[{"data":1,"prerenderedAt":308},["ShallowReactive",2],{"slug-the-eicu-is-turning-night-into-day-with-telemedicine":3},{"post":4,"relatedPosts":189,"relatedBooks":307},{"id":5,"date":6,"date_gmt":7,"guid":8,"modified":10,"modified_gmt":11,"slug":12,"status":13,"type":14,"link":15,"title":16,"content":18,"excerpt":21,"author":23,"featured_media":24,"comment_status":25,"ping_status":25,"sticky":26,"template":27,"format":28,"meta":29,"categories":30,"tags":33,"project_category":51,"contact_email_category":52,"yst_prominent_words":53,"class_list":59,"better_featured_image":85,"acf":124,"yoast_meta":133,"_links":136},23760,"2019-05-02T19:00:24","2019-05-02T17:00:24",{"rendered":9},"https:\u002F\u002Fmedicalfuturist.com\u002F?post_id=23760&_wpnonce=68e16687c1&status=auto-draft&type=post","2023-02-22T16:40:53","2023-02-22T15:40:53","the-eicu-is-turning-night-into-day-with-telemedicine","publish","post","https:\u002F\u002Fmedicalfuturist.com\u002Fthe-eicu-is-turning-night-into-day-with-telemedicine",{"rendered":17},"The eICU Is Turning Night Into Day Through Telemedicine",{"rendered":19,"protected":20},"\n\u003Ctable style=\"width: 100%; border-collapse: collapse; background-color: #eee; border-top: 4px solid #444;\" cellpadding=\"5px\">\n\u003Ctbody>\n\u003Ctr>\n\u003Ctd style=\"width: 100%;\">\n\u003Cp style=\"color: #555;font-size: 12px;line-height: 14px\">THIS ARTICLE HAS NOT BEEN UPDATED SINCE 2019. THE INFORMATION SHARED IN THE ARTICLE WAS ACCURATE AT THE TIME OF ITS PUBLICATION, BUT IT MAY BE OUT OF DATE NOW. \u003Ca href=\"https:\u002F\u002Fmedicalfuturist.com\u002Fmagazine\">BROWSE OUR LATEST ARTICLES HERE\u003C\u002Fa>\u003C\u002Fp>\n\u003C\u002Ftd> \u003C\u002Ftr>\u003C\u002Ftbody>\u003C\u002Ftable>\n\n\n\n\u003Cp>Physicians and nurses deliver care from the other side\nof the Earth by working in daylight hours in Australia covering night shifts in\nAtlanta with the help of telemedicine. That’s the core concept of how night\nintensive care in the Emory eICU Center is carried out in partnership with\nEmory Healthcare, the Royal Perth Hospital in Australia and health technology\ncompany, Philips. Emory is the very first who’s bringing its staff to the other\nside of the globe for better patient care and more satisfied staff. The vision\nto turn “night into day” was co-developed by Timothy Buchman, Ph.D., MD,\nfounding director of the Emory Critical Care Center. We asked him about their\nexperiences, challenges and future expectations.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>When and how was the concept of the eICU born?\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>The implementation of telemedicine into intensive care\nunits, the so-called tele-ICU has a Philips-branded product, that’s the remote\nelectronic intensive care unit, the eICU. The tele-ICU was first an experiment\nin Cleveland Ohio in the 1970s, relying on closed-circuit TV. With the advent\nof the internet and personal computers, Michael Breslow and Brian Rosenfeld of\nJohns Hopkins Hospital in Baltimore proposed, designed, and tested a system\nthat combined an electronic medical record and two-way audio-video\ncommunication embedded in a client-server architecture running TCP\u002FIP. They set\nup a company, \u003Ca href=\"https:\u002F\u002Fwww.bloomberg.com\u002Fresearch\u002Fstocks\u002Fprivate\u002Fsnapshot.asp?privcapId=729103\">VISICU\u003C\u002Fa>, to sell the architecture. VISICU was subsequently acquired by Philips\nand rebranded.\u003C\u002Fp>\n\n\n\n\u003Cp>\u003Cstrong>Their original impetus was that Johns Hopkins Hospital took on more responsibility for a hospital located about 6 km away, currently known as Hopkins Bayview. There was then – as there is now – a shortage of qualified intensive care doctors. The idea was to have doctors in two places at once. \u003C\u002Fstrong>Since then, the concept has been working well and spreading around. \u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>How would you explain the eICU\nin a nutshell?\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>The basic service model is a hub-and-spoke model, with the hub housing teams of medical professionals and their workstations, while the spokes go out to client ICUs. There are \u003Cstrong>currently approximately 50 eICU hubs in the US and several international ones\u003C\u002Fstrong>. At the moment, we are about to bring on two more hospitals located in rural areas that are welcoming our expertise and access to experienced staff, especially during unsocial hours such as nights, weekends or holidays.\u003C\u002Fp>\n\n\n\n\u003Cp>Each hub-and-spoke operates independently and each is\nstaffed somewhat differently depending on perceived needs and services offered.