Automatic Information Exchange in the Early Rescue Chain Using the International Standard Accident Number (ISAN)

Digital Emergency Management for a Complex One Health Landscape: the Need for Standardization, Integration, and Interoperability

OBJECTIVE

Planning reliable long-term planning actions to handle disruptive events requires a timely development of technological infrastructures, as well as the set-up of focused strategies for emergency management. The paper aims to highlight the needs for standardization, integration, and interoperability between Accident & Emergency Informatics (A&EI) and One Digital Health (ODH), as fields capable of dealing with peculiar dynamics for a technology-boosted management of emergencies under an overarching One Health panorama.

METHODS

An integrative analysis of the literature was conducted to draw attention to specific foci on the correlation between ODH and A&EI, in particular: (i) the management of disruptive events from private smart spaces to diseases spreading, and (ii) the concepts of (health-related) quality of life and well-being.

RESULTS

A digitally-focused management of emergency events that tackles the inextricable interconnectedness between humans, animals, and surrounding environment, demands standardization, integration, and systems interoperability. A consistent and finalized process of adoption and implementation of methods and tools from the International Standard Accident Number (ISAN), via findability, accessibility, interoperability, and reusability (FAIR) data principles, to Medical Informatics and Digital Health Multilingual Ontology (MIMO) - capable of looking at different approaches to encourage the integration between the ODH framework and the A&EI vision, provides a first answer to these needs.

CONCLUSIONS

ODH and A&EI look at different scales but with similar goals for converging health and environmental-related data management standards to enable multi-sources, interdisciplinary, and real-time data integration and interoperability. This allows holistic digital health both in routine and emergency events.

One Digital Health Intervention for Monitoring Human and Animal Welfare in Smart Cities: Viewpoint and Use Case

Smart cities and digital public health are closely related. Managing digital transformation in urbanization and living spaces is challenging. It is critical to prioritize the emotional and physical health and well-being of humans and their animals in the dynamic and ever-changing environment they share. Human-animal bonds are continuous as they live together or share urban spaces and have a mutual impact on each other's health as well as the surrounding environment. In addition, sensors embedded in the Internet of Things are everywhere in smart cities. They monitor events and provide appropriate responses. In this regard, accident and emergency informatics (A&EI) offers tools to identify and manage overtime hazards and disruptive events. Such manifold focuses fit with One Digital Health (ODH), which aims to transform health ecosystems with digital technology by proposing a comprehensive framework to manage data and support health-oriented policies. We showed and discussed how, by developing the concept of ODH intervention, the ODH framework can support the comprehensive monitoring and analysis of daily life events of humans and animals in technologically integrated environments such as smart homes and smart cities. We developed an ODH intervention use case in which A&EI mechanisms run in the background. The ODH framework structures the related data collection and analysis to enhance the understanding of human, animal, and environment interactions and associated outcomes. The use case looks at the daily journey of Tracy, a healthy woman aged 27 years, and her dog Mego. Using medical Internet of Things, their activities are continuously monitored and analyzed to prevent or manage any kind of health-related abnormality. We reported and commented on an ODH intervention as an example of a real-life ODH implementation. We gave the reader examples of a "how-to" analysis of Tracy and Mego's daily life activities as part of a timely implementation of the ODH framework. For each activity, relationships to the ODH dimensions were scored, and relevant technical fields were evaluated in light of the Findable, Accessible, Interoperable, and Reusable principles. This "how-to" can be used as a template for further analyses. An ODH intervention is based on Findable, Accessible, Interoperable, and Reusable data and real-time processing for global health monitoring, emergency management, and research. The data should be collected and analyzed continuously in a spatial-temporal domain to detect changes in behavior, trends, and emergencies. The information periodically gathered should serve human, animal, and environmental health interventions by providing professionals and caregivers with inputs and "how-to's" to improve health, welfare, and risk prevention at the individual and population levels. Thus, ODH complementarily combined with A&EI is meant to enhance policies and systems and modernize emergency management.

A Smart Building Fire and Gas Leakage Alert System with Edge Computing and NG112 Emergency Call Capabilities

Nowadays, the transformations of cities into smart cities is a crucial factor in improving the living conditions of the inhabitants as well as addressing emergency situations under the concept of public safety and property loss. In this context, many sensing systems have been designed and developed that provide fire detection and gas leakage alerts. On the other hand, new technologies such edge computing have gained significant attention in recent years. Moreover, the development of recent intelligent applications in IoT aims to integrate several types of systems with automated next-generation emergency calls in case of a serious accident. Currently, there is a lack of studies that combine all the aforementioned technologies. The proposed smart building sensor system, SB112, combines a small-size multisensor-based (temperature, humidity, smoke, flame, CO, LPG, and CNG) scheme with an open-source edge computing framework and automated Next Generation (NG) 112 emergency call functionality. It involves crucial actors such as IoT devices, a Public Safety Answering Point (PSAP), the middleware of a smart city platform, and relevant operators in an end-to-end manner for real-world scenarios. To verify the utility and functionality of the proposed system, a representative end-to-end experiment was performed, publishing raw measurements from sensors as well as a fire alert in real time and with low latency (average latency of 32 ms) to the middleware of a smart city platform. Once the fire was detected, a fully automatic NG112 emergency call to a PSAP was performed. The proposed methodology highlights the potential of the SΒ112 system for exploitation by decision-makers or city authorities.