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Understanding communications in medical emergency situations

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 Added by Julie Dugdale
 Publication date 2019
and research's language is English




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Good communication is essential within teams dealing with emergency situations. In this paper we look at communications within a resuscitation team performing cardio-pulmonary resuscitation. Communication underpins efficient collaboration, joint coordination of work, and helps to construct a mutual awareness of the situation. Poor communication wastes valuable time and can ultimately lead to life-threatening mistakes. Although training sessions frequently focus on medical knowledge and procedures, soft skills, such as communication receive less attention. This paper analyses communication problems in the case of CPR and proposes an architecture that merges a situation awareness model and the belief-desire-intention (BDI) approach in multi-agent systems. The architecture forms the basis of an agent-based simulator used to assess communication protocols in CPR teams.



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Cardio-pulmonary arrest is a common emergency situation causing over 400,000 deaths per year, more than a 1000 per day, in the USA alone. The goal of this work is to develop an agent based computer simulator that will allow trainers to experiment with different communication protocols, such as those found in air traffic control. This paper describes the first step in designing the simulator development. The design is based on an analysis of communications during real life training simulations using the FIPA standard categories.
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In 2020, California required San Francisco to consider equity in access to resources such as housing, transportation, and emergency services as it re-opened its economy post-pandemic. Using a public dataset maintained by the San Francisco Fire Department of every call received related to emergency response from January 2003 to April 2021, we calculated the response times and distances to the closest of 48 fire stations and 14 local emergency rooms. We used logistic regression to determine the probability of meeting the averages of response time, distance from a fire station, and distance to an emergency room based on the median income bracket of a ZIP code based on IRS statement of income data. ZIP codes in the lowest bracket ($25,000-$50,000 annually) consistently had the lowest probability of meeting average response metrics. This was most notable for distances to emergency rooms, where calls from ZIP codes in the lowest income bracket had an 11.5% chance of being within the citys average distance (1 mile) of an emergency room, while the next lowest probability (for the income bracket of $100,000-$200,000 annually) was 75.9%. As San Francisco considers equity as a part of Californias Blueprint for a Safer Economy, it should evaluate the distribution of access to emergency services. Keywords: fire department, emergency medical services, emergency rooms, equity, logistic regression
There is growing interest in artificial intelligence to build socially intelligent robots. This requires machines to have the ability to read peoples emotions, motivations, and other factors that affect behavior. Towards this goal, we introduce a novel dataset called MovieGraphs which provides detailed, graph-based annotations of social situations depicted in movie clips. Each graph consists of several types of nodes, to capture who is present in the clip, their emotional and physical attributes, their relationships (i.e., parent/child), and the interactions between them. Most interactions are associated with topics that provide additional details, and reasons that give motivations for actions. In addition, most interactions and many attributes are grounded in the video with time stamps. We provide a thorough analysis of our dataset, showing interesting common-sense correlations between different social aspects of scenes, as well as across scenes over time. We propose a method for querying videos and text with graphs, and show that: 1) our graphs contain rich and sufficient information to summarize and localize each scene; and 2) subgraphs allow us to describe situations at an abstract level and retrieve multiple semantically relevant situations. We also propose methods for interaction understanding via ordering, and reason understanding. MovieGraphs is the first benchmark to focus on inferred properties of human-centric situations, and opens up an exciting avenue towards socially-intelligent AI agents.
Communication is crucial when disasters isolate communities of people and rescue is delayed. Such delays force citizens to be first responders and form small rescue teams. Rescue teams require reliable communication, particularly in the first 72 hours, which is challenging due to damaged infrastructure and electrical blackouts. We design a peer-to-peer communication network that meets these challenges. We introduce the concept of participatory fairness: equal communication opportunities for all citizens regardless of initial inequality in phone battery charge. Our value-sensitive design approach achieves an even battery charge distribution across phones over time and enables citizens to communicate over 72 hours. We apply the fairness principle to communication in an adapted standard Barabasi-Albert model of a scale-free network that automatically (i) assigns high-battery phones as hubs, (ii) adapts the network topology to the spatio-temporal battery charge distribution, and (iii) self-organizes to remain robust and reliable when links fail or phones leave the network. While the Barabasi-Albert model has become a widespread descriptive model, we demonstrate its use as a design principle to meet values such as fairness and systemic efficiency. Our results demonstrate that, compared to a generic peer-to-peer mesh network, the new protocol achieves (i) a longer network lifetime, (ii) an adaptive information flow, (iii) a fair distribution of battery charge, and (iv) higher participation rates. Hence, our protocol, Self-Organization for Survival (SOS), provides fair communication opportunities to all citizens during a disaster through self-organization. SOS enables participatory resilience and sustainability, empowering citizens to communicate when they need it most.
In 2020, due to the COVID-19 pandemic, educational activities had to be done remotely as a way to avoid the spread of the disease. What happened was not exactly a shift to an online learning model but a transition to a new approach called Emergency Remote Teaching. It is a temporary strategy to keep activities going on until it is safe again to return to the physical facilities of universities. This new setting became a challenge to both teachers and students. The lack of interaction and classroom socialization became obstacles for students to continue engaged. Before the pandemic, hackathons -- short-lived events (1 to 3 days) where participants intensively collaboration to develop software prototypes -- were starting to be explored as an alternative venue to engage students in acquiring and practicing technical skills. In this paper, we present an experience report on the usage of an online hackathon as a resource to engage students in the development of their semester project in a distributed applications course during this emergency remote teaching period. We describe details of the intervention and present an analysis of the students perspective of the approach. One of the important findings was the efficient usage of the Discord communication tool -- already used by all students while playing games -- which helped them socialize and keep them continuously engaged in synchronous group work, virtually collocated.
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