Robot Joins Emergency Department at Apollo Hyderabad!
30-Oct-2011
Editors Desk

Has the War Against the Machines entered into our emergency departments?! Read on!

Yesterday, Apollo Health City Hyderabad announced the launch of a Stroke Care Robot, technically known as RP-7 Remote Presence Robot. This machine is a mobile robotic platform that enables a physician to remotely monitor and guide treatment.

The launch of this state-of-the-art technology was announced by Dr. Prathap Reddy, Chairman - Apollo Hospitals Group at a press conference on Saturday afternoon at Apollo Health City Hyderabad. This launch was aligned with the World Stroke Day.

The RP-7 leverages wireless, internet and robotics technology to enable a physician to reach a the bedside of a patient, from a remote location. The robot removes time and distance barriers and effectively extends the physicians reach across countries. The RP-7, which is the first and only FDA cleared remote presence device, allows direct connection to medical devices such as electronic stethoscopes, ultrasound, etc, to transmit data to the remote physician. Under direct control of a remote physician seated at a control station, the RP-7 can move un-tethered allowing the physician to freely interact with the patient, family members, observe patient behaviour, check bedside monitors & ventilator settings, and pass treatment instructions to the doctors & nurses present.

The stroke robot we are launching today will help us in reducing the neurologist response times for stroke victims. Earlier, better and more efficient care during the golden hour reduces morbidity and mortality in stroke. We believe that this technology will make a significant difference for stroke victims in the country, said Dr. Prathap C Reddy, Chairman - Apollo Hospitals Group.


Image 1 - Dr. Sateesh, an emergency physician playing the role of a patient, shares a jovial moment with Dr. Rahul Khandelwal, Group Service Line Manager for Neurosciences, visible in the robot LCD.


Image 2 & 3 - The Stroke Robot engages in a conversation with the simulated patient as the emergency department staff watch.


Image 4 - The Stroke Robot looking at the CT scan films of the patient. Image 5 - The remote neurologist talking to the patient in a demo session.

Apollo Health City Hyderabad happens to be the first and only hospital in India to receive the Clinical Care Program Certification for Acute Stroke by the Joint Commission International (Go to JCI website). This certification, developed in collaboration with the American Stroke Association, recognizes centers that make exceptional efforts to foster better outcomes for stroke care. Apollo Hyderabad was certified in 2006 and recertified in 2009. Apollo stroke care clinical pathway closely involves ambulance drivers, EMTs, call center staff, emergency physicians & nurses, radiologists, neurologists & neurosurgeons, ICU staff and rehabilitation services, as well as, stroke clinical & administrative coordinators.

The RP-7 also seems to be an exceptional machine. We watched it closely on how it was interacting with the simulated patients. It moved slowly and purposefully around the emergency department without disturbing other patients. It was being controlled via a laptop & joystick from another room away from the ED. Its machinery was completely silent. We also noticed that it had some kind of collision sensors all around it. The video on the LCD screen was quite clear. The most impressive was its audio system. It's directional microphone could hear the patient from a distance of 6 feet and its speaker was clearly heard by the patient. Both the patients got engaged in conversation with the remote neurologist within seconds, and forgot that they were actually talking to a robot. The neurologist managed to do a stroke assessment on them quite quickly.

Apollo is planning to place this robot in one of its lower level hospitals where access to a neurologist is unavailable. Since this stroke robot is most likely to hang around in the emergency department waiting for stroke patients, we see its utility across the entire clinical emergency medicine field. A remotely located emergency physician can review seriously ill patients through the robot and guide their resuscitation/treatment plans. Bedside teaching of junior doctors & nurses will be a breeze. Counselling, conflict resolutions, etc, are all very much possible.

How much does it cost? Well, its quite affordable and you can buy it for a cool 75 lakh! (150,000 USD)

Anyway, we will try to keep track of this robot and let you know what its upto. Maybe it will enroll itself for an EM residency training program! If the robot decides to replace all the neurologists of the hospital, then it is definitely War Against the Machines!

- EmergencyMedicine.in

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Other news on this event
RP-7 launched in city hospital - Times of India
Apollo Hospitals launch robot for stroke treatment - IBN Live
Apollo Neurosciences Facebook Page

More Reading about RP-7
RP-7 system for distance patient monitoring
Long distance surgical training with RP-7 robot

Has robotics become popular in healthcare?
Take a look at the 2010 brochure on Miami Robotics Symposium
Download brochure (450Kb)

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Maharashtra Emergency Medical Services (MEMS)
23-Oct-2011

Government of Maharashtra through NRHM - State Health Society, Maharashtra and Directorate of Health Services, Mumbai intends to launch Maharashtra Emergency Medical Services (MEMS) with a fleet of 937 Ambulances (Advanced Life Support & Basic Life Support). Envisaged after the Mumbai serial blasts in 2006, the MEMS will have a 24X7 call centre and a fleet of ambulances to cater to the emergency medical needs of the rural and urban population.

The state government re-invited tenders for setting up the ambitious emergency medical system as the first tender notification has received poor response.

Click here to read full article from Times of India
Download the tender document

Maharashtra first to have standard ambulance design - Indian Express
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13th National Conference in Emergency Medicine (EMCON 2011)
17-Oct-2011
Editors Desk

The 13th National Conference in Emergency Medicine (EMCON 2011) is scheduled to be held at Kolkota on 18th to 20th November 2011.

Go to official website of EMCON 2011

EMCON conferences are being hosted by the Society of Emergency Medicine India (SEMI) since 1999.
Click here to see list of EMCON conferences
Click here to go to SEMI official website
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PPP (Public Private Partnerships) must be seen in
the context of viewing the medical sector as a national asset
with health promotion as a goal for all health providers, private or public.

Ghulam Nabi Azad
Union Minister for Health & Family Welfare

The Future
A collaborative effort is needed not only by the medical community,
but also by other agencies to reform the emergency response system
in India. With India burdened...
Emergency care in India: the building blocks (2010)
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Rules for Foreign Degrees Eased
26-Sep-2011

Indians who have studied medicine in five English speaking countries, UK, US, Canada, Australia and New Zealand, will now be eligible to practice in India. In a significant move, the Union health ministry has decided to recognise their degrees, making them eligible to practice in India without appearing for the screening test.

Click here to read full article from The Asian Age
Click here to read full article from Deccan Chronicle
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