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DELIVERING POINT-OF-NEED CRITICAL

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DELIVERING POINT-OF-NEED CRITICAL CARE WHEN NOTHING ELSE CAN Response resources are dispersed to pre-determined locations based on a demographic study prior to ... – PowerPoint PPT presentation

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Title: DELIVERING POINT-OF-NEED CRITICAL


1
DELIVERING POINT-OF-NEED CRITICAL CARE WHEN
NOTHING ELSE CAN
2
CAPABILITIES
Force Multiplier 10 Bed Capacity / 72 Hrs. 500
Cubic Feet / 5000 Lbs. Modular /
Expandable Operational 1 Hr. Deployable Worldwide
24 Hrs. Critical Care
Casualty Collection Casualty Treatment Casualty
Evacuation Oxygen X-Ray Water Purification Power
Generation
Tent / Trailer / Room of Opportunity
3
VISION
  • Deployable worldwide 24 hours by all available
    platforms.
  • Fully operational within one hour of touchdown.
  • Provide a force multiplier/productivity enhancer
    to military and emergency response personnel.
  • System must be Mission Adaptable, Not Mission
    Specific.
  • System must provide medical care from triage
    through staged resuscitative surgical
    interventions.

4
WHY?
Military Casualty Care Pandemic Influenza
Terrorism
Hurricanes Earthquakes Tsunamis
Large Public Gatherings
5
CURRENT SHORTCOMINGS VS. FUTURE REQUIREMENTS
  • Current Medical Response Systems require an
    intact infrastructure to respond.
  • Current systems are greatly hampered due to size,
    configuration and logistical footprint thus
    making them manpower dependent.
  • Future systems must be deliverable under the most
    extreme conditions without the need for heavy
    lift capability and large manpower requirements.
  • Future systems must be independent for 72 hours
    before re-supply is required.

6
SOLUTION
  • Based on a highly compressed footprint, MERF
    provides optimal patient management from triage
    through staged resuscitative surgical
    interventions.
  • MERF is deployable worldwide within 24 hours by
    all currently available platforms
  • MERF is fully operational within 1 hour of
    touchdown.
  • MERF is operationally independent for 72 hours
    before re-supply is required.
  • MERF is a Force Multiplier designed to be
    Mission Adaptable, Not Mission Specific.

7
ADVANTAGES
  • Modular and expandable to mission requirements.
  • All modules are of a plug and play design.
  • All components have been designed with muti-task
    capability thus maximizing utility while reducing
    weight and cube.
  • Deployment canisters are single man portable.
    They can be delivered by all available
    platforms(truck, trailer, planes, parachute,
    helicopters, walked in, etc.)

8
DEPLOYMENT
MERF is deployed within the CH661 SERIES of the
Charlies Horse Deployment System.
9
PATIENT MOVEMENT / TREATMENT MODULE
Properly accessorized, the SR701RT is a Mobile
Medical Facility within itself.
10
PATIENT MOVEMENT / TREATMENT MODULE
  • Each SR701RT can be configured as Casualty
    Collection apparatus Treatment apparatus
    Casualty Evacuation apparatus ICU Beds.
  • Trendelenberg capability.
  • Compatible with all NATO spec Litters/Stretchers.
  • Quick attachment and release of
    Litters/Stretchers.
  • Each SR701RT is capable of moving 20 cubic feet /
    500lbs. of medical supplies by a single
    individual.
  • Nine SR701RT Wheeled Litter/Stretcher Stands with
    Adjustable Back Rests, Medical Accessory Towers
    and Cargo Haulers (SR 731). make up the Patient /
    Treatment Module.
  • Five Accessory Kit A's (10 Adjustable Arm Boards
    10 IV Poles 5 Adjustable Mayo Trays 10 Medical
    Accessory Clamps).
  • Five Accessory Kit C's (10 Welch-Allyn 150 Watt
    halogen Examination / Treatment lights with 10
    Medical Accessory Clamps).
  • Disposable Fluid Captures with 6 liter absorption
    capability available as accessory if stipulated
    by end user.
  • Final capabilities, configurations and equipment
    / supplies determined by end user.

11
CRITICAL CARE MODULE
12
CRITICAL CARE MODULE
13
CRITICAL CARE MODULE
  • Operational within one hour of touchdown in any
    shelter of opportunity.
  • Compatible with all NATO spec Litters/Stretchers.
  • One SR901RT Multi-Purpose Utility Table, fully
    adjustable to specific requirements within
    minutes. 6 inches of height adjustment 1
    Macro adjustments 1 Micro adjustment.
  • Trendelenberg capability.
  • All Medical Accessories designed to
    adjust/attach/detach quickly as necessary.
  • Disposable Fluid Capture (6 liter absorption
    capability).
  • PAX LED lighting, rugged, lightweight, compact
    and durable. Dual light spectrum.
  • Equipment to run 1 O/R and 3 ICU Stations 4
    Impact Ventilators, 4 Impact Aspirators 4 Welch
    Allyn Propaq LT Monitors and 2 Halogen Head
    Lamps Magellan Anesthesia.
  • Storage for 55 cubic feet / 1,500lbs. of medical
    supplies, within 6 drawers, 5 trays with clear
    poly-carbonate lids for easy identification of
    stored supplies (see Supply Module) and one large
    piggyback canister.

