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Computer implementation of intelligent medical rescue operations management system in mass casualty incidents

Tomczyk Łukasz, Kulesza Zbigniew

Zeszyty Naukowe SGSP / Szkoła Główna Służby Pożarniczej

2024

Nr 92 (tom 1)

193--218

Due to rapid development of biocybernetics and technical computer science, dispatching of medical emergency services can be significantly improved. Thus the effectiveness of conducting rescue operations during mass casualty incidents (MCI) can be increased. Selected optimization methods and the expert system have been used to develop an Intelligent Medical Rescue Operations Management System (IMROMS). This system is the basis for the real emergency medical suport system that could be implemented in the emergency units. In the current paper IMROMS hardware and software implementation problems have been discussed, including the analysis of the current state of information-telecommunication technologies (ICT) support for the rescue system in provinces of Poland. The IMROMS consists of computer support for the following emergency workstations: Data Communication System of Provincial Emergency System (DCSPES), Medical Emergency Coordinator (MEC) and Medical Emergency Dispatcher (MED) workstations, Medical Emergency Supervisor (MES) workstation, Casualty Health Monitor (CHM) mobile devices, Hospital Emergency Department (HED) workstations and Medical Rescue Teams (MRTs) workstations. Computer software implements the following modules: optimization module (IMROMS-OM), expert system (IMROMS-ES), geographical information system – (IMROMSGIS). Optimization module has been developed on the basis of the computer simulator for optimal decision-making in medical rescue operations (CSMRO). The IMROMS software was developed to carry out hypothetical rescue operations with the support of a computer, the operation of which was tested under near-real conditions during the 14th Warmia and Mazury Championship in Medical Rescue, held in Olsztyn, Poland, in 2016. The Championships were attended by 20 medical rescue teams from all over Poland. The competition scenario assumed a specific post-accident conditio of the victims, their injuries and the status of their basic vital signs. Participants performed initial segregation according to the START algorithm, first without computer support – in the traditional way - and then using IMROMS. Identification took place at the scene and involved entering health data such as the status of basic vital functions, including respiratory characteristics, blood pressure, respiratory effort and capillary return and the type of injury suffered by the victim. Data was entered by paramedics using the Casualty Health Monitor (CHM) mobile device. A MED/MEC computer support station using the CSMRO optimization module provided a solution based on this to assign HED and MRT to MCI victims. The time spent by rescuers at the scene of an MCI incident during initial segregation was significantly reduced and, consequently, the time taken to carry out actions in the subsequent individual stages of the rescue operation was also shorter.