Ethical and Societal Issues in Emergency Medical Response

MIS 655X

A.M.Townsend

Chad Austin Arpan Dan Lew Hill

Steven Pautz Bryan Walter

Overview

• 911 System

• EMS Dispatch

• EMS Response

• Patient Transfer to Hospital

911 System Overview

911 System Issues• Landlines

– False Calls, PBX Systems

• Master Street Address Guide• Cell Phones

– No Addresses, Auto 911 Calls– GPS Location Services

• Auto-dialers– Service Equipment, Building Alarms– Third Party Security/Medical– OnStar System

• No Location, V.I.N. #, Make, Model

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EMS Dispatch

• Jurisdiction

• Unencrypted Radio Dispatch

• Hospital Communication to Accident Site

• Onsite Conditions

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EMS Response• Navigating to the Site

– Maps– Traffic Lights– GPS Coordinates

• First Responders– Community Volunteers

• Treatment Protocols• Patient History• Family/Cultural Issues• EMT Toughbook QuickTime™ and aTIFF (Uncompressed) decompressorare needed to see this picture.

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Patient Transfer to Hospital

• Selection of Hospital– Type of Trauma– Biases, Incentives

• Transfer of Patient Info– Biometrics, Tests, Photos, ID Tags

Summary• 911 System Overview

– Illegitimate Calls– Address Information

• EMS Dispatch– Unencrypted Radio Communications– Repeat Callers

• EMS Response– Navigation To The Site– Family/Cultural Issues

• Patient Transfer– Protect Patient Data