14
SUPPLY MODULES
15
SUPPLY MODULES
  • Modules can be configured to specific
    requirements of end user.
  • Adjustable legs can be added to all lids when
    space allows providing additional tables or
    administrative desk space.
  • Five Supply Modules are standard within MERF
  • Modules consists of 5 Lids (CH661-18L) with 6
    Drawers each (CH661-DRAW) 5 Bottoms (CH661-BM4)
    with 5 Trays each (CH661-TRAY-5) 4 Piggyback
    Bottoms (CH661-PB12) with 6 Trays (Two sets of
    CH661-TRAY-3) 4 Piggyback Lids (CH661-L4) with
    Adjustable Legs (CH661-LGS) 16 PB Hold Down
    Straps.
  • All Drawers and Trays have clear poly-carbonate
    lids for easy identification of stored supplies.
  • Five Supply Modules provide 200 cubic feet /
    5,000lbs. of deployable storage space deployed
    within 5 Charlie's Horse Carts (CH401M4) by 5
    individuals.
  • CH401M4's can be utilized for Casualty
    Collection/Treatment when properly accessorized
    with CH411 Accessory Clamps.
  • Final capabilities, configurations and
    equipment/supplies determined by end user.

16
OXYGEN CONCENTRATOR MODULE
17
OXYGEN CONCENTRATOR MODULE
  • Increased flexibility and safety - PVOCS HF
    affords a safe low-pressure point-of-use approach
    for production and delivery of respiratory gases.
  • Availability of Medical Grade Air and Oxygen
    afford the medical practitioner unparalleled
    flexibility for respiratory treatment in the
    field.
  • Significant reduction in the deployment footprint
    (weight and cube). One PVOCS HF supplying 30
    liters per minute of oxygen and medical grade air
    for 72 hrs. can replace 37 H-size cylinders and
    provide a 5,000 lb. weight savings.
  • Continuous performance monitoring - PVOCS HF
    continuously monitors critical performance
    related functions inlet air temperature and
    pressure oxygen product concentration and
    pressure and medical grade air delivery
    pressure dew point and carbon monixide levels.
  • Interface with deployed systems --PVOCS HF has
    been fully validated and is compatible with
    ventilators and anesthesia machines in the
    current inventory.
  • Ruggedized for field deployment - tested to U S
    Military (MIL-STD-810E and MIL-STD-461E) and
    International (IEC 60601-1) requirements.
  • PVOCS HF is a new standard in point of use oxygen
    and medical grade air generation rugged,
    lightweight, portable, and safe.

18
OXYGEN STORAGE MODULE
19
OXYGEN STORAGE MODULE
  • 25,000 Litter Oxygen Delivery/Storage System
  • Five lightweight, high strength, high pressure,
    composite wound, brass lined cylinders mounted
    within the Charlies Horse CH661 canister make
    this capability possible.
  • Composite carbon fiber wound brass-lined
    cylinders prevent combustion and do not fragment
    or explode on ballistic impact (.50 caliber
    ballistic tested).
  • System has been designed to be deployed by a
    single individual without the need for heavy lift
    equipment.
  • Used by both military and civilian disaster
    response teams to quickly supply oxygen when and
    where needed.
  • Deployed with three LSI Mass Casualty Oxygen
    Manifold Systems (optional), 24 patients can be
    ventilated at 15 LPM simultaneously within 10
    minutes of arrival at scene.
  • Refillable from any high pressure oxygen supply.
  • Stored oxygen as compressed gas without loss.
  • Complete with all hoses and regulators for 10 bed
    distribution.

20
X-RAY MODULE
21
X-RAY MODULE
  • Mobile Computer Radiography
  • Complete Digital Radiography Department designed
    for field use.
  • Provides a simple plug-and-play CR solution for
    integrating x-ray studies into PACS, Mini-PACS,
    Tele-Radiology, Centralized Reading, Image
    Distribution, and Archives.
  • System lets user acquire, process, and send
    images to DICOM destinations on a Local or Wide
    Area Network (LAN/WAN).
  • High quality radiographs produced without film,
    wet chemistry or darkroom.
  • Reusable phosphor plate takes the place of the
    x-ray film in the x-ray cassettes. Plates can be
    reused for 7,000 exposures.
  • System is designed to reduce costs, size, weight
    and environmental hazards, while improving the
    quality of patient care.
  • Processing time is efficient at one minute per
    image. Digital images can then be burned onto
    CD's or transmitted over a network for diagnosis.
  • Installation and training require less than one
    day.
  • System weighs 750 lbs. and is deployable by one
    individual without the need for heavy lift
    equipment.

