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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.

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