\n\u003Cstrong>The most typical model and one that we\nhave at Emory has nurses performing surveillance day-and-night and physician\nsupport either 24\u002F7 or (as in the Emory model) during unsocial hours. The idea\nis to complement and support (but not supplant) the teams at the bedside.\u003C\u002Fstrong> \u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"512\" height=\"225\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FEmory_eICU_nurses-512x225.jpg\" alt=\"eICU\" class=\"wp-image-23766\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FEmory_eICU_nurses-512x225.jpg 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FEmory_eICU_nurses-768x337.jpg 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FEmory_eICU_nurses-1536x675.jpg 1536w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FEmory_eICU_nurses.jpg 1903w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" \u002F>\u003Cfigcaption class=\"wp-element-caption\">Source: www.healthleadersmedia.com\u003C\u002Ffigcaption>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003Cstrong>The eICU can be seen as a second layer of care. They are not only alarming bedside staff in cases of emergencies, but depending on resources immediately available, they perform evaluations, order and interpret tests (laboratory, radiographs, ECG, etc), order medications, consultations and so on\u003C\u002Fstrong>. This allows for dynamic task reallocation. Local circumstances (such as an emergency in one room) can require rapid reallocation of tasks to ensure that the entire ICU – and hospital- maintain the highest levels of performance.\u003C\u002Fp>\n\n\n\n\u003Cp>It quickly became apparent that the surveillance model would engage and propel nurses to the forefront of this second layer of care. The eICU hub staff typically includes specially trained ICU nurses with decades of bedside experience in the ICU. Their experience and insight are especially helpful to junior nurses. \u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>What are the main benefits of the eICU for patients\nand for doctors?\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>The main benefit is \u003Cstrong>“right care, right now, every patient, every time”\u003C\u002Fstrong>. \u003Cstrong>This is a benefit for patients, families,\nand the entire medical team. It allows for expertise to be taken to the patient\nwhenever needed, leveraging expensive and scarce experienced personnel.\u003C\u002Fstrong> As\nyou can imagine, this is even more important as populations age and\nincreasingly require ICU assistance. At present, about 16 percent of adult ICU\nbeds in the US are covered by tele-ICU services, nearly all of those by Philips\neICU.\u003C\u002Fp>\n\n\n\n\u003Cp>On the other hand, \u003Ca href=\"https:\u002F\u002Fnews.emory.edu\u002Fstories\u002F2018\u002F05\u002Fbuchman-hiddleson_eicu_perth_australia\u002Findex.html\">by placing providers in a time zone with a 12-hour time difference\u003C\u002Fa>, for example, the ICU staff comes to work in Perth, Australia at 7 a.m. but covers the night shift remotely in Emory Healthcare ICUs beginning at 7 p.m, the time change transforms the experience for health care providers working at night. \u003Cstrong>It reverses two of the largest drawbacks of critical care night staffing: a shortage of senior clinicians willing to cover the night shifts and the toll that working nights takes on caregivers and their attention levels\u003C\u002Fstrong>. With the eICUs, the enthusiasm of clinicians is palpably higher. Every clinician who has spent time in Australia on an eICU rotation wants to go back for additional ones.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"512\" height=\"288\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-Australia-Atlanta-512x288.jpg\" alt=\"eICU\" class=\"wp-image-23767\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-Australia-Atlanta-512x288.jpg 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-Australia-Atlanta-370x208.jpg 370w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-Australia-Atlanta-768x432.jpg 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-Australia-Atlanta.jpg 1280w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" \u002F>\u003Cfigcaption class=\"wp-element-caption\">Source: www.ama-assn.org\u003C\u002Ffigcaption>\u003C\u002Ffigure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Do you see any challenges in setting up eICUs around\nthe world? \u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>\u003Cstrong>The challenges are primarily\nrelated to cost and the current architecture that relies (TCP\u002FIP) on T1 or\nfiber connections\u003C\u002Fstrong>.