JP2022171873A - Emergency dispatch support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an emergency dispatch support system for supporting emergency dispatch.

SOLUTION: An emergency dispatch support system supports emergency dispatch. The emergency dispatch support system includes a medical institution information storage unit configured to store medical institution information including contact addresses of medical institutions, a medical institution candidate selection processing unit configured to cause an ambulance crew terminal used by an ambulance crew to display medical institutions that are transfer destination candidates, and a transfer destination medical institution selection processing unit configured to notify medical institutions of an acceptance request. When receiving, from the ambulance crew terminal, information on a medical institution selected from among the medical institutions being the transfer destination candidates displayed on the ambulance crew terminal, the transfer destination medical institution selection processing unit makes an acceptance request based on the contact address of the medical institution stored in the medical institution information storage unit. If acceptance or rejection is received from the medical institution, that information is displayed on the ambulance crew terminal.

SELECTED DRAWING: Figure 1

COPYRIGHT: (C)2023,JPO&INPIT

Description

TECHNICAL FIELD The present invention relates to an emergency dispatch support system for assisting emergency dispatch in response to a call to 119.

When an injured person occurs, the person or someone in the vicinity may call 119 (report to call an ambulance). Then, the fire command center receives the report, hears the location of the injured or sick from the caller, the condition of the injured or sick, etc., and requests dispatch to the ambulance team.

In emergency dispatch, conventionally, the contents of the emergency call received from the caller by the commander of the fire command center are conveyed to the ambulance crew by voice or the like. Then, the ambulance crew is dispatched to the site based on the content of the emergency call transmitted from the commander, and there searches for a medical institution that transports the sick or injured. When a destination medical institution is found, the patient is transported to that medical institution. In addition, from the time ambulance crews arrive at the scene until they are transported to a medical institution, ambulance crews should ask the injured or ill person, the caller, or someone close to them about the condition of the injured or ill person, and I am doing first aid. The ambulance crew fills out a prescribed form of paper in the ambulance, etc., about the contents of the hearing and the emergency measures taken, and prepares a prescribed report after returning to the fire station. An example of such general emergency dispatch is disclosed in Non-Patent Document 1.

Also, in recent years, attempts have been made to digitize part of the work of emergency dispatch. An emergency services integrated support system is disclosed that transmits information to terminals used by personnel.

JP 2014-130516 A

Tokyo Fire Department, ``Tokyo Fire Department <Safety and security information> <Topics> System for calling 119, [online], Internet <URL: http://www.tfd.metro.tokyo.jp/lfe/topics/ 119/>

In the conventional ambulance dispatch disclosed in Non-Patent Document 1, communication errors between the fire command center and the emergency personnel are mainly verbal communication, so there is a possibility that communication errors may occur. In particular, an error in the transmission of information can be life-threatening, especially in an emergency dispatch, and deterrence is required.

In the emergency service comprehensive support system described in Patent Document 1, the information that the commander of the fire command center heard from the caller is electronically transmitted as text information to the terminal of the ambulance crew, and the emergency treatment in the ambulance etc. Information such as the patient's vital signs and the like can be stored in a predetermined server as ambulance dispatch information by being input by the ambulance crew along with the text information. However, the ambulance crew must input first aid information and vital sign text in the ambulance, and the work load is not light.

In this way, there is a possibility that there is an error in information transmission in the conventional emergency dispatch of Non-Patent Document 1. In addition, even in Patent Literature 1, which improves on this point, the burden of work on the ambulance crew is large. Therefore, it cannot be said to be highly effective.

Therefore, in view of the above problems, the present inventor invented an emergency dispatch support system with higher effectiveness.

A first invention is an emergency dispatch support system that supports emergency dispatch, wherein the emergency dispatch support system includes a medical institution information storage unit that stores medical institution information including contact information of the medical institution, and an ambulance crew The ambulance terminal to be used has a medical institution candidate selection processing unit that displays medical institutions that are candidates for transportation, and a transportation destination medical institution selection processing unit that notifies the medical institution of the acceptance request. , the transport destination medical institution selection processing unit receives from the ambulance terminal the information of the medical institution selected from among the medical institutions of the transport destination candidates displayed on the ambulance terminal, stores the medical institution information; This is an emergency dispatch support system that makes an acceptance request based on the contact information of the medical institution stored in a unit, and displays the information on the ambulance terminal when receiving acceptance or rejection from the medical institution.

In the conventional dispatch of emergency services, while emergency workers are giving first aid to the injured or sick, they have to confirm one by one with medical institutions whether they can accept them by telephone or the like. Therefore, it takes time to determine the destination medical institution. Therefore, as in the present invention, the ambulance crew simply selects the medical institution to which the acceptance request is made, and the acceptance request to the medical institution is made. The team can quickly grasp the status of responses to acceptance requests, and can quickly select the medical institution to which the patient will be transported. Therefore, the work load of the ambulance crew can be reduced.

