A Prehospital Database System for Emergency Medical Services

Emergency Medical Services (EMS) are not only responsible for providing prompt and efficient medical care to many different types emergencies, but also for fully documenting each and every event. Unfortunately, the vast majority of EMS events are still documented by hand. The documents are then further processed and entered manually into various billing, research, and other databases. Hence, such a process is expensive, labor intensive, and error prone. There is a dire need for more research in this area and for faster, efficient solutions. We present a solution for this problem: Prehospital Patient Care Record (PCR) for emergency medical field usage with a system called iRevive that functions as a mobile database application. iRevive is a mobile database application that is designed to facilitate the collection and management of prehospital data. It allows point-of-care data capture in an electronic format and is equipped with individual patient sensors to automatically capture vital sign data. Patient information from the field is wirelessly transmitted to a back-end server, which uses Web service standards to promote interoperability with disparate hospital information systems, various billing agencies, and a wide variety of research applications. In this chapter, we describe the current state of EMS, the iRevive application, a mini-trial deploying iRevive in real scenarios, the results, and a future direction for our solution.