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Original EVENTS PROPOSAL - EVENTS by wulinqing

VIEWS: 22 PAGES: 7

									EVENTS/Victim Link System                                                     12/18/2007




                          E.V.E.N.T.S.
EMERGENCY - VICTIM - EVALUATION - NOTIFICATION -TRANSPORTATION
                           - SYSTEM

                          MISSION STATEMENT
    Improved communication systems and methodology which addresses
  emergency personnel and receiving hospitals, and simultaneously relieves the
                  worries of loved ones during disasters.


             The integration of the E.V.E.N.T.S.
   disaster communication system and the multi-agency
         VICTIM LINK system is described below.
Following 911 and the Hurricane Katrina Disaster, Congress mandated that a “National
Emergency Family Registry and Locator System” be established to allow people displaced by an
emergency or a major disaster to communicate their status to family members, and support
emergency contact and victim identification. The notification system should also enable first
responders; emergency medical staff, government agencies and non-government organizations
access to critical care information in a timely manner.

EVENTS exceeds the mandated requirements. It also provides time-effective protocols for the
mass distribution of disaster alerts to pre-established friends and family networks, it also provides
a reverse registration system to enable friends and family to aid in the identification process of
victims, and provide critical medical history to emergency personnel in the field and/or hospitals.

EVENTS is an integral part of Victim Link, a state-of-the-art communications system using best
practices and processes. Victim Link addresses all of the major pitfalls and contingencies of victim
identification, while efficiently linking critical information to the major participants of disaster
management. Both the EVENTS and Victim Link system are scaleable driving a fundamental shift
in how we think about data environments during an emergency or disaster. Leveraging the
performance, reliability and cost benefits through a virtual redundant system made available to a
multitude of server/call centers. The Victim Link platforms reduces deployment risk and delivers
more consistent user experiences and will service up to millions of users divided into national
regions. Alternative information pathways are established to operate even in the case of a
catastrophic event or national emergency, even with compromised electrical services or reduced
information transfer trunks. Alternative pathways will make the system far more practical, and
robust.

Victim Link is a carefully designed system, which is being established through strategic
government, communications carriers, and technology partners.




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EVENTS/Victim Link System                                                     12/18/2007



          THE BASICS OF THE EVENTS RESPONSE SYSTEM
The Emergency, Victim, Evaluation, Notification and Transportation System (EVENTS) is a
unique disaster communication tool and information technology system that supports
Congressional Legislation SEC. 689c.

EVENTS is wireless, scalable and supports the future of IT, driving technology, strategy and
mobility with both confidence and efficiency. The system will enable FEMA doctors, nurses,
paramedics accompanying disaster victims to the hospital, to identify, register and record the
victim’s status. Evaluation forms, instructions, and critical information is included which describes
the steps, required to notify a central call center and secured Internet-posting site. Time and
safety permitting, victim video messaging and relevant questions about friends and family
contacts will be forwarded to the secured internet-posting site. This innovative, secure, mobile and
user friendly system will aid in both the hospital's preparation for incoming victims and the transfer
of emotionally important information to emergence contacts, as to the status of their loved ones.

The EVENTS secured call center- Victim Link, and web based system is a state-of-art portable
communication system and will allow doctors to respond more effectively during emergencies and
disasters, by providing vital medical information to public trust agencies in real time. Also,
coordinate the exchange of critical care information and reports between the MD, government
entities, and hospital staff, and will aid in the preservation of life.

Victim Link has invested much creative energies, medical opinions, and high-tech advise to detail
a crucial response network which concentrates on simplicity for public use. This aspect will make
the public user confident that identity theft or even identity compromise will not occur. The answer
has become the creation of a “virtual registration” of email repositories which are set up prior to
the disaster, then fully populated with more sensitive personal data only upon a “declared
emergency” in a defined region and or set of zip codes. (please see below)

                     IMPORTANT DESIRED PARTICIPANTS
Department of Health and Human Services (DHHS), Office of Public Health Emergency
Preparedness (OPHEP), American Red Cross (ARC), National Center for Missing and Exploited
Children (NCMEC) and Federal Emergency Management Agency (FEMA), VERIZON, AT&T, and
other cellular carriers, Cisco and their existing communications software programs,
Blackberry PDA, Choice Point, and ESRI-who are providers of GPS technology and call center
support systems..