In the above-described invention, if there are multiple selected medical institutions, the transport destination medical institution selection processing unit performs broadcast contact with each medical institution, as in an emergency dispatch support system. Can be configured.

When there are multiple medical institutions requesting acceptance of ambulance transportation, it is possible to save time by contacting them by broadcasting. It is important to find a medical institution to be transported to as soon as possible, as time delays in ambulance transport can be life-threatening. Therefore, it is possible to greatly reduce the time required to select a medical institution to be transported to by broadcasting instead of making contact in turn.

In the above-described invention, the medical institution information storage unit further stores, as the medical institution information, one or more of the number of requests for acceptance, the number of times that acceptance is possible, and the number of times that acceptance is not possible for each medical institution, The medical institution candidate selection processing unit is configured to accept the number of acceptance requests for each medical institution stored in the medical institution information storage unit when displaying the medical institutions that are candidates for the transportation destination on the ambulance terminal. using one or more of the number of times of acceptance and the number of times of unacceptability, the information on the acceptance possibility of the candidate medical institution is displayed, and the destination medical institution selection processing unit uses the medical institution that contacted the acceptance request For the institution, update the number of acceptance requests to the medical institution stored in the medical institution information storage unit, and for the medical institution that has answered the acceptance acceptance, the number of requests from the medical institution stored in the medical institution information storage unit It can be configured like an ambulance assistance system that updates acceptable or unacceptable times.

Among the medical institutions displayed as candidates, it is easier to quickly find a destination if you contact the medical institution that has a high possibility of accepting the patient. Therefore, displaying the acceptability on the ambulance terminal as in the present invention contributes to convenience when the ambulance crew selects a medical institution to request acceptance.

In the above-described invention, the emergency dispatch support system further includes an emergency action information storage unit that stores information on emergency actions, and an emergency action information storage unit that stores emergency action information in the emergency action information storage unit. and a command center processing unit that transmits treatment information.

The whistleblowers who find the injured or sick are not necessarily familiar with first aid, and often do not know what kind of first aid should be taken. On the other hand, if first aid is given appropriately, the survival rate is improved. Therefore, as in the present invention, by transmitting information on emergency measures to the caller, the caller who browses the information can appropriately take emergency measures. Therefore, it leads to improving a lifesaving probability.

In the above-described invention, the ambulance terminal in the emergency dispatch support system is capable of short-range wireless communication with a measuring device that measures the vital signs of the patient, and the ambulance terminal is capable of communicating with the measuring device and the near field. By performing distance wireless communication, it can be configured as an emergency dispatch support system that acquires the vital signs of the patient.

By configuring as in the present invention, since vital signs can be automatically acquired from the measuring device, the burden on the ambulance crew can be reduced.

In the above-described invention, the ambulance terminal in the emergency dispatch support system is provided with a GPS device that acquires position information, and the ambulance terminal acquires the position information in the emergency dispatch by the GPS device, An emergency dispatch support system that accepts input of time information at the timing that is determined to be recorded in emergency dispatch from the ambulance crew, or specifies using the position information acquired by the GPS device and its date and time information. can be configured to

In the conventional emergency dispatch, the ambulance crew prepares an ambulance dispatch report after returning to the fire department. In that case, since a report will be created after the fact, information such as the time of arrival at the scene, the details of the first aid taken, the time when transportation was started, and the time of arrival at the destination medical institution will be based on memory. Therefore, it is not necessarily accurate. Therefore, by configuring as in the present invention, it is possible to more accurately input information on the time required to be recorded, such as the time required for dispatch, rather than based on one's own memory.

In the above-described invention, the emergency dispatch support system further acquires medical-related information of a person who is transported by ambulance, and displays the acquired medical-related information on the ambulance crew terminal or the command center terminal of the command center. It can be configured like a dispatch support system.

When an ambulance is dispatched, there is often no information on the person being transported, and it is sometimes difficult to determine what kind of treatment should be taken. Therefore, by configuring as in the present invention, emergency personnel and commanders can recognize medical-related information such as medical history, medication history, allergies, etc. of the person who is transported by ambulance, so that appropriate measures in emergency dispatch can be performed. can be connected to In particular, information such as medical history, medication history, and allergies will quickly lead to diagnosis of symptoms. In addition, when the family medical institution is known, it may be preferable to transport the patient to that medical institution, which can lead to quick response in emergency dispatch.

