Another interesting day was had at Strong Angel. The group imposed an ICS structured command unit on the group. The data groups went into the fields to gather more data. The people working in the core created visualizations of the area prior the incident. They mapped populations and area hospital capacities. Hospital data started to be used to update maps.

I went out in the field with the Loma Linda Medical Center response unit. They were able to establish communications with multiple locations and connect to the Medweb DMECH to enter data. Approx. 50 patient reccords were entered into the database. GIS data was sent back and mapped by the core. Data continues to build in the DMECH. I look forward to seeing the data move from the DMECH to some of the core mapping systems. I hope the applications will help provide better understanding of where people are sick and where people are health so resources can be brought to bear.

Interesting to see how use of ICS/NIMS got participants engaged today. I went out with MedWeb (Shadowlite) to observe and discuss mobile telemedicine. Setup time was about 10 -15 minutes for medical to start, since they do registration records on local server. Took about 1 hr to get uploads via satellite going due to internet connection.

Back at Core Site, found out that one of the cases I sent by web yesterday on Peter Buxtons project actually received a response from a Dr in New Zealand. With all the network problems, that was pretty amazing.

Late afternoon had more interesting discussions, including details of SSE on a Mac.

Today I had planned to head out with the Loma Linda Telemedicine group to observe their onsite procedures. The trip was cancelled due to (I understand) their satellite connection being down. I then (tried to) assist Peter Buxton with his exercise in telemedicine for the Swinfen Charitable Trust. Surfed various networks in the AM, but was unable to upload images. After the network was reconfigured in the afternoon, I was able to get web pages and acknowledgements – but the images did not upload. Sigh.

As an Observer looking at medical management during disasters, today showed me again that technology cannot be depended upon – as I also saw in Katrina Relief Medical in Houston. However, a large number of the participants were caught up in their “techno-focus” and so did not reach out to others via personal chat and sneakernet – which *did* happen in Katrina Relief.