\nThere is a cloud implementation on the horizon that will help, but the cost of\nthe in-room systems, the hardware, and the software\u002Flicenses is still high. However,\nthe marketplace is evolving, and there are competitors emerging to challenge\nthe Philips model. \u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>How did doctors react to the concept of the eICU, and what were their first experiences during the implementation?\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>Intensive care doctors embraced it due to the perceived support. \u003Cstrong>Most resistance came from bedside nurses who thought it was a “big brother” system intended to review their care. Much effort goes into explaining the “why” of the system and to reassure especially nurses that the eICU is there to help\u003C\u002Fstrong>. Usually, those concerns fade with the first disaster averted because the eICU noticed a problem that otherwise would have escaped attention. Consultants visiting the ICU are sometimes a bit taken aback by the fact that the intensivist is remote, but again that fades quickly. The most enthusiastic support comes from those who try out serving in the hub – they see the care process in a completely new light. \u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Technology can be a huge\nenabler, but it might cause issues as well. Did you experience any difficulty\nin setting up and running the eICU?\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>\u003Cstrong>The systems are surprisingly stable\u003C\u002Fstrong>. There are always occasional problems with “upgrades” and new hardware such as new in-room systems, but the computer world has become much more adept at “plug and play”, which spills over into stability in even such advanced systems as an eICU. \u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg decoding=\"async\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-system-512x363.jpg\" alt=\"eICU\" class=\"wp-image-23768\"\u002F>\u003Cfigcaption class=\"wp-element-caption\">Source: www.weforum.org\u003C\u002Ffigcaption>\u003C\u002Ffigure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Where do you see gaps in the current care process that\ntechnology could bridge but we don’t have the right tools yet?\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>I think that \u003Cstrong>the eICU will become key to the introduction and use of artificial intelligence in critical care. Bedside staff is overwhelmed with alerts and decisions that pull them away from tasks that can only be done by touching the patient. Implementing AI at this second level of care promotes collaboration among professionals and a more rational task allocation than is possible with a particular nurse or doctor at the bedside “doing everything”\u003C\u002Fstrong>. Having the eICU hub staff constantly monitoring patients for deviation away from the desired\u002Fexpected trajectory and having AI delivering computed decision support tools based on detailed experience is likely to improve outcomes, improve patient experience, lower costs, and add to provider joy.\u003C\u002Fp>\n\n\n\n\u003Ctable style=\"width: 100%; border-collapse: collapse; background-color: #eee; border-top: 4px solid #444;\" cellpadding=\"10px\">\n\u003Ctbody>\n\u003Ctr>\n\u003Ctd style=\"width: 100%;\">\n\u003Cp>\u003Cstrong>At The Medical Futurist, we are building a community for making a bold vision about the future of healthcare reality today.\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\u002F\u002Fwww.youtube.com\u002Fembed\u002FFIbMejImnxs\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\">\u003C\u002Fiframe>\n\u003Cp>If you’d like to support this mission, we invite you to \u003Ca href=\"https:\u002F\u002Fwww.patreon.com\u002Fthemedicalfuturist\">join The Medical Futurist Patreon Community\u003C\u002Fa>. A community of empowered patients, future-oriented healthcare professionals, concerned health policymakers, sensible health tech developers, and enthusiastic medical students. If there were ever a time to join us, it is now. Every contribution, however big or small, powers our research and sustains our future.\u003C\u002Fp>\n\u003Cp>\u003Ca href=\"https:\u002F\u002Fwww.patreon.com\u002Fthemedicalfuturist\">\u003Cstrong style=\"background-color: #e71d3299; color: #000;\">Click here to support The Medical Futurist from as little as $3\u003C\u002Fstrong>\u003C\u002Fa> – it only takes a minute. Thank you.