The emergency dispatch support system of the first invention can be realized by causing a computer to read and execute the program of the invention. That is, the medical institution candidate selection processing unit that displays the medical institution that is a candidate for transportation destination on the ambulance terminal that the ambulance crew uses, and the medical institution that is a candidate for transportation destination is contacted with a request for acceptance. The transport destination medical institution selection processing unit functions as a transportation destination medical institution selection processing unit, and the transportation destination medical institution selection processing unit transmits information on the selected medical institution from among the medical institutions that are candidates for the transportation destination displayed on the ambulance terminal to the ambulance terminal. When received from the emergency terminal, the request for acceptance is made based on the medical institution information storage unit that stores the medical institution information including the contact information of the medical institution. It is an emergency dispatch support program that displays information.

By using the emergency dispatch support system of the present invention, more effective support for emergency dispatch becomes possible.

1 is a conceptual diagram schematically showing an example of the overall configuration of an emergency dispatch support system of the present invention; FIG. It is a figure which shows typically an example of the hardware constitutions of the computer used with the emergency dispatch assistance system of this invention. 4 is a flow chart showing an example of a processing process in the emergency dispatch support system of the present invention; It is a figure which shows an example of a site information input screen. It is a figure which shows an example of the selection screen of an emergency measure. It is a figure which shows an example of a command information screen. It is a figure which shows an example of a vital signs screen. It is a figure which shows an example of an injured or sick person information screen. It is a figure which shows an example of an emergency measure screen. It is a figure which shows an example of a note screen. It is a figure which shows an example of a medical institution selection screen. It is a figure which shows an example of an acceptance request screen. FIG. 10 is a diagram showing an example of a medical institution selection screen displaying information on acceptance or rejection of an acceptance request; It is a figure which shows an example of a medical institution details screen. It is a figure which shows an example of a stamping screen. It is a figure which shows an example of an acceptance situation analysis screen. It is a figure which shows an example of an acceptance record analysis screen. It is a figure which shows an example of a report screen. FIG. 21 is a diagram schematically showing an example of the overall configuration of an emergency dispatch support system in Example 7;

An example of the overall configuration of an emergency dispatch support system 1 of the present invention is shown in FIG. FIG. 2 shows an example of the hardware configuration of a computer used in the emergency dispatch support system 1 of the present invention.

The emergency dispatch support system 1 uses a management system 2 , a voice recognition server 3 , a caller terminal 4 , a command center terminal 5 , an ambulance crew terminal 6 and a medical institution terminal 7 .

The management system 2, the voice recognition server 3, the command center terminal 5, the ambulance terminal 6, and the medical institution terminal 7 are implemented by computers such as servers, personal computers, and portable communication terminals. The computer includes an arithmetic device 90 such as a CPU that executes arithmetic processing of a program, a storage device 91 such as a RAM or a hard disk that stores information, a display device 92 such as a display, an input device 93 that inputs information, It has a communication device 94 for communicating the processing result of the arithmetic device 90 and the information stored in the storage device 91 . Note that if the computer has a touch panel display, the input device 93 and the display device 92 may be integrated. Touch panel displays are used, for example, in portable communication terminals such as tablet computers and smartphones used by medical personnel such as commanders in command centers, emergency personnel, doctors and nurses in medical institutions, and their supporters. There are many things, but it is not limited to that.

A touch panel display is a device in which the functions of the display device 92 and the input device 93 are integrated in that input can be performed directly on the display using a predetermined input device (such as a touch panel pen) or a finger.

Each computer may have its function realized by one computer, or its function may be realized by a plurality of computers. The computer in that case may be, for example, a cloud server.

Further, each means in the emergency dispatch support system 1 of the present invention may only be logically distinguished in its function, and may physically or practically form the same area.

The management system 2 includes a voice processing unit 20, an emergency dispatch information storage unit 21, a command center processing unit 22, an emergency treatment information storage unit 23, an ambulance crew processing unit 24, an injury or disease candidate estimation processing unit 25, and a medical institution information storage unit 26. It has a candidate medical institution selection processing unit 27 , a destination medical institution selection processing unit 28 , and a diagnostic information reception processing unit 29 .

The voice processing unit 20 performs processing for converting voice data into text. A part or all of the voice data received by the management system 2 from the command center terminal 5 and the ambulance terminal 6 is sent to the voice recognition server 3 to be described later to be converted into text, and the text data is received from the voice recognition server 3. . The voice data converted into text is stored in the emergency dispatch information storage section 21 in association with the emergency dispatch information, and is transmitted to the emergency dispatch terminal 6 by the ambulance service processing section 24, which will be described later.

As for processing of converting voice data into text, voice data received by the management system 2 is sent to a voice recognition server 3 (such as a cloud server) having an API for performing voice recognition, which will be described later. Then, the recognition result is received from the speech recognition server 3 as text data.

When converted to text data using an API, multiple candidates may be returned as a result. In preparation for such a case, the management system 2 is provided with a storage unit for storing medical dictionary information (medical dictionary information storage unit (not shown)), and among the results returned from the speech recognition server 3, The medical dictionary information storage unit is referred to, and the results stored in the medical dictionary information storage unit are preferentially subjected to text conversion. The medical dictionary information storage section may be provided in each computer. In this case, in the processing unit that receives each input, by referring to the medical dictionary information storage unit for text data among the input information, words that correspond to medical terms stored in the medical dictionary information storage unit are converted. You may

With such a configuration, it becomes possible to use voice input.

