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SMART—An Integrated Wireless System for Monitoring Unattended Patients
Authors:Dorothy W Curtis  Esteban J Pino  Jacob M Bailey  Eugene I Shih  Jason Waterman  Staal A Vinterbo  Thomas O Stair  John V Guttag  Robert A Greenes  Lucila Ohno-Machado
Abstract:Monitoring vital signs and locations of certain classes of ambulatory patients can be useful in overcrowded emergency departments and at disaster scenes, both on-site and during transportation. To be useful, such monitoring needs to be portable and low cost, and have minimal adverse impact on emergency personnel, e.g., by not raising an excessive number of alarms. The SMART (Scalable Medical Alert Response Technology) system integrates wireless patient monitoring (ECG, SpO2), geo-positioning, signal processing, targeted alerting, and a wireless interface for caregivers. A prototype implementation of SMART was piloted in the waiting area of an emergency department and evaluated with 145 post-triage patients. System deployment aspects were also evaluated during a small-scale disaster-drill exercise.
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