1- massachusetts instituteof technology（1 -马萨诸塞州技术协会）.doc

1. TECHNICAL DISCUSSIONS A. Statement of Work A.1 Abstract Communications constitute the weakest link in most disaster responses, in particular, immediate tracking of victims. Disasters are best managed not with novel equipment and approaches but with scaled-up use of the equipment and emergency routines already known to emergency medical services. We propose to combine existing and new technologies to develop SMART: Scalable Medical Alert and Response Technology, a system for patient tracking and monitoring that begins at the emergency site and continues seamlessly through transport, triage, stabilization, and transfer between external sites and health care facilities as well as within a health care facility. The system is based on a scalable location-aware monitoring architecture, with remote transmission from medical sensors and display of information on personal digital assistants, detection logic for recognizing events requiring action, and logistic support for optimal response. Patients and providers, as well as critical medical equipment will be located by SMART on demand, and remote alerting from the medical sensors can trigger responses from the nearest available providers. The emergency department at the Brigham and Women’s Hospital in Boston will serve as the testbed for initial deployment, refinement, and evaluation of SMART. This project will involve a collaboration of researchers at the Brigham and Women’s Hospital, Harvard Medical School, and the Massachusetts Institute of Technology. A.2 Objectives A.2.1 Overview Increasing attention is being focused on the optimal response to and most effective delivery of health care in disaster situations. Disasters magnify issues involved in response to individual emergency medical problems. Those problems, arising at random and unpredictable intervals, require not only specific medical action but also attention to regional requirements for coordination of logistics (e.g., closest EMT, nearest emergency depar