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Focus on Ambulance Innovation “Watson, I presume?” Ambulance Care After the Fourth Industrial Revolution By Jaap Hatenboer, Strategy & Innovation Manager, UMCG Ambulancezorg, Netherlands The quote: “I know of no way of judging of the future but by the past” is from Patrick Henry. Patrick was an American attorney, planter and politician who became known as an orator during the movement for independence in Virginia in the 1770s. I suppose he meant that we are walking backwards into the future. We judge new developments using our past experiences. The title of this article is just an illustration of this fact. Interpreting the title completely depends on your past experiences. You might be a Harry Potter or a Sherlock Holmes fan. You might like expeditions to the heart of Africa. But even if you are a Sherlock Holmes fan, it matters which version you prefer or which version you recently watched. Is it Doctor John Watson or Doctor Joan Watson, is this about London or New York?... and the list goes on if you are also interested in the actors; or you might be interested in other issues and for you there is only one Watson and his first name is Paul. The simple fact is that we struggle with the future and we judge the present based on past experience combined with our age group, job, hobbies etc. Adding three letters the title becomes “IBM Watson, I presume”. Just adding IBM makes all the difference. Only then most of us would understand that this article might be about the IBM Analytics. Well it isn’t and it is. This article is an attempt to understand the relevance of the fourth industrial revolution for ambulance care. This revolution is sending some very unsettling shockwaves through society. For those who have missed it, the fourth industrial revolution is a collective term embracing a number of automation, data exchange and manufacturing technologies (https:// en.wikipedia.org/wiki/Industry_4.0 ). So this is about Google, Apple, Tesla, Olaeris, Uber, Facebook, EdX, PrecisionHawk, DNV ReVolt, Precision agriculture and the list goes on and on. The fourth revolution might be on a collision course with our present way of working. Trekkies will probably remember “We are the Borg, resistance is futile, you will be assimilated.” Maybe this is the right moment to get used to this version “The fourth industrial revolution has arrived, resistance is …” Well you already know the rest. So how might this impact on ambulance care, will it actually be the end of ambulance care as we know it? Here are some initial ideas about how it might work out. Anyone who follows the car industry knows that Tesla launched some really disturbing new functionalities. You need to understand that Tesla vehicles have a lot in common with iPads and get new functionalities by software updates. The 7 series updates introduced some useful functionalities that point at the fact that vehicles increasingly will become (semi) autonomous and interconnected. Picture left: https://commons.wikimedia.org/wiki/ File:Industry_4.0.png Spring 2016 | Ambulancetoday 79 3
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