Orthner, HelmuthMazza, GiovanniMazza, Giovanni GiorgioShenvi, RohitBattles, Marcie2020-02-062020-02-062008-11-12http://dx.doi.org/Not availablehttps://lib.digitalsquare.io/xmlui/handle/123456789/5763The traditional communication infrastructure of the pre hospital Emergency Medical System EMS is limited to voice communication using radio or cell phone technologies With the emergence of 3rd Generation wireless networks 3G and enhanced mobile devices capable of data communication e g mobile tablets PDAs with cell phones or cell phones with PDA capabilities the voice communication can be enhanced with interactive data messaging and perhaps even with interactive video communication However video requires substantially more bandwidth which 4th Generation 4G systems are promising However their availability is limited We present an infrastructure that allows dynamic selection of the best data transport mode in the pre hospital EMS environmentFacility-based health workerAccess to information or dataCommunication roadblocksQuality of carePlanning and coordinationEfficiencyPrototypeAcute or emergencyProvider-to-provider communicationVoiceMMSImageAudioVideo