22
WATER PURIFICATION MODULE
23
WATER PURIFICATION MODULE
  • Comprehensive one-touch total automation.
    Micro-processor controlled electronics provides
    state-of-the-art technology and reliability with
    manual override. A Simple-to-use touch screen
    displays pictorial images of all operating
    conditions. Digital and bar graph readout of all
    system conditions in US Standard or Metric.
    Computer interface ready.
  • Self adjusts to any feed water condition.
    Automatic shut down, either time duration or
    product quantity. Hour meter for keeping
    accurate logs scheduling of preventative
    maintenance.
  • 316 stainless steel pressure transducers for
    accurate measurement of system functions. New
    solidstate electronic flow meters for visual
    monitoring of the product water and feed water
    flow used to calculate production rates of the
    system. A fail-safe product water diversion
    valve. Digital and bar graph salinity meter
    shows actual product water quality an essential
    tool for product water monitoring.
  • Dedicated heavy duty latching relays for each
    motor integrated in the system. Unique low
    voltage control circuitry, shielded terminals,
    and covered high voltage components for end-user
    safety
  • High efficiency 316 stainless steel booster pump
    for extended pre-filter life. Patented high
    pressure quintiplex axial plunger pump is water
    lubricated, does not require oil changes and is
    rated to operate 8,000 hrs. between required
    maintenance.
  • High rejection/high yield membrane element that
    produces higher quality product water. Clear
    viewable sea strainer with cleanable monel mesh
    screen filter.
  • Fully self-contained when deployed within the
    Charlies Horse CH661 canister and cart 1,800
    gals. per day/18,000 gals without refueling.
    Spares and hoses included in piggyback container.
    Set-up in less than 45 minutes.
  • Low emission, high efficiency electric start
    Kubota diesel engine.

24
POWER GENERATION MODULE
25
POWER GENERATION MODULE
  • 2-Pole Single Phase with 11kW Output.
  • Generator and engine are direct-coupled to ensure
    a more reliable power supply with minimum power
    loss. Eliminates the cog-belt, therefore, no
    need to replace or adjust.
  • Waveform distortion is kept to a minimum by the
    skewed rotor, while the damper winding protects
    the generator during short circuits, regulates
    voltage fluctuations during condensive loads, and
    withstands load fluctuations during condensive
    and non-linear loads.
  • 50A receptacle providing up to 42A from a single
    socket, and 83A in total from multiple sockets.
  • One-side maintenance realized, reducing the
    operator's work load. ( Maintenance checkups on
    oil, fuel, battery and cooling water levels.)
    Large-capacity oil pan to stretch oil change
    intervals up to 200 operating hours.
  • Double circuit protectors. In addition to the
    overall circuit protector, each receptacle has a
    circuit protector that will shut the engine down
    to prevent it from overcurrent damages.
  • Automatic shut down should water temperature rise
    excessively or oil pressure drop below safety
    levels. Starter safety relay to prevent the
    starter from engaging again after engine starts.
  • Large capacity dual fuel tanks (36.5 gals.)
    enables longer continuous operation. Fuel
    consumption at full load 1.08 gals. per hour.(
    33 hrs. of operation before refueling is
    required).
  • Double element air cleaners for heavy duty
    applications.
  • Low Sound levels (68dB) at 23 feet.

26
MERF TRAILERS
Trailers can be set up to end users final MERF
configuration requirements. The standard MERF
trailer is 40 feet long with sleeping
accommodations for 6, showering, and lavatory
facilities. Available command control center at
the front of the trailer can replace sleeping
accommodations. Other uses/configurations
available based on customer requirements.
27
MODULES IN DEVELOPMENT
FUELING MODULE REFRIGERATION MODULE COMMUNICATIO
NS MODULE ENVIRONMENTAL CONTROL MODULES
28
MERF PROTOCOL vs CURRENT PROTOCOL
ISSUES Surge Capacity Staffing Deployment Casualt
y Collection Casualty Treatment Casualty
Evacuation Chemical/Biological Impact
Major disaster Existing HCFs overwhelmed by
walk-in patients.
29
Current protocol Bring in large deployable
(Fleet-type) health care facility (100 bed).
Cost of approximately 8,000,000 / 10,000,000
per facility with appropriate capabilities.
Surge Capacity has been addressed other issues
remain open.
30
CHEM/BIO impact on deployed facility. Probable
loss of 100 of Mobile Response.
31
Deployment of 10 MERFs _at_ 750,000 / 950,000
each 10 beds per MERF with full Surgical and ICU
capabilities in each, total 100 beds. All are
linked to each other and externally to, for
example, NORTHCOM. Total cost of 7,500,000 /
9,500,000. All issues are resolved.
32
CHEM/BIO impact as suggested above, only 10 of
capability is impacted.
33
As situation stabilizes (72 hrs.) MERF units are
re-supplied and relocated to treat additional
casualties or consolidated to establish a more
permanent 100 bed facility.
34
SUMMARY
  • Response resources are dispersed to
    pre-determined locations based on a demographic
    study prior to disaster assuring survivability.
  • Response times of personnel to each location have
    been reduced.
  • Casualty collection and treatment times have been
    accelerated.
  • Medical treatment is being dispersed
    simultaneously to hundreds.
  • CHEM/BIO impact on response resources has been
    greatly reduced.
  • Response resource will be operational under all
    scenarios with what is available at time of need.
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