proc SPIE 2006; 6235: 1-10.
26 Melendez L. Integrating patient data: safety concerns limit functionality.. Biomed Instrum Technol 2012; 46 (01) 64-67.