The Impact of Road Safety on Clinical Care

1. BEFORE AFTER The Impact of Road Safety on Clinical Care Assoc Prof Dr MohdIdzwan bin Zakaria Consultant Emergency Physician Malaysia

2. Pray for MH370

3. Ambulance safety: a knee jerk phenomena

4. Especially if there is mortality

5. What will we discuss? • Ambulance Dispatch • How are we managing it? • Problems today • Solutions available • Benefits of being innovative • Ambulance with Road Safety • Conclusion

6. What is Ambulance Dispatch? • Emergency medical care • public health • public safety • patient transport • Bridge between the community and the hospital • Operated by professionals or volunteers • Owned by Private / NGO / Government • Coverage can be both urban and/or rural • Disaster response

7. How Are Calls Being Managed

8. How Are You Managing it? • What kind of systems do you use today? • How long does it take to capture callers information? • Is there duplication of work? • How do you assign your calls? • Have you experienced errors? • How do you track and see your dispatch’s location? • Can you help provide directions, mapping and routing to crew? • Too many calls, too few manpower?

9. Timing is Critical – Call Center

10. Timing is Critical - Driver

11. Timing - Paramedic

12. Timing – Hospital

13. How Innovation Helps Link Electronic patient care reporting

15. 3 Key Criteria in Choosing The Right Partner • Innovative & Comprehensive Product Offerings • Provides Complete Hardware and Software support • Knows and Understands EMS

16. What’s Available Today - Programs • RescueNetDispatch and DispatchPRO/ CommCAD- Most comprehensive and intergrated System • RescueNet@Work – Window into Dispatch • RescueNetNetTransit– Monitor request via the web • RescueNet Crew Scheduler - Manages Scheduling challenges link to Dispatch • RescueNet Resource Planner - Maintain Optimum Shifts planning • RescueNetBilling – Improve Efficiencies and Cash Flow • RescueNetePCRSuite – Most Customized Solution • RescueNetNavigator – Less Noise, Higher Accuracy • RescueNetFireRMS – Manages All Fire Records • RescueNetLink – Integrated link to the Hospital • RescueNetRoad Safety – Real Time Driver Modification System

17. Choosing The Right Service Partners Services • Deployment • Consulting • Custom Solutions Group • Custom Reporting • Education and Training • Technical Support • Project Management Singapore pilot study

18. Product Offering Around The Chain of Survival

19. How Will Everyone Benefit? • Call Center – CommCAD (computer aided dispatch) • Faster and easier to assign resources • Reduce error • Cut down paper work • Driver – Navigator /Road Safety • Fastest and quickest route • Direction and location • Safer driving habits • Paramedics – ePCR/Link • Faster monitoring • Easy patient records link • Seamless connectivity and transmission of 12-Lead ECG

20. Organizational Benefits • Hospital (A&E) – Link/Billing • Patients vital information (from the ambulance) • Prepared and equipped for patient • Faster turn around time • Agency/organization – Zoll’s products • Faster response time (Improved KPIs) • Reduce manual and duplicate work • Increase productivity • Track performance • Review fleet management

21. Cost Benefits ...?

22. What’s Innovation without Safety ?

23. Improving EMS Safety: 4 levels • Government / ministry level • Sets the bar and enforces compliance • Adopt evidence based Safety standards (EN1789) • Encourages / supports research and change • Ambulance Organization • Adopts a culture of safety • Sets appropriate SOPs • Ensures proper training, vehicle, equipment, crewing • Ambulances • Design • Standards & Safety compliance • Use of appropriate materials (ABS and steel) • Crews (drivers and medics) • Qualified staff • Duty cycles • Safe Drivers??

24. Safety Innovations?

25. Data Collection & Driver Feedback System • Onboard computer installed in each vehicle to assess driving performance • Real Time Feedback puts drivers in control of performance (Choice of tones or voice messages) Onboard Computer Audio Speaker

26. What is Road Safety? INPUTS Seat belts Speed (mph) Turns (g-force) Acceleration (rpm) Braking Back-up spotter Turn signal Lights & sirens • OUTPUTS • Audible Warning • Reports • Onboard Monitoring & Vehicle Tracking

27. Driver Training Cost Savings Real-time Feedback How Road Safety Works Reward and Coach Immediate Improvements Data Upload and Reporting Event Analysis Benchmark Drivers

29. Singapore’s Experience with Road Safety • 2 Emergency vehicles selected for 6 weeks trial • Road Safety was installed and left without tones for 3 weeks (same function as conventional black boxes- recording) • After 3 weeks tones were turned on and drivers were given basic briefing and a 10mins “ride along” orientation • Data were downloaded after 6 weeks (3 weeks before and 3 week after tones) for comparison

30. Pilot Study in Singapore

31. Why So Many Agencies Uses ZollRescueNet? • To enhance safety • To improve driver performance • Better patient care and outcomes • Save maintenance costs • Improve patient / occupant comfort • Aid accident and Incident investigation • Reduce manpower • Monitor individual driver performance • Logical investment in incident prevention • See immediate ROI

32. In Conclusion… • Look at Technology to help support the CHAIN OF SURVIVAL • Select the right partner who truly knows and understands EMS • Improving dispatch does NOT mean more manpower and hefty hardware costs • Consider real-time and seamless data transmission to improve outcomes • Safety and Cost Savings can be achieved from better driving • Innovation can help in cutting down response time, improve outcome and safety because Lives matter!

33. Thank you! “Arrive Faster, Arrive Safer, Arrive Alive!”