\u003C\u002Fp>\n\u003C\u002Ftd>\n\u003C\u002Ftr>\n\u003C\u002Ftbody>\n\u003C\u002Ftable>\n\u003Cp> \u003C\u002Fp>\n",false,{"rendered":22,"protected":20},"\u003Cp>Physicians and nurses deliver care from the other side of the Earth by working in daylight hours in Australia covering night shifts in Atlanta with the help of telemedicine. That’s the core concept of how night intensive care in the Emory eICU Center is carried out in partnership with Emory Healthcare, the Royal Perth Hospital in Australia and health technology company, Philips. Emory is the very first who’s bringing its staff to the other side of the globe for better patient care and more satisfied staff. The vision to turn “night into day” was co-developed by Timothy Buchman, Ph.D., MD, founding director of the Emory Critical Care Center. We asked him about their experiences, challenges and future expectations.\u003C\u002Fp>\n",6,23765,"closed",true,"","standard",{"_acf_changed":20,"footnotes":27},[31,32],521,494,[34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50],207,723,214,764,246,1155,275,1225,289,1314,337,1315,425,174,609,206,637,[],[],[54,55,56,57,58],2613,1645,1671,1673,1883,[60,14,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84],"post-23760","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-future-medicine","category-telemedicine","tag-digital-health","tag-telemedicine","tag-doctor","tag-healthcare-system","tag-future","tag-telemedical","tag-healthcare","tag-care","tag-innovation","tag-critical-care","tag-nurse","tag-healthcare-process","tag-technology-2","tag-clinical-practice","tag-healthcare-design","tag-digital","tag-telehealth",{"id":24,"alt_text":86,"caption":87,"description":27,"media_type":88,"media_details":89,"post":5,"source_url":123},"eICU","Source: www.prnewswire.com","image",{"width":90,"height":91,"file":92,"sizes":93,"image_meta":120,"original_image":122},1621,1080,"2019\u002F05\u002FeICU-in-practice-scaled.jpg",{"medium":94,"large":100,"thumbnail":105,"medium_large":109,"1536x1536":110,"2048x2048":115},{"file":95,"width":96,"height":97,"mime-type":98,"source_url":99},"eICU-in-practice-370x208.jpg","370","208","image\u002Fjpeg","https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-in-practice-370x208.jpg",{"file":101,"width":102,"height":103,"mime-type":98,"source_url":104},"eICU-in-practice-768x512.jpg","768","512","https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-in-practice-768x512.jpg",{"file":106,"width":107,"height":107,"mime-type":98,"source_url":108},"eICU-in-practice-150x150.jpg","150","https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-in-practice-150x150.jpg",{"file":101,"width":102,"height":103,"mime-type":98,"source_url":104},{"file":111,"width":112,"height":113,"mime-type":98,"source_url":114},"eICU-in-practice-1536x1023.jpg","1536","1023","https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-in-practice-1536x1023.jpg",{"file":116,"width":117,"height":118,"mime-type":98,"source_url":119},"eICU-in-practice-2048x1365.jpg","2048","1365","https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-in-practice-2048x1365.jpg",{"aperture":121,"credit":27,"camera":27,"caption":27,"created_timestamp":121,"copyright":27,"focal_length":121,"iso":121,"shutter_speed":121,"title":27,"orientation":121},"0","eICU-in-practice.jpg","https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2019\u002F05\u002FeICU-in-practice-scaled.jpg",{"related_posts":125,"related_posts_footer":129,"cta_type":27,"cta_color":27,"subtitle":27,"related_books":20},[126,127,128],16189,13061,20965,[130,131,132],14685,16405,11902,{"yoast_wpseo_title":134,"yoast_wpseo_metadesc":135,"yoast_wpseo_canonical":15},"The eICU Is Turning Night Into Day Through Telemedicine - The Medical Futurist","Medics deliver care from the other side of the Earth by working in daylight hours in Australia covering night shifts in the US via the eICU.",{"self":137,"collection":143,"about":146,"author":149,"replies":152,"version-history":155,"predecessor-version":159,"wp:featuredmedia":163,"wp:attachment":166,"wp:term":169,"curies":185},[138],{"href":139,"targetHints":140},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F23760",{"allow":141},[142],"GET",[144],{"href":145},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts",[147],{"href":148},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Ftypes\u002Fpost",[150],{"embeddable":26,"href":151},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fusers\u002F6",[153],{"embeddable":26,"href":154},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcomments?post=23760",[156],{"count":157,"href":158},10,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F23760\u002Frevisions",[160],{"id":161,"href":162},49477,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F23760\u002Frevisions\u002F49477",[164],{"embeddable":26,"href":165},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia\u002F23765",[167],{"href":168},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia?parent=23760",[170,173,176,179,182],{"taxonomy":171,"embeddable":26,"href":172},"category","