Telemedicine in Statoil - norskoljeoggass.no · Corpuls3 og Corpuls.web 6 June 2014 • Alle health...
Transcript of Telemedicine in Statoil - norskoljeoggass.no · Corpuls3 og Corpuls.web 6 June 2014 • Alle health...
Norsk olje&gass 34th Joint International Health Meeting June 3rd 2014 in Oslo
Telemedicine in Statoil
6 June 2014
• Offshore oil & gas exploration is a risky business!
• Hydrocarbons, industrial environments, weather, very complex operations, time
pressure
• Despite safety precautions & procedures: Injuries do occur
• Despite careful employee selection: Acute illness happen
Background
6 June 2014
One-Column Format
Integrated Operations
Collaboration across all boundaries
People
Technology
Organisation
Connectivity gives us the ability to develop new work processes and link the right
people with the right information at the right time.
7
-
After
Parallel
Multidiscipline teams
Decisions based on Real-time data
Proactive
Independent of location
Serial
Single discipline
Dependent of physical location
Decisions based on experience data
Reactive
Before
Integrated Operations Work processes
2012-08-15
6/6/2014
6 June 2014
Stjørdal
LAN Local area network
Heidrun
Gullfaks A
Visund
Statfjord C
Snorre B
Snorre A
Sandsli
Stavanger
”Responsible MD”
”Responsible MD”
”Responsible MD”
”Hospitals, others”
Statoil
Telemedicine pilot 2007/2008
Medical emergency resourses
AWSAR Helicopter during drilling
operations
AWSAR Helicopter
and Emergency vessel
2 x AWSAR Helicoters
3 x Emergency vessels
AMK-St. Olavs hospital
AMK- Haukeland university hospital
AMK-Stavanger university hospital
1 AWSAR Helicopter UK sector-JigSaw/Miller
6 June 2014
AMK-UNN Tromsø
AMK Finnmark i Kirkenes
Response matrix
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Priority
Ref. Norwegian Index of Emergency Medical Assistance
Red response
(Emergency)
1
Life-threatening injury or illness
Immediate medical evacuation with first
available helicopter, accompanied by
competent medical personnel after acquired
medical stabilisation and safeguarding of
vital medical functions.
Examples:
Cardiac arrest. Heart attack
Serious circulatory disorder
Extensive second and third degree burns
High-energy impact injuries
Serious head, neck and spinal injuries
Suspicion of a stroke
Respiratory disorder
Yellow response
(Urgent)
2
Serious injury or illness
Medical evacuation ordered by on duty doctor
due to undetermined conditions that may
deteriorate and where early examination and
treatment will yield clear benefits.
Medical observation in infirmary and during
medical evacuation by competent medical
personnel.
Examples:
Acute abdomen
Acute infections
Fractures of major joints
Head, neck and spinal injuries
Psychosis
Green response
(Routine transport)
3
Medical evacuation in order perform medical
examination and treatment by agreement,
continuous observation by medical personnel
on-board the platform.
To be sent ashore as regular passenger,
stretcher or ambulance transport
accompanied or unaccompanied in
agreement with on duty doctor.
