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Precedents to the Development of a National Emergency
Medical Communications Grid
In
1919 a young lieutenant colonel in the U.S. Army accompanied the
Army's first transcontinental motor convoy from Washington, DC to
San Francisco, California. Encountering traffic congestion, poor
road conditions and narrow passes, the eighty-one vehicles, including
nine motorcycles, traveled 3,251 miles in 62 days to test the mobility
of the Army under simulated wartime conditions. The often-primitive
state of the roads exposed the convoy to what one historian called
an endless series of difficulties: "Vehicles stuck in mud or
sand; trucks and other equipment crashing through wooden bridges;
roads as slippery as ice or the consistency of 'gumbo.'" Later,
as President, Dwight Eisenhower recognized the inadequacies of two-lane
state roads that meandered indirectly to their destinations and
could not handle the weight and size of the military traffic. He
worked with Congress to craft legislation that provided a new highway
system with adequate federal financing and practical design and
engineering. These essential elements have ensured that motorists
today can journey unimpeded across vast distances in a relatively
short time. Eisenhower noted that without a reliable, dynamic transportation
system, the United States would be a mere alliance of many separate
parts. Instead, the interstate highway system has united the nation
economically, culturally and financially in countless ways. It has,
in Ike's words, literally "changed the face of America."
(Adapted from Creating The Interstate System by Richard F. Weingroff)
Similarly, in
the 1970's the nation's leadership became aware of the danger of
having a major communications failure within the country if the
nation comes under attack, especially a nuclear attack. A priority
was placed on maintaining telecommunications in operation among
the many national research centers located at major academic institutions.
The Defense Advanced Research the Projects Agency (DARPA) was tasked
with responding to this need. The Agency responded by developing
a multi-modal telecommunications network providing multiple interconnected
pathways that would survive the destruction on individual node.
The network, termed "DARPA-Net" was later renamed the
Internet.
| ©
2001 American Telemedicine Association |
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