Archive for May 31st, 2011

 

“Rescue Robots Don’t Replace People or Dogs, but People and Dogs Can’t do it All by Themselves”

May 31st, 2011

I’ve been interacting with the international press quite a bit with the spate of disasters in Japan and here in the US. I’m thrilled with the “where are the robots?” questions for a couple of reasons. First, there’s the Sally Fields effect- they like robots! Finally, I was getting tired of hearing about the Terminator and robot uprisings. Second, I get to point that out that there is a set of land, sea, and marine vehicles sufficiently hardened to be of use- while putting in a pitch for the government to fund acquisition. (But no worries, these robots are the first generation and need lots of improvements and fundamental research so I’m not talking any us out of funding.)

What surprises me are the “how can robots possibly replace people or dogs you idiot (or evil person)?!” questions. Like the opening salvo I got from the Washington Post reader here.

Rescue robots aren’t intended to replace people or canines. Or search cameras on wands. Or acoustic detectors. Or any of the other response tools. Rescue robots are generally intended to do things that can’t be done now by any means. Most often, such as at building or mine collapses, this means a ground robot going into voids much smaller than a dog or person could crawl in or going deeper. Or flying up close to a collapse structure- closer than a manned system could do and without kicking up dust that obscures the camera view or spreads radioactivity.  Or going into shallow, debris-filled waters where that manual divers cannot enter to inspect bridge footings, ports, and pipelines, and conduct victim recovery.

Rescue robots aren’t even envisioned to be autonomous swarms, rather the desire is for swarms of responders to extend themselves in real-time into the disaster.  Rescue robots are a type of prosthetic for people: a virtual prosthetic that gives them eyes and hands miles away and in extreme places (versus the office or factory on the other side of the country, as being marketed by companies such as Willow Garage). And since voids or areas of interest are generally few and the different groups that need to look at them are large (civil engineer, medical specialist, extrication specialist, etc.), responders may have to share their prosthetic- but that’s another research story.

Let’s hope that the terrible tragedies here and abroad will help transform the nascent awareness of the possibilities of robots in disasters into actual research, development, and acquisition programs. Rescue robots don’t replace people or dogs, but people and dogs can’t do it all by themselves.

(Contributed by Robin Murphy, Texas A&M University)

Health IT: Study Shows Telemedicine Improves Patient Outcomes

May 31st, 2011

Patients in ICUs Do Better With Telemedicine [photo courtesy Philips via IEEE Spectrum]From this week’s IEEE Spectrum:

According to doctors at the University of Massachusetts Medical Center… intensive care units backed up by off-site doctors and nurses, who could remotely monitor critically ill patients and direct the ICU’s on-site staff, had fewer patient deaths and shorter ICU stays. Their trial of a so-called tele-ICU system, which allows intensive care specialists outside the hospital to see and hear patients, monitor vital signs, and access medical records, proves that such a system actually benefits patients.

 

Over the two-and-a-half-year study, off-site doctors and nurses manned multimonitor computer stations from a nearby building, where they received real-time information on patients. The UMass tele-ICU system is based on Philips’ Visicu eICU technology. The system’s software can detect trends that lead to patient deterioration. Off-site teams could verify these trends and, using microphones and cameras in each ICU room, collaborate with bedside nurses and physicians to treat the underlying causes.

 

The study’s results associate the use of tele-ICUs with lower mortality rates, shorter hospital and ICU stays, and lower rates of preventable complications. According to the findings, which were published last week in the Journal of the American Medical Association, the ICU mortality rate was 10.7 percent before tele-ICUs were introduced, compared with 8.6 percent afterward, and the mean length of an ICU stay was 6.4 days before tele-ICUs were used and 4.5 days after they were introduced. Before the tele-ICU experiment began, 13 percent of patients developed ventilator-associated pneumonia, but during the tele-ICU trial, only 1.6 percent experienced that preventable complication.

Check out the original JAMA article about the tele-ICU system/trial.

(Contributed by Erwin Gianchandani, CCC Director)