Examples:
Prolonged high temperatures and
respiratory infections
Minor fractures and crush injuries
Back pain
TELEMEDICINE IN STATOIL
Telemedicine - «A giant step forward»
14
Transfer of realtime
patientdata, image and
live video to on duty
doctors and hospitals
onshore
Next step may be
videoassisted
ultrasound realtime
examinations and
realtime communication
from SAR-helicopters
Telemedicine
equipment onboard all
Statoil installations
since Q1-2009
Asembled 3 functionel parts with
wireless communication
Corpuls3
Defibrillator og monitoring
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Telemedicine onbord Heidrun and at Haukeland university hospital
Heidrun
AMK Haukeland university hospital
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0
5
10
15
20
25
30
35
40
45
50
1 2 3 4 5 6
User survey:
Do you find the telemedicine equipment user friendly? (1 = Bad – 6 Very good)
Percent
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0
5
10
15
20
25
30
35
40
1 2 3 4 5 6
Percent
User survey :
Has the use of telemedicine resulted in more secure medical diagnosis? (1 = Bad – 6 Very good)
6 June 2014
0
5
10
15
20
25
30
35
40
1 2 3 4 5 6
Percent
User survey :
Has the introcuction of telemedicine improved quality of the health services? (1 = Bad – 6 Very good)
Extra issues regarding helicopter
transportation
Environment and weather
conditions as other earlier
operations
Standard exploration wells alike earlier drilling in the Barentz Sea
Low pressure and temperature Normal waterdepths
Longer distance from shore compensates with:
Extra messures regarding
medical preparedness
Advanced standby ships
EXPLORATION IN THE HOOP AREA
Standard exploration wells – large distance from shore
Corpuls3 og Corpuls.web
6 June 2014
• Alle health offices offshore use the equipment today
• Corpuls.web communicate directly through video towards the following hospitals:
- Stavanger university hospital (SUS)
- Haukeland university hopspital (HUS)
- St. Olavs hospital (STOLAV)
- University hospital in Northern-Norway (UNN), Tromsø
- AMK Finnmark in Kirkenes (planned)
• Ongoing cooperation with GS og Alere AS regarding electro medical equipment
• Install Corpuls CPR when ready for market
• Considdering videoassisted ultrasound examination onboard installations
Wireless communication
Corpuls CPR Corpuls3
Future installations and improved communication possibilities: In-flight video transfer of data and image
6 June 2014
GSM Satellitt
Corpuls3 - Inflight real time video transmission Issues to be considered
6 June 2014
• Bandwidth will be an issue via satellite
- Therefore we need different priorities for each signal such as live date,
audio, video and so on
- Different resolutions need to be investigated
- Maybe a decreased image refresh rate will have a bigger impact than low
resolution and not result in difficulties for example to diagnose from shore
- The system should be able to adopt to changing circumstances
- In the beginning of May GS will look at a technology that´s currently
developed and may be able to deliver Satellite-coverage more or less on
demand
- GS don´t know about fast moving vehicles like helicopters yet, but they
will keep us informed.
• Packaging of data needs to investigated an used wherever possible
Corpuls3 - Inflight real time video transmission Different aircrafts
6 June 2014
• We need to keep in mind that we need to certify the system for every
aircraft
• GS will talk to their partner in Hamburg (P3 Voith Aerospace) how we
could manage this process
• P3 Voith Aerospace is mainly working with EADS so it is good news
that Statoil use Eurocopter for AWSAR missions
• Speed should not be a general issue since they have installed this
system in jets before (not with Corpuls3, just data)
Stetoscope The future?
• “Ultrasound is the Stethoscope of the future”: Thomas Gentile, President of
GE healthcare
6 June 2014
«Why would I want to hear «lub-dub» when I can see
everything I want?»
Point-of-care ultrasonography
• Focused examinations performed
at the patient’s bedside.
• Development of small hand-held
ultrasound machines.
• An important adjunct to the clinical
examination in some settings
• Potentially life-saving
• Myocardial infarction
• Heart failure
• Hypovolaemia
• Pulmonary Thrombosis
• Pericardial effusion
• Tamponade
Focus assessed transthoracic echocardiography (FATE)
6 June 2014
Focused Assessment with Sonography for Trauma
(FAST)
• Bleeding
- Abdomen / thorax
• Hypovolaemia
• Aortic aneurysm
Project Telementored Ultrasonography
• ~30 volunteering workers at Statfjord C
• Expert located on shore with standard 46’’ monitor
• FATE and E-FAST
• Storage of video of about 6 seconds for every position (14)
• Scoring by independent experts in ultrasonography
• Scoring system: 1-5; clinically useful: 3-5
Conclusions
• Full scale telemedicine implemented on Statoil-operated installations
on the NCS in 2009
• Integrated with defibrillator/monitoring unit, othoscope
• User satisfaction is high (including MD on-call)
• Improvement of the communication
• Better and safer primary diagnosis
- Avoid unnecessary use of SAR-helicopter
• Telementored ultrasonography is a feasible option
• Important: The receiver must have the appropriate competence
• Equipment; how far do we go and where?
Arne M.C. Evensen
Advisor
Tel: +4741476054 www.statoil.com
6 June 2014
Open
Courageous
Hands on
Caring
Thanks Telemedicine in
Statoil Norsk olje&gass
34th Joint International Health Meeting
June 3rd 2014 in Oslo