                          EVENTS SUMMARY OF STEPS
Step 1. In the field of disaster/injury, the MD evaluates the victim, usually with an accompanying
paramedic or equivalent personnel. He/she performs the medical evaluation and triage for
intervention. Either at the original site of evaluation or at the triage tent, emergency personnel
speaks to the victim (if coherent) and gathers the pertinent information to be forwarded both to the
receiving hospital and the family notification center located at victimlink.org.

If the victim is incoherent or unconscious, elderly/Alzheimer and children, a general description of
the John or Jane Doe is captured in written form (preferable) or dictated into the EVENTS
PDA/Blackberry system and up-linked to a secured call center for transcription. The victim’s
information is now available to the interested parties, which may include the local hospitals and or
receiving hospital. (Information regarding children under the age of 18 will be forwarded
to the National Center for Missing and Exploited Children (NCMEC).

Step 2. If EMT/ambulances are on the disaster site, they should establish and continue direct
hospital communications, since this responsibility is a daily aspect of their emergency services

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EVENTS/Victim Link System                                                       12/18/2007


and training. First responder's will then have established an open line for emergency interventions
from the hospital's emergency room physicians while transporting the victims. The Blackberry
PDA will automatically transmit GPS coordinates of the site of last evaluation, allowing the
physicians to move on as rapidly as possible in the initial triage and intervention field stage.
(The system will accelerate medical intervention. However, all patients must be stabilized, before
contact information including password access questions are collected.)

Step 3. At the website for emergency contacts and information, victim's friends and family
authorized by national mobile ISP/PCS carriers, will be given a choice of access questions such
as: What is their loved ones pet‘s name, mother’s maiden name, address/mobile phone, first car,
etc. to then access an actual picture, brief video message, or audio recorded message from their
loved one. In addition, the transportation data and receiving hospital, if known would be included.
John and Jane Doe’s will have pertinent descriptions such as estimated height, weight, race,
tattoos, birthmarks/scars and site of pickup, (i.e., neighborhood). This will facilitate the hospital's
MD and staff in gaining more rapid existing medical records from loved ones, who otherwise may
not have been aware of the emergency situation.

Step 4. If an incoherent victim has a wallet or other specific ID, then medical personnel should as
quickly as possible attempt direct family contact, or access central medical record libraries/data
base. The entire system should act as a supplement to existing care, be seamless, and have as
much of the clerical and electronic work done off-site as possible.

Step 5. A document scanner should be part of the FEMA response/communication system.
Therefore, written summaries will be immediately available to the hospitals and the call center.

            EVENTS will meet all State and Federal Privacy Act Laws
               mandated by Congress, and HIPPA compliance
                as required in an emergency/disaster setting.


                                 SYSTEM INTEGRATION
"Wireless & Mobility"... gives doctors, hospital staff, family and friends of victims, the most
comprehensive tools and technologies that are part of a solid information technology strategy.

The EVENTS's Personal Data Assistance (PDA) and Victim Link virtual call center is a scaleable,
portable, wireless, communication system. Essentially the EVENTS disaster communication
system is wireless and is quite pertinent for "in–the-field" victim medical care.

Victim Link identifies and tracks victims, mitigates risk, and resolves threats of communication
errors. It provides the ability to communicate directly with medical personnel from the disaster site
or tent level, while having the opportunity to relay permissible data about the victim’s status to
Victim Link's call center and onward to their friends and family.