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcategories?post=23760",{"taxonomy":174,"embeddable":26,"href":175},"post_tag","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Ftags?post=23760",{"taxonomy":177,"embeddable":26,"href":178},"project_category","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fproject_category?post=23760",{"taxonomy":180,"embeddable":26,"href":181},"contact_email_category","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcontact_email_category?post=23760",{"taxonomy":183,"embeddable":26,"href":184},"yst_prominent_words","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fyst_prominent_words?post=23760",[186],{"name":187,"href":188,"templated":26},"wp","https:\u002F\u002Fapi.w.org\u002F{rel}",[190],{"id":132,"date":191,"date_gmt":192,"guid":193,"modified":195,"modified_gmt":196,"slug":197,"status":13,"type":14,"link":198,"title":199,"content":201,"excerpt":203,"author":23,"featured_media":205,"comment_status":206,"ping_status":206,"sticky":20,"template":27,"format":28,"meta":207,"categories":208,"tags":210,"project_category":216,"contact_email_category":217,"yst_prominent_words":218,"class_list":220,"better_featured_image":228,"acf":262,"yoast_meta":263,"_links":265},"2016-01-15T09:51:36","2016-01-15T08:51:36",{"rendered":194},"http:\u002F\u002Fscienceroll.com\u002F?p=11902","2021-12-06T00:27:48","2021-12-05T23:27:48","there-will-be-no-mars-generation-without-these-technologies-2","https:\u002F\u002Fmedicalfuturist.com\u002Fthere-will-be-no-mars-generation-without-these-technologies-2",{"rendered":200},"There Will Be No “Mars Generation” Without These Technologies",{"rendered":202,"protected":20},"\n\u003Ctable style=\"width: 100%; border-collapse: collapse; background-color: #eee; border-top: 4px solid #444;\" cellpadding=\"5px\"> \u003Ctbody> \u003Ctr> \u003Ctd style=\"width: 100%;\"> \u003Cp style=\"color: #555;font-size: 12px;line-height: 14px\">THIS ARTICLE HAS NOT BEEN UPDATED SINCE 2016. THE INFORMATION SHARED IN THE ARTICLE WAS ACCURATE AT THE TIME OF ITS PUBLICATION, BUT IT MAY BE OUT OF DATE NOW. \u003Ca href=\"https:\u002F\u002Fmedicalfuturist.com\u002Fmagazine\">BROWSE OUR LATEST ARTICLES HERE\u003C\u002Fa>\u003C\u002Fp> \u003C\u002Ftd> \u003C\u002Ftr> \u003C\u002Ftbody> \u003C\u002Ftable> \u003Cp> \u003C\u002Fp>\n\n\n\n\u003Cp>NASA is set to send astronauts to orbit Mars and return them safely by the mid 2030s. And a manned landing on the Red Planet will soon follow. However, this work will be in vain if health technology does not advance.\u003C\u002Fp>\n\n\n\n\u003C!--more-->\n\n\n\n\u003Cp>My parents were members of the Apollo generation. The amazing accomplishment of putting men on the Moon defined their era, stretching the boundaries of what humanity can achieve. But after the last Moon landing, no more exciting breakthroughs emerged. Global attention to space declined. Until now.\u003C\u002Fp>\n\n\n\n\u003Cp>Visionaries like Elon Musk and Richard Branson are making spaceflight exciting again – turning our children into the Mars generation. Indeed, \u003Ca href=\"http:\u002F\u002Ffuturism.com\u002Fthe-journey-to-mars-7-real-nasa-technologies-in-the-martian\u002F\" target=\"_blank\" rel=\"noopener noreferrer\">NASA is set to send astronauts to orbit Mars\u003C\u002Fa> and return them safely by the mid 2030s. And a manned landing on the Red Planet will soon follow. However, this work will be in vain if health technology does not advance.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">THE HAZARDS OF GETTING MAN TO MARS\u003C\u002Fh2>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg decoding=\"async\" src=\"\u002Fwp-content\u002Fmedia\u002F2016\u002F01\u002F1.png\" alt=\"1\" class=\"wp-image-11907\"\u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>Image credit: NASA\u003C\u002Fp>\n\n\n\n\u003Cp>The trip to Mars takes around seven months, which is a only a little longer than the time astronauts spend on the International Space Station; however, counting their mission, orbit around Mars, landing, and return, the journey will take years.\u003C\u002Fp>\n\n\n\n\u003Cp>Spaceflight has a serious effect on astronauts. Variations in temperature and radiation levels, motion sickness, losing bone and muscle mass despite doing exercises, disruption of vision and taste…all of these cause health issues, not to mention the psychological consequences of space travel.\u003C\u002Fp>\n\n\n\n\u003Cp>Unfortunately, today, our health can only be effectively monitored by sensors that, at the present time, fill a room. Treating an injury such as a broken bone—a simple matter on Earth—requires medical manufacturing capabilities, capabilities that we don’t have on the Red Planet.