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Christopher B Cooper, MD

P hysiological H ealth A ssessment S ystem for E mergency R esponders PHASER Introduction and Specific Aims. Christopher B Cooper, MD Professor of Medicine and Physiology David Geffen School of Medicine University of California, Los Angeles. PHASER primary national objective.

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Christopher B Cooper, MD

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  1. Physiological Health Assessment System for Emergency RespondersPHASERIntroduction and Specific Aims Christopher B Cooper, MD Professor of Medicine and PhysiologyDavid Geffen School of MedicineUniversity of California, Los Angeles

  2. PHASER primary national objective Firefighters - highest occupational rate LODD due to sudden cardiac events USFA Goal – decrease LODD by 25% in 5 years and 50% in 10 years A primary national objective is the development of a breakthrough in assuring health and safety for the emergency responder community. Requires state-of-the-art approach combining medical science with technological innovations

  3. PHASER organizational chart UCLA School of Medicine Exercise Physiology Research Laboratory Program Director Dr. Chris Cooper, MD, PhD Redondo Beach Fire Department Chief Paul Lepore Health and Exercise Sciences Skidmore College Dr. Denise Smith Zephyr Technology Corporation Chief Bruce Varner Advisor Emergency Responder Partners Partners UCLA EPRL Associate Director Dr. Tom Storer South Bay Fire Training Academy Captain Carl Whitaker NASA Ames NASA JSC Dr. David Kao Dr Todd Schlegel Wireless Health Institute Program Coordinator Dr. Maxim Batalin 3

  4. PHASER specific aims Comprehensive risk identification and prioritization Sensor selection and evaluation Laboratory-based physiological experiments Field-based monitoring and risk stratification Implementation of a low-cost networked system for physiological monitoring and intervention Outreach to emergency responders, the public, academic institutions, industry and other government agencies

  5. PHASER: Safety objective To enhance the safety and to protect the well-being of emergency responders Safety of the individual emergency responder Safety of the emergency responder team Safety of the victims

  6. Risk factor prioritization Major Risk Factors (the big 5!) Deconditioning/Fatigue Dehydration/Heat stress Added weight/isometric load Exposure time Traditional cardiovascular risk factors Risk Mitigation Fitness training Pre-hydration/Fitness training Ideal body weight/Lighter PPE PPE modification/Fitness training Screening/Lifestylemodification/Fitness training

  7. Factors increasing cardiovascular stress • Deconditioning • Dehydration • Added weight • Isometric load

  8. Factors reducing cardiovascular stress • Fitness enhancement • Prehydration • Ideal body weight • Lighter PPE • Improved work efficiency

  9. Effect of added weight on cardiovascular strain * *Ctrl < WV, PPE; p < 0.05

  10. “Cardiocaloric index”: proof of concept Running = 160 /min Walking = 40 /min

  11. PHASER-Net

  12. ER ER ER ER ER ER ACCESS POINT ACCESS POINT ER ER ER ER ER ER ER ER ER S1 ENTERPRISE TESTBED ER ER S2 S3 ER SENSOR FUSION AND DECISION AID (UCLA) ER ER ACCESS POINT ER ER ER ER ER = Emergency Responder ER = Sensors/Systems being Tested S

  13. Opportunities for physiological monitoring

  14. PHASER Net Data Processing Aggregated Human Subject Data Data Integrity Identification of Meaningful Metrics HR ΣA Mobile Device INTERFACES INTERFACES Rapid Product Development SpO2 Relational Database ECG Validation BP Research (hypothesis testing) BR Access Point Tº Publications

  15. Thank You

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