Impact of Using Drones in Emergency Medicine: What Does the Future Hold?

The use of unmanned aerial vehicles or drones has expanded in the last decade, as their technology has become more sophisticated, and costs have decreased. They are now used routinely in farming, environmental surveillance, public safety, commercial product delivery, recreation, and other applications. Health-related applications are only recently becoming more widely explored and accepted. The use of drone technology in emergency medicine is especially promising given the need for a rapid response to enhance patient outcomes. The purpose of this paper is to describe some of the main current and expanding applications of drone technology in emergency medicine and to describe challenges and future opportunities. Current applications being studied include delivery of defibrillators in response to out-of-hospital cardiac arrest, blood and blood products in response to trauma, and rescue medications. Drones are also being studied and actively used in emergency response to search and rescue operations as well as disaster and mass casualty events. Current challenges to expanding their use in emergency medicine and emergency medical system (EMS) include regulation, safety, flying conditions, concerns about privacy, consent, and confidentiality, and details surrounding the development, operation, and maintenance of a medical drone network. Future research is needed to better understand end user perceptions and acceptance. Continued technical advances are needed to increase payload capacities, increase flying distances, and integrate drone networks into existing 9-1-1 and EMS systems. Drones are a promising technology for improving patient survival, outcomes, and quality of life, particularly for those in areas that are remote or that lack funds or infrastructure. Their cost savings compared with ground transportation alone, speed, and convenience make them particularly applicable in the field of emergency medicine. Research to date suggests that use of drones in emergency medicine is feasible, will be accepted by the public, is cost-effective, and has broad application

Public safety network design for broadband wireless access

Public protection and disaster relief (PPDR) agencies rely on wireless communications to respond in the event of emergencies. Public safety networks (PSNs) provide the wireless network used by emergency services. PSN is used to support push-to-talk services with some data transmission by employing land mobile radios. However, PPDR agencies are increasingly relying on additional information such as videos that require higher bandwidths. Therefore, many countries are transitioning or integrating their public safety networks with advanced broadband wireless communication systems such as fourth-generation (4G) long-term evolution (LTE) and planning to evolve to fifth-generation (5G) new radio (NR) in the future. The paper investigates infrastructure sharing mechanisms and deployment strategies in the transition of PSNs to a 4G LTE network, including a roadmap for cost analysis. Additionally, the paper examines LTE-based PSN deployment scenarios in various countries and engages in a discussion of the advantages and disadvantages of different sharing mechanisms and coexistence schemes. Finally, the challenges within the Public Safety Broadband Network (PSBN) are addressed and potential future research directions in this domain are deliberated

How Mobile Devices are Transforming Disaster Relief and Public Safety

With its growing usage, mobile technology is greatly improving disaster relief and public safety efforts. Countries around the world face threats from natural disasters, climate change, civil unrest, terrorist attacks, and criminal activities, among others. Mobile devices, tablets, and smart phones enable emergency providers and the general public to manage these challenges and mitigate public safety concerns.In this paper, part of the Brookings Mobile Economy Project, we focus on how mobile technology provides an early warning system, aids in emergency coordination, and improves public communications. In particular, we review how mobile devices assist with public safety, disaster planning, and crisis response. We explain how these devices are instrumental in the design and functioning of integrated, multi-layered communications networks. We demonstrate how they have helped save lives and ameliorate human suffering throughout the world

Negotiating the 'trading zone'. Creating a shared information infrastructure in the Dutch public safety sector

Our main concern in this article is whether nation-wide information technology (IT) infrastructures or systems in emergency response and disaster management are the solution to the communication problems the safety sector suffers from. It has been argued that implementing nation-wide IT systems will help to create shared cognition and situational awareness among relief workers. We put this claim to the test by presenting a case study on the introduction of ‘netcentric work’, an IT system-based platform aiming at the creation of situational awareness for professionals in the safety sector in the Netherlands. The outcome of our research is that the negotiation with relevant stakeholders by the Dutch government has lead to the emergence of several fragmented IT systems. It becomes clear that a top-down implementation strategy for a single nation-wide information system will fail because of the fragmentation of the Dutch safety sector it is supposed to be a solution to. As the US safety sector is at least as fragmented as its Dutch counterpart, this may serve as a caveat for the introduction of similar IT systems in the US

UAV-Empowered Disaster-Resilient Edge Architecture for Delay-Sensitive Communication

The fifth-generation (5G) communication systems will enable enhanced mobile broadband, ultra-reliable low latency, and massive connectivity services. The broadband and low-latency services are indispensable to public safety (PS) communication during natural or man-made disasters. Recently, the third generation partnership project long term evolution (3GPPLTE) has emerged as a promising candidate to enable broadband PS communications. In this article, first we present six major PS-LTE enabling services and the current status of PS-LTE in 3GPP releases. Then, we discuss the spectrum bands allocated for PS-LTE in major countries by international telecommunication union (ITU). Finally, we propose a disaster resilient three-layered architecture for PS-LTE (DR-PSLTE). This architecture consists of a software-defined network (SDN) layer to provide centralized control, an unmanned air vehicle (UAV) cloudlet layer to facilitate edge computing or to enable emergency communication link, and a radio access layer. The proposed architecture is flexible and combines the benefits of SDNs and edge computing to efficiently meet the delay requirements of various PS-LTE services. Numerical results verified that under the proposed DR-PSLTE architecture, delay is reduced by 20% as compared with the conventional centralized computing architecture.Comment: 9,

Dancing on a Pin: Health Planning in Arizona

This publication challenges us to step back and reflect on the past, present and future of health systems. Take a deeper look at planning and how we got here, review the roles of competition and regulation, and learn about the health planning matrix along with the concept of health planning bridges. Discover for yourself if these thoughts and tools help the signal of quality health planning rise more clearly from out of the noise