In addition, the situation in which the emergency dispatch support system 1 of the present invention is used is not necessarily an environment with good communication conditions. For example, rural areas and mountainous areas where communication conditions are not good are assumed. Therefore, when each computer cannot communicate with the voice recognition server 3 equipped with an API, or when communication is difficult, each computer temporarily stores information by voice input, and when the communication is connected or improved, voice It may be configured such that input voice data is sent to the voice recognition server 3 .

The process of converting voice data into text data by the voice processing unit 20 may be performed by the voice recognition server 3 via the management system 2, or may be performed by the command center terminal 5, the ambulance terminal 6, etc., which will be described later. In this case, the command center terminal 5 and the ambulance terminal 6 may be provided with a voice processing unit 20 to perform processing with the voice recognition server 3 . Alternatively, without using the speech recognition server 3, the speech processing unit 20 may function as an application program for speech recognition, and each computer may execute conversion processing.

The emergency dispatch information storage unit 21 stores emergency dispatch information, which is information related to the emergency dispatch of emergency crews. Emergency dispatch information includes, for example, emergency dispatch identification information that identifies emergency dispatch, information on the injured and sick (attribute information such as name, age, gender, and contact information, as well as injury and disease information such as the patient's medical history) (background factor), caller information (attribute information such as name and contact information), ambulance crew identification information that identifies the ambulance crew dispatched, destination, between the command center and the caller, ambulance crew and injured or sick, report voice data and text data of conversations between patients and medical institutions, and information on emergency dispatches by ambulance crews.

Information related to emergency dispatch mainly includes date and time information of the predetermined timing for emergency dispatch, external factors around the dispatch site (time, weather information (temperature, humidity, atmospheric pressure, weather, etc.), location information ( Latitude, longitude, altitude, municipality name, etc.), current information such as patient's findings, symptoms, vital signs, etc., medical institutions selected as candidates for transportation, It includes information such as acceptance or rejection, the medical institution to which the patient was transported, the identification information of the illness (name and type of injury, etc.) diagnosed by the patient at the medical institution to which the patient was transported, and the severity of the illness. These may be managed in one database and data table, or may be directly or indirectly related and managed in a plurality of databases and data tables. Moreover, all of the various information stored in the emergency dispatch information storage unit 21 may not be used, and only a part thereof may be used.

In this way, emergency dispatch information includes information before the patient is transported to a medical institution (e.g., external factors, background factors of the patient, current information on the patient, etc.), and information after being transported to the medical institution. information (for example, the name of the medical institution to which the patient was transported, the name of the diagnosis (identification information of the diagnosed illness), severity, etc.).

The command center processing unit 22 transmits and receives information to and from the command center terminal 5 used by the commander of the command center. An emergency measure information storage unit 23, which receives voice data of conversation between the commander of the command center and the caller, and also receives instructions from the commander of the command center to transmit emergency measure information to be transmitted to the caller. to the caller terminal 4. The first aid information includes text information, still image or moving image information indicating the first aid measures that can be performed by the caller, such as artificial respiration, heart massage, AED usage, etc., or access to them. I have a URL.

The emergency measure information storage unit 23 stores emergency measure information. The first aid information storage unit 23 may be stored in the management system 2 or may be stored as a different data server.

The ambulance processing unit 24 transmits and receives information to and from the ambulance terminal 6 used by the ambulance crew. The voice data of the conversation between the caller and the caller by the commander of the command center is converted into text, and the text data is transmitted to the emergency crew terminal 6.例文帳に追加Also, it accepts voice data input to the ambulance terminal 6 by a voice input device worn by the ambulance crew, and transmits it to the voice recognition server 3 to convert it into text. Then, it receives text data from the voice recognition server 3 and transmits it to the ambulance terminal 6 . In addition, the ambulance crew terminal 6 accepts various types of information that have received voice input or text input, and stores the information in the emergency dispatch information storage unit 21 as information relating to the ambulance dispatch of the ambulance crew.

Injury and disease candidate estimation processing unit 25 is the information of the injured and sick, the findings of the sick and sick in this emergency dispatch, the vital signs, the text based on the voice data of the conversation heard from the caller or the casualty by the command center commander and emergency personnel Based on external factor information such as data, location information, weather information, date and time information, etc., similar emergency dispatch information is compared with past emergency dispatch information stored in the emergency dispatch information storage unit 21. Identify. And the information of the diagnosed illness in the identified emergency dispatch information is presumed as the injury or illness of the current victim. Similarity determination includes, but is not limited to, a method of determining based on the rate of matching of various types of information. In this way, the injury and disease candidate estimation processing unit 25, based on the relationship between the emergency dispatch information before transportation to the medical institution in the past emergency dispatch information and the emergency dispatch after transportation to the medical institution, in this emergency dispatch Based on the emergency dispatch information (emergency dispatch information before transportation to the medical institution) of the injured or sick being transported, the information after transportation to the medical institution, that is, the diagnosis name (injury or disease name) candidate is estimated. The accuracy of estimation can be improved by using such an estimation method.

