A Dynamic, Data-Driven, Decision Support System for Emergency Medical Services

Abstract. In crisis, decisions must be made in human perceptual timeframes under pressure to respond to dynamic uncertain conditions. To be effective management must have access to real time environmental data in a form that can be immediately understood and acted upon. The emerging computing model of Dynamic Data-Driven Application Systems (DDDAS) fits well in crisis situations where rapid decision-making is essential. We explore the value of a DDDAS (iRevive) in support of emergency medical treatment decisions in response to a crisis. This complex multi-layered dynamic environment both feeds and responds to an ever-changing stream of real-time data that enables coordinated decision-making by heterogeneous personnel across a wide geography at the same time.

Modeling emergency management data by UML as an extension of geographic data sharing model: AST approach

Applying GIS functionality provides a powerful decision support in various application areas and the basis to integrate policies directed to citizens, business, and governments. The focus is changing toward integrating these functions to find optimal solutions to complex problems. As an integral part of this approach, geographic data sharing model for Turkey were developed as a new approach that enables using the data corporately and effectively. General features of this model are object-oriented model, based on ISO/TC211 standards and INSPIRE Data Specifications, describing nationwide unique object identifiers, and defining a mechanism to manage object changes through time. The model is fully described with Unified Modeling Language (UML) class diagram. This can be a starting point for geographic data providers in Turkey to create sector models like Emergency Management that has importance because of the increasing number of natural and man-made disasters. In emergency management, this sector model can provide the most appropriate data to many "Actors" that behave as emergency response organizations such as fire and medical departments. Actors work in "Sectors" such as fire department and urban security. Each sector is responsible for "Activities" such as traffic control, fighting dire, emission, and so on. "Tasks" such as registering incident, fire response, and evacuating area are performed by actors and part of activity. These tasks produce information for emergency response and require information based on the base data model. By this way, geographic data models of emergency response are designed and discussed with "Actor-Sector-Activity-Task" classes as an extension of the base model with some cases from Turkey

Knowledge-Intensive Processes: Characteristics, Requirements and Analysis of Contemporary Approaches

Engineering of knowledge-intensive processes (KiPs) is far from being mastered, since they are genuinely knowledge- and data-centric, and require substantial flexibility, at both design- and run-time. In this work, starting from a scientific literature analysis in the area of KiPs and from three real-world domains and application scenarios, we provide a precise characterization of KiPs. Furthermore, we devise some general requirements related to KiPs management and execution. Such requirements contribute to the definition of an evaluation framework to assess current system support for KiPs. To this end, we present a critical analysis on a number of existing process-oriented approaches by discussing their efficacy against the requirements

Semantic reasoning for intelligent emergency response applications

Emergency response applications require the processing of large amounts of data, generated by a diverse set of sensors and devices, in order to provide for an accurate and concise view of the situation at hand. The adoption of semantic technologies allows for the definition of a formal domain model and intelligent data processing and reasoning on this model based on generated device and sensor measurements. This paper presents a novel approach to emergency response applications, such as fire fighting, integrating a formal semantic domain model into an event-based decision support system, which supports reasoning on this model. The developed model consists of several generic ontologies describing concepts and properties which can be applied to diverse context-aware applications. These are extended with emergency response specific ontologies. Additionally, inference on the model performed by a reasoning engine is dynamically synchronized with the rest of the architectural components. This allows to automatically trigger events based on predefined conditions. The proposed ontology and developed reasoning methodology is validated on two scenarios, i.e. (i) the construction of an emergency response incident and corresponding scenario and (ii) monitoring of the state of a fire fighter during an emergency response

An Online Decision-Theoretic Pipeline for Responder Dispatch

The problem of dispatching emergency responders to service traffic accidents, fire, distress calls and crimes plagues urban areas across the globe. While such problems have been extensively looked at, most approaches are offline. Such methodologies fail to capture the dynamically changing environments under which critical emergency response occurs, and therefore, fail to be implemented in practice. Any holistic approach towards creating a pipeline for effective emergency response must also look at other challenges that it subsumes - predicting when and where incidents happen and understanding the changing environmental dynamics. We describe a system that collectively deals with all these problems in an online manner, meaning that the models get updated with streaming data sources. We highlight why such an approach is crucial to the effectiveness of emergency response, and present an algorithmic framework that can compute promising actions for a given decision-theoretic model for responder dispatch. We argue that carefully crafted heuristic measures can balance the trade-off between computational time and the quality of solutions achieved and highlight why such an approach is more scalable and tractable than traditional approaches. We also present an online mechanism for incident prediction, as well as an approach based on recurrent neural networks for learning and predicting environmental features that affect responder dispatch. We compare our methodology with prior state-of-the-art and existing dispatch strategies in the field, which show that our approach results in a reduction in response time with a drastic reduction in computational time.Comment: Appeared in ICCPS 201

Utilization of big data to improve management of the emergency departments. Results of a systematic review

Background. The emphasis on using big data is growing exponentially in several sectors including biomedicine, life sciences and scientific research, mainly due to advances in information technologies and data analysis techniques. Actually, medical sciences can rely on a large amount of biomedical information and Big Data can aggregate information around multiple scales, from the DNA to the ecosystems. Given these premises, we wondered if big data could be useful to analyze complex systems such as the Emergency Departments (EDs) to improve their management and eventually patient outcomes. Methods. We performed a systematic review of the literature to identify the studies that implemented the application of big data in EDs and to describe what have already been done and what are the expectations, issues and challenges in this field. Results. Globally, eight studies met our inclusion criteria concerning three main activities: the management of ED visits, the ED process and activities and, finally, the prediction of the outcome of ED patients. Although the results of the studies show good perspectives regarding the use of big data in the management of emergency departments, there are still some issues that make their use still difficult. Most of the predictive models and algorithms have been applied only in retrospective studies, not considering the challenge and the costs of a real-time use of big data. Only few studies highlight the possible usefulness of the large volume of clinical data stored into electronic health records to generate evidence in real time. Conclusion. The proper use of big data in this field still requires a better management information flow to allow real-time application

Models of Dynamic Data for Emergency Response: A Comparative Study

The first hours after a disaster happens are very chaotic and difficult but perhaps the most important for successfully fighting the consequences, saving human lives and reducing damages in private and public properties. Despite some advances, complete inventory of the information needed during the emergency response remains challenging. In the last years several nationally and internationally funded projects have concentrated on inventory of emergency response processes, structures for storing dynamic information and standards and services for accessing needed data sets. A good inventory would clarify many aspects of the information exchange such as data sets, models, representations; a good structuring would facilitate the fast access to a desired piece of information, as well as the automation of analysis of the information. Consequently the information can be used better in the decision-making process.\ud This paper presents our work on models for dynamic data for different disasters and incidents in Europe. The Dutch data models are derived from a thorough study on emergency response procedure in the Netherlands. Two more models developed within the project HUMBOLDT reflect several cross border disaster management scenarios in Europe. These models are compared with the Geospatial Data Model of the Department of Homeland Security in USA. The paper draws conclusions about the type of geographical information needed to perform emergency response operations and the possibility to have a generic model to be used world-wide