\u003C\u002Fp>\n\n\n\n\u003Cp>The technologies we need to solve the aforementioned issues exist, but they are in their infancy. Telemedicine is inaccurate and unregulated; genome sequencing is used in the rarest of cases and only by top medical institutions; 3D printing in medicine is the playground of citizen scientists, but has yet to advance into a viable and effective method of treatment.\u003C\u002Fp>\n\n\n\n\u003Cp>The sad fact is, we don’t stand a chance of getting to Mars without a booming digital health industry. With that in mind, here are the top inventions and technologies we need if we ever hope to make a new home for humanity on Mars.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">3D PRINTERS THAT CAN CREATE EVERYTHING AVAILABLE IN A DOCTOR’S OFFICE\u003C\u002Fh2>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg decoding=\"async\" src=\"\u002Fwp-content\u002Fmedia\u002F2016\u002F01\u002F2.jpg\" alt=\"2\" class=\"wp-image-11909\"\u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>Printing with a 3D printer at Makers Party: Via WikiMedia\u003C\u002Fp>\n\n\n\n\u003Cp>As astronauts will be alone and cannot bring all the supplies for a lengthy stay on the Red Planet, they will need printers that can print out medical equipment, prosthetics, and drugs on demand. Bringing the ingredients for these, and printing out what is needed on site, makes more sense than bringing a few types of equipment and drugs which could only help under limited circumstances.\u003C\u002Fp>\n\n\n\n\u003Cp>Astronauts could establish manufacturing by designing printers that can print out other printers. The whole idea of 3D printing is going to be essential to them. It \u003Ca href=\"http:\u002F\u002F3dprintingindustry.com\u002F2015\u002F02\u002F26\u002F12-things-we-can-3d-print-in-medicine-right-now\u002F\" target=\"_blank\" rel=\"noopener noreferrer\">has been shown\u003C\u002Fa> that customized prosthetics can be printed out, some forms of medical equipment, and even drug used in epilepsy. The basic examples are here already or trends seem to be pointing into this direction. So the future is looking bright.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">WEARABLE AND IMPLANTED BODY SENSORS\u003C\u002Fh2>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg decoding=\"async\" src=\"\u002Fwp-content\u002Fmedia\u002F2016\u002F01\u002F31.jpg\" alt=\"3\" class=\"wp-image-11911\"\u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>Credit: Professor Takao Someya\u003C\u002Fp>\n\n\n\n\u003Cp>Forget smart clothes and devices that can measure your ECG or pulse with a smartphone. On a trip to Mars, every ounce of cargo matters. Without tiny sensors that can measure every important vital sign and health parameter, crew members will not be able to make medical decisions.\u003C\u002Fp>\n\n\n\n\u003Cp>Today’s wearable trackers are big, get discharged quickly, and are hard to work with. Astronauts cannot rely on them. Digital tattoos and implanted microchips could do the job without the active participation of astronauts. These would measure every relevant parameter and let them know when there is something they should take care of. The Japanese \u003Ca href=\"http:\u002F\u002Fwww.ntech.t.u-tokyo.ac.jp\u002Fen\u002F\" target=\"_blank\" rel=\"noopener noreferrer\">Professor Someya\u003C\u002Fa> has been developing such tattoos with his team; as well as the \u003Ca href=\"http:\u002F\u002Fwww.mc10inc.com\u002F\" target=\"_blank\" rel=\"noopener noreferrer\">MC10 company\u003C\u002Fa>.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">FULL GENOMIC ANALYSIS TO IDENTIFY ASTRONAUTS’ HEALTH RISKS\u003C\u002Fh2>\n\n\n\n\u003Cp>Since they won’t have access to proper healthcare for years, knowing what major conditions the Martian astronauts might face would be highly beneficial, indeed, even necessary. A full genome sequencing, assisted by microbiome tests and other lab markers, will let physicians partially predict what major diseases they will probably encounter in their lives and what they can do to try to avoid most of them. This includes what diet to choose based on the types of bacteria they live with and what lab markers to regularly re-check to catch a disease before it would develop.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">ARTIFICIAL INTELLIGENCE THAT CAN DRAW CONCLUSIONS FROM LIVE HEALTH DATA\u003C\u002Fh2>\n\n\n\n\u003Cp>\u003Cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11914\" src=\"\u002Fwp-content\u002Fmedia\u002F2016\u002F01\u002F4.png\" alt=\"4\" width=\"1200\" height=\"803\">\u003Cbr>IBM’s Watson computer, Yorktown Heights, NY. Via: WikiMedia\u003C\u002Fp>\n\n\n\n\u003Cp>No matter how sophisticated sensors are, measurements will not help with day-to-day issues unless there are smart algorithms that can make suggestions. Astronauts will have no constant contact with Earth, and they cannot have all the skills of an experienced physician, researcher, and data analyst.