gauge the technical effectiveness and clinical efficacy of advanced procedures and technologies. Near-term achievements involve a review and assessment of current telecommunication, medical informatics, and medical procedures as applied to chem-bio emergency medicine. Long-term goals include the development, testing, and deployment of advanced telecommunications, for example, high-bandwidth wireless system, sensors for identification of agents, medical informatics as applied to chem-bio emergencies and advanced trauma care, and chem-bio protection and isolation equipment.
The proposed approach for a nationwide (and global) program for improving emergency medical service for chem-bio incidents is to establish a Chem-Bio Attack Response Center (CBARC). This would be a virtual institute involving organizations specializing in advanced medicine, telecommunication technology, sensor technology, medical informatics, and chem-bio response procedures and equipment. To be compliant and integrate with the general area of advanced medicine, the CBARC must be embedded into a complete telemedicine architecture where all components of telecommunications and medical informatics are involved. The specific types of organizations to be included are
tertiary health care providers
affiliated urban hospitals and clinics, including primary care providers
primary care emergency rooms
medical schools and universities
technical research and development companies
local fire departments
national guard units
federal government (Department of Defense [DOD], National Institutes of Health [NIH], and so forth)
CBARC will provide advanced emergency medical expertise, software development and engineering services, and equipment in the following categories:
Information Services—These services are focused on the collection, analysis, processing, and dissemination of telecommunication and clinical data relevant to emergency telemedicine and medical informatics in a chem-bio environment. Information will include results of efficacy studies, telemedicine hardware configurations, chem-bio protection and isolation equipment, cost-benefit analysis, and other data compiled in databases that are available for access and search via the Internet.