Japanese Telemedical Concept of Ambulatory Application

Abstract__Transmission of in-ambulance data without
inconveniencing or undue effort by the rescue crew—in other
words, automation of in-ambulance activities (measurement/
analysis, activity recording, message transmission)—is essential
in implementing uniform medical control standards across
the nation. However, the 3G mobile phone has propagation
problems at urban area and severe congestions after major
disaster to support mobile telemedicine. So we are expecting
the Quasi-zenith satellite with nationwide coverage. In near
future, we are expecting the data transmission of image of
pharygoscopy, motion picture of light reflex, 12-leads ECG,
automated ultrasonic echo and vital signs from ambulances to
triage center. For example, Thrombolytic agents are reportedly
effective even when injected into a vein, if injected in the early
stages of acute myocardial infarction, that will reduce medical
costs, resulting in high-quality services available uniformly
across the nation. This paper describes our basic concept to
support ambulatory application.