\u003C\u002Fp>\n\n\n\n\u003Cp>Algorithms will do this job for them. This will help them get the most out of each day to exploit the theoretical limits of efficiency.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">TELEMEDICAL SOLUTIONS THAT ALLOW REMOTE CARE\u003C\u002Fh2>\n\n\n\n\u003Cp>\u003Cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11916\" src=\"\u002Fwp-content\u002Fmedia\u002F2016\u002F01\u002F51.jpg\" alt=\"5\" width=\"1200\" height=\"1031\">\u003Cbr>Image credit: ITouch\u003C\u002Fp>\n\n\n\n\u003Cp>Even though the distance is big between physicians here and the crew on Mars, high quality communication with specialized caregivers on Earth will be an essential part of their care. As was mentioned, the distance and delay in communication will make it tricky, but from time to time, communication with a real doctor will be absolutely necessary.\u003C\u002Fp>\n\n\n\n\u003Cp>While the future of smart algorithms used in healthcare is bright, human supervision will still be a crucial part of making sure they are on the right track. \u003Ca href=\"http:\u002F\u002Fwww.intouchhealth.com\u002F\" target=\"_blank\" rel=\"noopener noreferrer\">InTouch Health\u003C\u002Fa> is a good example.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">THIN EXOSKELETONS TO AUGMENT HUMAN STRENGTH AND POWER\u003C\u002Fh2>\n\n\n\n\u003Cp>\u003Cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11918\" src=\"\u002Fwp-content\u002Fmedia\u002F2016\u002F01\u002F6.jpg\" alt=\"6\" width=\"900\" height=\"600\">\u003Cbr>Fortis exoskeleton. Image credit: FORTIS\u003C\u002Fp>\n\n\n\n\u003Cp>Lifting huge weights and working tirelessly for long hours will be must-have features on Mars, as astronauts will need to build a base camp. As exoskeletons get thinner and more comfortable, the crew on Mars will use them as frequently as the first astronauts used screwdrivers. \u003Ca href=\"https:\u002F\u002Fwww.linkedin.com\u002Fpulse\u002Fexoskeletons-let-paralyzed-people-walk-again-bertalan-mesk%C3%B3-md-phd?trk=mp-reader-card\" target=\"_blank\" rel=\"noopener noreferrer\">Exoskeletons today can already let paralyzed people walk again\u003C\u002Fa>; let soldiers not get tired of walking for hours or even run faster and jump higher. As long spaceflights weaken their muscles no matter how much they try to exercise in zero gravity, exoskeletons could supply them with the lost strength.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">ENGINEERING IN BIOTECHNOLOGY\u003C\u002Fh2>\n\n\n\n\u003Cp>Astronauts will need to be able to partially engineer life. By life, I mean bacteria, yeast, and even their own immune system if needed. The new genome editing method, \u003Ca href=\"https:\u002F\u002Fen.wikipedia.org\u002Fwiki\u002FCRISPR\" target=\"_blank\" rel=\"noopener noreferrer\">CRISPR\u003C\u002Fa>, could play a major role in this. Systems involving engineering bacteria to produce hormones, antibiotics, or other materials would allow them to use nature as a manufacturing device, even to filter water or create the desired atmosphere. Community labs currently available in California and the \u003Ca href=\"http:\u002F\u002Figem.org\u002FMain_Page\" target=\"_blank\" rel=\"noopener noreferrer\">iGem competitions\u003C\u002Fa> have demonstrated in what a wide range of situations bioengineering can offer solutions.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">SURGICAL ROBOTS THAT CAN BE OPERATED FROM A DISTANCE\u003C\u002Fh2>\n\n\n\n\u003Cp>\u003Cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11920\" src=\"\u002Fwp-content\u002Fmedia\u002F2016\u002F01\u002F7.jpg\" alt=\"7\" width=\"912\" height=\"504\">\u003Cbr>Image credit: Weyland\u003C\u002Fp>\n\n\n\n\u003Cp>There will be cases, almost inevitably, when astronauts will need to undergo surgery. Current surgical robots that perform big operations are controlled by surgeons through a control panel. The movie Prometheus featured a surgical robot capsule that can perform the whole operation on its own. The Mars generation will require an invention somewhere in between. Surgeons on Earth could pre-plan every step, and the robot could perform those steps while being supervised with the time delay digitally.\u003C\u002Fp>\n\n\n\n\u003Cp>I truly believe that humans are discoverers – and the next great enterprise is discovering the cosmos, starting with Mars. At first, the task will fall on a few brave people, and we have to make sure we can keep them safe, healthy, and functioning in an environment that is hostile to human life.