In addition, the injury or disease candidate estimation processing unit 25, if there was an emergency dispatch in the past for the same injured or sick person, the priority of the injury or disease in the emergency dispatch is higher than other injuries and diseases, and the estimation process is performed. may Raising the priority includes, but is not limited to, displaying information on the past injury or illness of the patient, or lowering the criteria for matching rate. Moreover, even if it is not the same injured person, you may raise a priority, such as an injured person's symptom (situation), a vital sign, etc.

In addition, the injury or disease candidate estimation processing unit 25 transmits the estimated injury or disease information to the ambulance terminal 6, makes the ambulance personnel refer to it ask additional questions, accepts the voice data of the answers, and By receiving input of text data in which is converted into text or alternatives for answers to additional questions, the estimated injury or disease is further corrected. It should be noted that the estimated correction process may not be performed.

The medical institution information storage unit 26 stores information about medical institutions. Information about the medical institution stores information such as the name, address, telephone number, and e-mail address of the medical institution, as well as information on injuries and diseases that the medical institution can treat and medical departments. In addition, the number of acceptance requests to the medical institution, the number of acceptance responses, the number of acceptance refusal responses, and the date and time information of these requests may be stored.

The medical institution candidate selection processing unit 27 refers to the medical institution information storage unit 26 based on the estimation result of the injury or disease of the injured or sick estimated by the injury or sickness candidate estimation processing unit 25 to select the medical institution to which the injured or sick is transported. select candidates for Then, a list of medical institutions that are candidates for the selected transportation destination is transmitted to the ambulance terminal 6 .

The transport destination medical institution selection processing unit 28 receives information on the medical institutions to which the acceptance is requested, selected by the ambulance terminal 6, and automatically, preferably broadcasts calls to those medical institutions. conduct. This call is preferably made by an automatic voice, and it is preferable to prompt input such as whether it is possible to accept the call. Also, when receiving information on acceptance or rejection from the medical institution, the result is transmitted to the ambulance terminal 6 .

The diagnostic information reception processing unit 29 receives information on the diagnosis of the injured or sick person from the medical institution terminal 7 of the medical institution that transported the injured or sick person, and stores the information in association with the emergency dispatch in the emergency dispatch information storage unit 21. .

The speech recognition server 3 is a server (for example, a cloud server) equipped with an API that performs speech recognition. Convert and return the converted text data to the management system 2. As an API for speech recognition, for example, Web speech API, Google Cloud Speech API, Microsoft Bing Speech API, Amazon Alexa, LINE, etc. can be used, but it is not limited to these.

The caller terminal 4 is a communication terminal used by the caller who made the 119 call, and generally corresponds to a portable communication terminal such as a mobile phone or a smart phone, but is not limited thereto. This includes cases in which the victim himself/herself is the whistleblower.

The command center terminal 5 is a computer used in a command center, such as a fire department command center, that receives 119 calls and issues orders for emergency dispatch, such as dispatch orders to ambulance crews. In addition, the command center terminal 5 transmits to the management system 2 the voice data of the telephone conversation with the whistleblower, and transmits to the management system 2 a transmission instruction for transmitting information on emergency measures to the whistleblower. process.

In addition, the command center terminal 5 may perform processing related to normal emergency dispatch, such as issuing a dispatch command to an ambulance team that can be dispatched to the scene by receiving the 119 call. A known technique can be used for the treatment.

The ambulance terminal 6 is a portable communication terminal used by ambulance crew members dispatched to the site, and transmits and receives information to and from the management system 2 . The ambulance crew terminal 6 is connected to a voice input device, receives conversations between the ambulance crew and the caller or the sick or injured by the voice input device, transmits the voice data to the management system 2, and inputs various information. is received and transmitted to the management system 2, or various kinds of information are received from the management system 2. Moreover, the ambulance terminal 6 is preferably equipped with a GPS device and an imaging device.

The medical institution terminal 7 is a computer used in a medical institution, and browses the information of the injured and sick who are transported by ambulance, etc., stored in the management system 2. Enter information.

Next, an example of the processing process of the emergency dispatch support system 1 of the present invention will be described with reference to the flow chart of FIG. Note that the processing process in the flowchart of FIG. 3 is an example, and the order of the processing can be changed as appropriate.

