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Critical Care Protocol - Operational Overview

12/17/2022

3 Comments

 
Scenario one (1): Benefit Utilization Scenario - Health Care Transitions for a critical patient's care.

Model Protocol for Virtual Simulation

  1. Stroke victim found down at residence & 911 called by bystander/family member
  2. Dispatched EMS Personnel, ground transport vehicle (activated by emergency service), EMS care interventions, and EMS communication with receiving hospital (stroke alert activate via phone/radio)
    <Just Say Yes Protocols Begin>
  3. Community hospital receives EMS alert and estimated arrival of patient with stroke symptoms
  4. Community hospital - Emergency Room arrival and expedited imaging (i.e., CT scan), laboratory specimens collected
  5. Community hospital - Emergency Provider care encounter and referral of stroke patient for a higher-level of care (i.e., neurointerventional radiology) at another hospital (with a stroke center)
  6. Stroke Center (Hospital with advanced resources for stroke patient) receives alert from Community hospital with patient with diagnosed stroke.
  7. Stroke Center - Communications center “fast-track stroke alert” from provider at community hospital to a receiving provider.
  8. Critical Care Transport Team inter-facility air/ground transport (from community hospital to stroke center) notified/dispatched.
  9. Stroke Center - Emergency Department orders CT patient Imaging study
  10. Stroke Center - Critical Care Transport Team intra-facility transports stroke patient from Emergency Department to CT Scan
  11. Stroke Center - Critical Care Transport Team intra-facility transports stroke patient from CT scan to Emergency Department
  12. Stroke Center - Critical Care Transport Team intra-facility transports stroke patient from Emergency Department to Interventional Radiology
  13. Stroke Center - Critical Care Transport Team intra-facility transports stroke patient from Interventional Radiology to ICU for admission
    <Just Say Yes Protocol Ends and Traditional Protocols Begin>
  14. Stroke Center - Patient discharge (from stroke center to patient residence)

Technology Demonstration

This video is an example augmented reality video presentation in a conference room with a proof of concept of a 3d Object for initial care setting that would model the initial critical transport protocols that lead to valuable health outcomes in stroke victims.
Lab Value Training
Work Setting
FlightCrew - Helicopter
PowerPoint with 3d Model
Low Fidelity Helicopter AR
Small Scale Proof of Concept
Large Scale Proof of Concept
3 Comments
Tony Calice link
12/19/2022 03:50:55 pm

https://www.nvidia.com/en-us/omniverse/?ncid=pa-srch-goog-683714#cid=ov01_pa-srch-goog_en-us​

step 1: OMNI Registration - Enterprise Portal
https://resources.nvidia.com/en-us-omniverse-enterprise/

Reply
tony calice link
7/18/2023 08:20:47 am

EMS Stroke Alert System (generic Maryland EMS documentation) – eMeds, Traumasoft, emscharts *Zoll
Outside Hospital EMR (generic EHR documentation) – epic/meditech
*patient discovery (CRISP) input
*priority inter-facility transport request (phone call) output
Stroke Center Communication Team - computer aided dispatch system (rightcad)
* Transcribes dispatch information from phone call
* Initiates fast-track dispatch priority call via Phone/SMS broadcast/Radio Transmission communication protocols
* output triage sheet for transport
Critical Care Transport Team charting system – EMS Charts
*Maryland Institute for Emergency Medical Services System – MIEMSS
Stroke Center Hospital (generic EHR) – EPIC
*patient discovery (CRISP) input
*Critical Care Transport Team Data input/verbal report
*Care Everywhere interface

Reply
Tony
11/3/2023 08:44:44 pm

HAL - hospital access line

Used by external entities seeking transport to hospital.

Reply



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    Tony Calice has ideas about life, emerging technology, and healthcare.

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    Not all ideas succeed. Many good ideas often fail in the presence of adversity; however, they always come with some lessons learned.

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