                THE BASICS OF THE VICTIM LINK VIRTUAL
                        CALL CENTER SYSTEM
Victim Link creates the behind the scenes server systems, questionnaires, and interagency
communications which will relieve the hospitals of overwhelming inquiries which would
compromise medical care. Victim Link will also establish a coordinated release of victim’s status
depending upon the level of coherency, and injury.
.
Victim Link creates pre-emergency web-based “emergency email; boxes” (EBB) which link the
entire friends and family groups defined by their existing cellular phone plan. Voluntary member(s)

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EVENTS/Victim Link System                                                        12/18/2007


of the group plan will be requested to enter on our forms, pertinent data about all of their
emergency-related friends and family (FF). We will provide each member of the FF with electronic
standardized forms which will instantly populate the EEB at the time of the emergency. There will
be no threat of identity thief, or misuse of EEB information since they will only be “virtual”
repositories, with only the individual’s emergency email address defined as first name, last name,
followed by zip code, followed by the registrant’s four letter password.

We will ask that especially nursing homes, and foster care parents/parents of young children, who
will expectedly be unable to provide ID data to have both thumbprints inked and placed on a paper
with name and age so that it can be scanned to the Victim Link EEB, long before a crisis occurs.
Thumb print analysis of all received voluntary participants do not necessarily require immediate
point-position analysis. Such prints can, at the time of the disaster, be analyzed for only the
victims residing or visiting the disaster zip code area(s). Disaster areas as declared by local to
national agencies will be electronically broken down into such zip codes so that the most specific
Victim Link EEB’s will be activated and awaiting data entry from the FF.

All members of the FF will be notified if any of them live within the disaster zip codes. EEB’s will
then be populated with web-based data stored, preferably on web-mail servers such as gmail,com
or Yahoo.com. Therefore, it would be a simple task for a FF via cellular phone, to open a stored,
web-based email (with all of the FF’s personal data) and forward the appropriate zip code-based
victim’s specifics into the Victim Link center.

Please recognize that nearly every process to this point, can be performed automatically and not
require employed personnel. Note also that any single member of a FF group may assume the
responsibility of protecting their group of FF by collecting onto our supplied questionnaires the
most pertinent and helpful data about their FF members. That individual or individuals will then
combine their data(s), and email them to every member of their FF group, so that in the case of
an emergency, all members will have established a web-based copy of loved ones Victim Link
descriptions. We will specifically ask for a recent photograph or dated photograph to be placed
into the pre-disaster data form and again ask that thumb prints be included by scanned and
attached document.

All data released is optional. Victim Link will convince the pre-disaster users that thumb prints
already residing at the “EEB will be critically important, as a specific identifier, for the unconscious
or incoherent. Victim Link will also emphasize that thumbprints can not be used for standard
identity thief and should not cause significant alarm. Thumbprints however will indirectly provide a
pathway for the collection of initial medical information, including the condition of the victim prior to
injury.

The site and method of thumb print staining, proper rolling onto paper, scanning of the prints, and
entry into the name/zip code/four letter – based mailboxes still needs to be determined.
Considerations would be government distribution of pads, paper to faith-based locations, any
major sponsor of the non-profit Victim Link organization, or post office locations are all good
suggestions.
The key is that mailboxes be set-up prior to the disaster and the box location by name/zip
code/four chosen letters is simple, allowing the victim’s data to be easily populated into the EEB
personal file at the time of disaster. Note that physical descriptors of the FF members within the
disaster zip codes will be electronically divided into physical characteristics, so that in the absence
of thumb prints, search engine matching of characteristics will frequently identify the victim and
subsequently his entire file and FF.

                        VICTIM LINK SUMMARY OF STEPS
Step 1. In the tent, the nurse or paramedic will use standard camera phones to record a 20-
second message and uplink it via the FEMA generator and protected radio band to Victim Link's
redundant call centers.


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EVENTS/Victim Link System                                                       12/18/2007


Step 2. The call center will already have a massive number of registrants so that messages can
be relayed electronically to reregistered friends and family networks, called disaster boxes.

The registration system:

The federal government requires that the National Emergency Family Registry and Locator
System recommends the purging of personal emergency registration information 30 days after
every disaster. However, with the victim's (op-in) permission, Victim Link could retain less
sensitive information permanently and available for the victim to access and update periodically.
That information would be a reasonable number of FF members, not too many for a single
member to have difficulty collecting the entire group’s data (which, of course should be filled out
on our standardized forms) either by the “data manager” by conversation with his FF’s or by each
individual member who has received the proper questionnaire from the “data manager(s)”.