If the injured person himself/herself (if the injured person makes the report himself/herself, the injured/ill person becomes the reporter) or the person who found the injured/ill person decides that an emergency dispatch is necessary, the informer terminal 4 will , a call is made to 119, which is a telephone number for requesting emergency dispatch, and a report is made (S100). At this time, the command center terminal 5 obtains the caller's telephone number.

Calls made by callers are received by the command center for emergency dispatch of the fire department, and the commander of the command center talks with the caller on the phone. The command center terminal 5 accepts the input of the content of the report by this conversation as voice data (S110), and transmits it by streaming to the management system 2 (S120). Then, the command center processing unit 22 of the management system 2 transmits the voice data received from the command center terminal 5 to the voice recognition server 3 by the voice processing unit 20, so that the voice data received by the management system 2 is sequentially converted into text. (S130). The text data of the voice data is received by the voice processing unit 20, and the command center processing unit 22 causes the storage device 91 of the management system 2 to temporarily store it. The text data of the voice data may be notified to the command center terminal 5 and displayed on the display device 92 thereof.

Also, the commander of the command center appropriately inputs the content of the report to the command center terminal 5 by conversing with the whistleblower. For example, site address, resident name, telephone number, event (injury, illness, or unknown), consciousness, breathing, age of the victim, time of occurrence, number of patients, number of patients Enter the contents of the report, such as the presence or absence of ambulance transport history, the patient's chronic disease, the patient's outpatient hospital, the presence or absence of an ambulance ride, and any special notes. These input report contents may be appropriately input based on voice data, or may be selectively input by tapping the display device 92 of the command center terminal 5 or the like. An example of the field information input screen in this case is shown in FIG.

On the site information input screen of FIG. 4, text data obtained by converting the speech data of the conversation between the commander and the caller into text is displayed in the area on the left side of the screen. In other areas, there is an input interface for the contents of reports that the commander listens to.

On the other hand, in parallel with each of the above processes, when the commander of the command center identifies the site based on the telephone interview from the caller, the ambulance crew that can be dispatched to the identified site is determined by a known method. A dispatch order is issued to the ambulance team that was called. Then, when the commander of the command center taps "Send site information" on the field information input screen displayed on the command center terminal 5, the command center terminal 5 identifies the ambulance crew that dispatched to the management system 2. The ambulance team identification information, the information of the content of the report received on the field input screen, and the temporarily stored text data of the voice data of the conversation between the caller and the commander are sent to the management system 2 (S140).

In parallel with each of the above processes, if the commander determines that the whistleblower needs to give first aid to the injured or sick, tap "initial treatment" on the site information input screen in FIG. ), the emergency measure selection screen shown in FIG. The commander selects the necessary first aid from this selection screen, and when "Send" is tapped, the command center terminal 5 sends an instruction to send the selected first aid information and the information of the caller's telephone number. to the management system 2 (S150). As for information on the caller's phone number, when the command center receives a 119 call from the caller's terminal 4, the phone number of the caller's terminal 4 is notified, so it is acquired and sent to the management system 2. should do. FIG. 5 shows cases of "artificial respiration", "cardiac massage", and "method of using AED" as emergency measures.

The command center processing unit 22 of the management system 2 receives the emergency measure information transmission instruction and the caller's telephone number information from the command center terminal 5, and sends the URL for accessing the corresponding emergency measure information to the emergency measure information. It extracts from the storage unit 23 and transmits it to the caller terminal 4 as a short message (S160). The caller who receives this short message accesses the emergency treatment information by selecting the link of the URL, browses it, and gives emergency treatment to the injured or sick. As a result, even a caller who has no knowledge of first aid can appropriately give first aid to the sick or injured.

When receiving each of the above information transmitted from the command center terminal 5, the ambulance processing unit 24 in the management system 2 assigns the ambulance dispatch identification information that identifies the ambulance dispatch, and associates the ambulance dispatch identification information with the received information. and stored in the emergency dispatch information storage unit 21 as emergency dispatch information. In addition, the ambulance terminal 6 is specified based on the ambulance crew identification information, and the information on the contents of the transmitted report and the text data of the voice data of the conversation between the caller and the commander are transmitted to the ambulance terminal 6 (S170). ). Identification of the ambulance terminal 6 based on the ambulance crew identification information, for example, is associated with the ambulance crew to which the ambulance crew belongs (and the ambulance crew identification information) and the ambulance crew terminal 6, based on which the ambulance crew terminal 6 is identified. can be specified. In this specification, when information is stored in the emergency dispatch information storage unit 21, or when referring to information, even if there is no explicit description, The emergency dispatch identification information is transmitted and received between them to specify the emergency dispatch information to be processed.