\u003C\u002Fp>\n\n\n\n\u003Cp>We need to upgrade their health with advancements in digital health to make this possible. Luckily, these breakthrough technologies are all within our reach.\u003C\u002Fp>\n\n\n\n\u003Cp>Read more about health technologies we will need to reach Mars and how to start upgrading your own health in my new book, \u003Cstrong>\u003Ca href=\"http:\u002F\u002Famzn.to\u002F1LRAp3t\" target=\"_blank\" rel=\"noopener noreferrer\">My Health: Upgraded\u003C\u002Fa>\u003C\u002Fstrong>.\u003C\u002Fp>\n",{"rendered":204,"protected":20},"\u003Cp>THIS ARTICLE HAS NOT BEEN UPDATED SINCE 2016. THE INFORMATION SHARED IN THE ARTICLE WAS ACCURATE AT THE TIME OF ITS PUBLICATION, BUT IT MAY […]\u003C\u002Fp>\n",12353,"open",{"_acf_changed":20,"footnotes":27},[31,209],801,[211,38,212,40,213,214,215,46],519,271,302,313,412,[],[],[219],1571,[221,14,61,62,63,64,65,66,222,223,72,224,74,225,226,227,80],"post-11902","category-space-medicine","tag-gc4","tag-health","tag-mars","tag-medicine","tag-space",{"id":205,"alt_text":27,"caption":27,"description":27,"media_type":88,"media_details":229,"post":132,"source_url":261},{"width":230,"height":231,"file":232,"sizes":233,"image_meta":259},870,544,"2016\u002F01\u002Fspace_mars_planet_029860.jpg",{"medium":234,"large":239,"thumbnail":244,"medium_large":248,"large_old_512x320":249,"medium_old_400x250":254},{"file":235,"width":236,"height":237,"mime-type":98,"source_url":238},"space_mars_planet_029860-370x208.jpg",370,208,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2016\u002F01\u002Fspace_mars_planet_029860-370x208.jpg",{"file":240,"width":241,"height":242,"mime-type":98,"source_url":243},"space_mars_planet_029860-768x480.jpg",768,480,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2016\u002F01\u002Fspace_mars_planet_029860-768x480.jpg",{"file":245,"width":246,"height":246,"mime-type":98,"source_url":247},"space_mars_planet_029860-150x150.jpg",150,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2016\u002F01\u002Fspace_mars_planet_029860-150x150.jpg",{"file":240,"width":241,"height":242,"mime-type":98,"source_url":243},{"file":250,"width":251,"height":252,"mime-type":98,"source_url":253},"space_mars_planet_029860-512x320.jpg",512,320,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2016\u002F01\u002Fspace_mars_planet_029860-512x320.jpg",{"file":255,"width":256,"height":257,"mime-type":98,"source_url":258},"space_mars_planet_029860-400x250.jpg",400,250,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2016\u002F01\u002Fspace_mars_planet_029860-400x250.jpg",{"aperture":121,"credit":27,"camera":27,"caption":27,"created_timestamp":121,"copyright":27,"focal_length":121,"iso":121,"shutter_speed":121,"title":27,"orientation":121,"keywords":260},[],"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2016\u002F01\u002Fspace_mars_planet_029860.jpg",{"cta_type":27,"cta_color":27,"subtitle":27,"related_books":20,"related_posts_footer":20,"related_posts":20},{"yoast_wpseo_title":264,"yoast_wpseo_metadesc":27,"yoast_wpseo_canonical":198},"There Will Be No “Mars Generation” Without These Technologies - The Medical Futurist",{"self":266,"collection":271,"about":273,"author":275,"replies":277,"version-history":280,"predecessor-version":284,"wp:featuredmedia":288,"wp:attachment":291,"wp:term":294,"curies":305},[267],{"href":268,"targetHints":269},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F11902",{"allow":270},[142],[272],{"href":145},[274],{"href":148},[276],{"embeddable":26,"href":151},[278],{"embeddable":26,"href":279},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcomments?post=11902",[281],{"count":282,"href":283},8,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F11902\u002Frevisions",[285],{"id":286,"href":287},37107,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F11902\u002Frevisions\u002F37107",[289],{"embeddable":26,"href":290},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia\u002F12353",[292],{"href":293},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia?parent=11902",[295,297,299,301,303],{"taxonomy":171,"embeddable":26,"href":296},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcategories?post=11902",{"taxonomy":174,"embeddable":26,"href":298},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Ftags?post=11902",{"taxonomy":177,"embeddable":26,"href":300},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fproject_category?post=11902",{"taxonomy":180,"embeddable":26,"href":302},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcontact_email_category?post=11902",{"taxonomy":183,"embeddable":26,"href":304},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fyst_prominent_words?post=11902",[306],{"name":187,"href":188,"templated":26},[],1790584734550]