Note: We will strongly suggest that at least two living in different states so that a single disaster
does not make FF networking communications impossible if wide-spread
electrical/communication access is compromised.

Each potential victim will have physical characteristics such as race, height, weight, scars, tattoos,
unique dental or other obvious characteristics (for example, missing 3rd finger, left hand), which
will remain on file. However, in the time of a disaster all FF contacts will have posted on their
desktops, or web-based email accounts friend’s photographs, addresses, recent medical history
as best re-called, which can rapidly be sent to the Victim Link, call center and secured web bases
system.

Note: We will never need their social security numbers or potential identity thief related data. Ours
is a true virtual registry which is designed to minimize agency data collection except in the time of
disaster.

Updated medical history could be sent to their existing file at the time of disaster. In addition to
contacting loved ones via the internet, a text message, or voice recording from the disaster-
conscious mobile communication carriers should be automatically sent to all the members of the
friends and family group if any one of them either resides in the declared disaster zone or the
mobile phone has recently been used from a telecommunications tower within the affected
disaster zip code-based disaster areas. Once communications have been established between
the attending medical personnel and any of the established FF, then additional, more sensitive,
information can be requested.

Victimlink.org responsibilities and details:

Immediate transfer of medical information from the disaster scene to the hospitals. It may be the
primary information transfer system or act as a back-up system. The patient condition and
transfer will be secured and not available to families, and act as the primary resource for FEMA
and the American Red Cross to link loved ones in real time and facilitate immediate update
information about victims and their locations. Victim Link is particularly impressed with the
American Red Cross’s “Safe and Well” system which serves the vast majority of residents within
the declared zip codes. Victim Link will offer redundant server support to the American Red Cross
and HHS servers should a catastrophic event occur.

Victimlink.org will educate the public regarding the virtual registry and its advantages over mass
database pre-disaster registration systems. This will allow the network of potential victims and FF
to feel secure and unthreatened by the minimal information required prior to disasters. Victim Link
will also disseminate literature or equivalent advertising to promote pre-disaster thumb printing.

Dr. Fechter, the founder has given presentations to coroner groups about the identification of the
deceased. Thumb printing could be used time-efficiently to also identify the incoherent victims,
whose identities and medical records should be established quickly.


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EVENTS/Victim Link System                                                         12/18/2007


By creating pre-disaster “emergency email; boxes” (EBB) with unique personal identifiers, at the
time of crisis, seamless data entry can occur. This will alleviate FF worries, victim emotional
isolation if coherent, and victim identification if incoherent, BUT very importantly, the demands
placed on hospitals and medical personnel will be greatly reduced. The medical personnel will
tend to patient care primarily and communication linking will occur predominantly off-site.
Hospitals will, for example, not be as inundated with hysterical families in lobbies, waiting rooms,
ER’s, and administrative offices.

Victimlink.org creates a user friendly system for information access by loved ones via both land
line phone, computers, or mobile phone (alpha numeric touch-tone is required, rotary phones will
not work) where they can easily provide further information or easily learn of more recent victim's
status.

Mechanism of pre-disaster virtual registration:

The major wireless communication companies, Verizon, Sprint, AT&T, etc., will be requested or
required to distribute a public service message via a text message to every user. The Federal
Communications Commission already requires public communications systems to test their
emergency response system on a regular schedule.

The following public message example:

The National Red Cross, the Federal Emergency Management Agency and the Department of
Homeland Security have created an emergency victim care system, called the Victim Link. Your
participation will assist medical care and relieve the concerns of both, you as a victim, and your
loved ones. Please visit Victimlink.org for more details regarding registration...you m ay learn
more immediately by use of the following menu:

     Push (1) and the pound sign on your phone for more information (that information will
     describe how to send and receive the victim's voice message and information/links to a video
     message regarding their condition)...