The ambulance crew that received the dispatch command from the command center receives the information of the contents of the report transmitted in S170 at the ambulance terminal 6, and the ambulance crew refers to it and dispatches to the scene (S180). In addition, instead of transmitting the information of the content of the report from the management system 2 to the terminal 6 of the ambulance service, and not transmitting the text data of the voice data of the conversation between the caller and the commander, the information of the content of the report is sent to the terminal 6 of the emergency service. may be displayed only. In addition, the management system 2 does not transmit the information of the content of the report to the ambulance terminal 6, but transmits the text data of the voice data of the conversation between the caller and the commander, and displays only the text data on the ambulance terminal 6. You may Note that the information on the contents of the report may include text data of voice data of the conversation between the reporter and the commander.

FIG. 6 shows an example of a command information screen displayed on the ambulance terminal 6. As shown in FIG. The left area of the command information screen displays the text data of the voice data of the conversation between the commander of the command center and the caller, and the center area displays the information on the contents of the report that the commander heard from the caller. ing. Furthermore, in the area on the right side, a "command information" button that displays information on the content of the report, a "recording" button that records the time from the awareness of the ambulance dispatch to the return to the station, vital signs and findings information of the injured and sick. "Vital" button to enter information, "Injury information" button to enter information on the patient's injury or illness, "Notes" button to enter notes on the injury or illness of the patient and the situation at the scene, select the hospital to be transported A "Hospital selection" button is provided. In addition, emergency personnel dispatched to the site may wear a voice input device (headset or microphone) connected to the emergency terminal 6 by wire or wirelessly.

When the ambulance crew arrives at the scene, by pressing the "vital" button on the command information screen displayed on the ambulance terminal 6, the vital sign screen for inputting vital signs is displayed on the ambulance terminal 6. be done. FIG. 7 shows an example of the vital signs screen.

Emergency crews, vital sign information on the patient's vital signs screen, such as respiratory rate, SpO ₂ (percutaneous arterial blood oxygen saturation), blood pressure, pulse rate, JCS (Japan Coma Scale, consciousness level evaluation scale), GCS (Glasgow Coma Scale, consciousness level evaluation scale), body temperature, etc. are measured, and the values are input by tapping each input field. Alternatively, by tapping one of the microphone icons, input of each item of vital signs is performed by voice input. For example, when an ambulance worker taps one of the microphone icons and speaks an item to be input, the ambulance terminal 6 recognizes it via the voice input device and focuses on the input field corresponding to the item. Then, by speaking a numerical value, the numerical value is input to the focused input field. For example, when an ambulance worker utters "respiratory rate", the ambulance terminal 6 recognizes it through the voice input device, the input field corresponding to the respiratory rate is focused, and the ambulance staff then utters "12". Then, the ambulance service terminal 6 recognizes it through the voice input device, and "12" is entered in the input field as a value. In addition, the voice input performed at the ambulance terminal 6 is converted into text by the voice recognition server 3 via the management system 2 as described above, and by receiving the text data from the management system 2, the input to the input field is performed. It may be done, but since the information input on each screen of the ambulance terminal 6 is fixed to some extent, the voice input function of the ambulance terminal 6 is activated and input using it. Then, the load on the management system 2 can be reduced.

Furthermore, the ambulance crew inputs the information of findings in text or voice in the item of "findings" displayed on the vital sign screen. By inputting information on vital signs and findings in this way and tapping "save", the information on vital signs and findings is transmitted from the ambulance terminal 6 to the management system 2 (S190), and the information on the findings is sent to the management system 2. The ambulance processing unit 24 stores the information on vital signs and findings received from the ambulance terminal 6 in the emergency dispatch information storage unit 21 .

Parallel to the above, the ambulance crew confirms the status of the injured or sick, and taps "Injured or sick person information" to display the injured or sick person information screen shown in FIG. While visually recognizing the injured or ill, the ambulance crew sequentially inputs the condition, facial expression, complexion, bleeding, convulsions, incontinence, vomiting, deformity of limbs, paralysis, burns, signs of death, etc. by tapping. The input information is temporarily stored in the ambulance service terminal 6 .

Furthermore, in parallel with the above, the ambulance crew asks the communicator and the injured person about the symptoms of the injury or illness to the extent possible (S200). At this time, the voice data of the conversation between the ambulance crew, caller, and injured person is input to the ambulance terminal 6 by the voice input device, and the ambulance terminal 6 transmits the voice data of the conversation to the management system 2. (S210). The ambulance processing unit 24 receives voice data from the ambulance terminal 6, and the voice processing unit 20 transmits the voice data to the voice recognition server 3 to convert it into text (S220). When the speech processing unit 20 accepts the text data obtained by converting the speech data into text by the speech recognition server 3, it is stored in the emergency dispatch information storage unit 21 in association with the emergency dispatch information, and the ambulance processing unit 24 receives the emergency dispatch information. Send to team terminal 6. It should be noted that the ambulance service terminal 6 may display only a part of the text data without displaying all of the text data.