     Or push (2) and the pound sign for Internet access…

     Or push (3) and the pound sign for frequently asked questions (FAQS)…

     Or push (4) and the pound sign to connect to a full menu of questions from
     Victimlink.org/FAQ…

     Or push (5) and the pound sign to help ID victims…
     .
     Or push (6) to receive the two most frequently asked questions about how Victim Link helps
     you in times of disaster:

How will the Victim Link System actually locate a missing loved-one?

Victim Link will locate your loved ones simply by visiting Victimlink.org and accessing
the drop down menu displaying physical descriptions of those victims examined by medical
personnel in the field. If a video message has already been received from the victim to the loved
ones, then this will be identified along with the victim’s identifier (currently suggested to be initials,
age, birth date, sex, race) and the actual message can be played if the caller uses their cellular
phone which would identify him/her to the victim since the entire friends and family group is
already registered with the telecommunications company for reduced billing purposes, or the
worried caller can access the victims message by answering unique and or intimate details about
the potential victim (pet names, mother’s maiden name, etc.Note: that not all inquiries will be
limited to pre-registered FF, in fact we will not be surprised that parents or the elderly will not be
able to have the computer or cell phone knowledge or skills to enroll-even if they happen to own
one of them. Hence, help from Victimlink.org support volunteers may be necessary.

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EVENTS/Victim Link System                                                     12/18/2007


How will Victim Link use existing institutions to help locate victims?

Victim Link will provide the link to the National Red Cross’s “Safe and well” registry which has the
most common statements expected from a “Safe and Well” individual within the declared disaster
zip codes. We believe that, unless a catastrophic event occurs, the majority of resident will fall
within this category. Consequently, depending upon volume of inquiries, Victim Link will make an
additional station for such situations. The internet specifics of such a sharing of data bases can be
solved in the future if the American Red Cross wishes to prepare for such a volume overload
contingency. Timely information can be deposited immediately by the use of text messaging
capabilities on their cell phone, use of the dial keypad to type in their unique “disaster box”
address, or by going on-line to fill in standardized forms. Mobile carriers should state that they
support such a program and are equally proud of every customer registration. Obviously, Victim
Link is confident that the majority of mailbox set-ups will occur upon the first prompting by the
cellular carriers. However, repeating public services messages in their advertising campaigns and
with the additional positive press about the system, mailbox registration will continue to rise.

Virtual registration , emergency email box considerations.

Pre-disaster registrations could be immensely increased by having the governments, either local
or federal, allow Victim Link to set up potential mailboxes using the elderly person’s full name /zip
code/ followed by birthdate already listed through Medicare or nursing home registrations.
Thumbprints can then be collected at their local senior citizen homes, recreational centers, or by
church-based efforts. Enrollment drives with or without an award incentive can target the likely to
enroll and simply bring a thumbprint pad and paper then scan the imprint at a home or office
scanner along with the Victimlink.org identifier code.

Victimlink.org website homepage feature considerations and specific victim information:

-   Photographs of categories followed by description of those categories.
-   A listing of disasters sites for general information and alerts.
-   Victims already identified.
-   Victims identified with voice and video messaging.
-   Victims identified by name.

Specific victim web link information:

Links to the American Red Cross’s “Safe and Well” with a detailed description of its capabilities.
Secured links to help medical personnel identify victims featuring a standard check off list to
include scars, tattoos, missing digits/limbs, race, age, height/weight, dental characteristics, etc
and victim's thumb prints which have already been point-analyzed, for fast access.

Summary:

The medical advantages of the system insures loved ones of early notification. In a world of
instant information access, the system will greatly improve the care of victims and be an vital
resource for early intervention that the FEMA/Department of Health and Human Services (DHHS)
should be quite proud. The system exceeds the desires (and expectations) of the congress
mandated system. Victim Link should be implemented ASAP, since disaster, unforeseen attacks
or emergencies of potentially catastrophic levels may truly have no timetable. FEMA
documentation actually describes such events as “imminent”.

Respectively submitted,

Cary Fechter, MD, Developer,
FEMA/DHHS Disaster Management Team Member
Pulmonary and Critical Care Specialist

Creative input from Debra Watkins and others is greatly appreciated.
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