In addition, when the ambulance crew provides first aid to the injured or sick, tap "First Aid" to display the first aid screen for inputting "First Aid" on the emergency crew terminal 6, as shown in FIG. Display the first aid screen shown in . When performing first aid, the ambulance staff sequentially speaks the contents of the first aid and the result of the first aid, and the ambulance terminal 6 receives it via the voice input device, and the ambulance terminal 6 The voice data of the conversation is transmitted to the management system 2. The ambulance processing unit 24 receives voice data from the ambulance terminal 6, and the voice processing unit 20 transmits the voice data to the voice recognition server 3 to convert it into text. When the speech processing unit 20 accepts the text data obtained by converting the speech data into text by the speech recognition server 3, it is stored in the emergency dispatch information storage unit 21 in association with the emergency dispatch information, and the ambulance processing unit 24 receives the emergency dispatch information. Send to team terminal 6.

The text data of the utterances of the ambulance staff are displayed in the left area of the first aid screen of FIG. ing.

In addition, if the ambulance crew wishes to leave a memo on the status of the injury or disease, etc., by tapping the "note" button on the ambulance crew terminal 6, the notebook screen shown in FIG. to display. On this screen, selecting "shoot" activates the imaging device of the ambulance service terminal 6 to take an image of an injured person or their affected part, or draws a figure simulating a human body with a finger or a digital pen. etc. becomes possible. This makes it possible to input information more visually.

As described above, the input of vital signs, finding information, hearing from the caller and injured person, the content of first aid measures, and information entered on the notebook screen can be obtained by the ambulance crew through a predetermined operation on the ambulance terminal 6. is transmitted from the ambulance terminal 6 to the management system 2, and the ambulance crew information correspondence processing unit of the management system 2 stores the information in the emergency dispatch information storage unit 21 as emergency dispatch information. At this time, the ambulance terminal 6 acquires current position information (latitude, longitude, altitude information) from the GPS device of the ambulance terminal 6, and also obtains information from a predetermined weather information website (for example, the Japan Meteorological Agency website). Weather information such as temperature, humidity, air pressure, and weather in the site area is acquired from such as, transmitted to the management system 2, and stored in the emergency dispatch information storage unit 21 in association with the emergency dispatch information (S230). .

The injury or disease candidate estimation processing unit 25 of the management system 2 inputs information on the content of the report, vital signs received from the ambulance terminal 6, and finding information, hears the information from the caller and the injured or sick, etc., first aid content, Past emergency dispatch information stored in the emergency dispatch information storage unit 21 is referred to based on the information input on the notebook screen, current position information, weather information, etc., and past emergency dispatch information with a high degree of agreement with them is retrieved. identify. Note that the degree of matching may be a perfect match, or may be treated as a match even if the items are within a predetermined range for each item. Then, past emergency dispatch information with a degree of matching of a predetermined ratio or more is specified, and the diagnosis information of injury or disease (injury or disease information resulting from the actual diagnosis of the patient by a medical institution) in the identified emergency dispatch information is selected as a candidate. It is estimated as an injury or illness (S240). That is, the injury or disease candidate estimation processing unit 25, based on the relationship between the emergency dispatch information before transportation to the medical institution in the past emergency dispatch information and the emergency dispatch after transportation to the medical institution, is transported by the current emergency dispatch. From the emergency dispatch information (emergency dispatch information before transportation to the medical institution) of the injured or sick person (emergency dispatch information before transportation to the medical institution), the information after transportation to the medical institution, that is, the candidate of the diagnosis name (injury name) is estimated. In addition, the method of estimating the injury or disease to be a candidate is not limited to this, and any method can be used.

Then, the ambulance crew processing unit 24 of the management system 2 transmits the candidate injury or disease information estimated by the injury or disease candidate estimation processing unit 25 to the ambulance crew terminal 6 (S250). The team terminal 6 displays information on candidates for injuries and diseases. Then, after confirming the display, the ambulance crew asks additional questions about the injury or illness to the injured or ill as needed (S260). The injured person answers additional questions from the ambulance crew (S270). The voice data of the conversation between the ambulance crew and the injured person is input to the ambulance terminal 6 via the voice input device worn by the ambulance crew, and the ambulance terminal 6 sends the conversation voice data to the management system 2. is transmitted (S280). The ambulance processing unit 24 receives voice data from the ambulance terminal 6, and the voice processing unit 20 transmits the voice data to the voice recognition server 3 to convert it into text (S290). When the speech processing unit 20 accepts the text data obtained by converting the speech data into text by the speech recognition server 3, it is stored in the emergency dispatch information storage unit 21 in association with the emergency dispatch information, and the ambulance processing unit 24 receives the emergency dispatch information. Send to team terminal 6.

Further, the injury or disease candidate estimation processing unit 25 in the management system 2 further narrows down the injury or disease candidates from the emergency dispatch information identified as the candidates identified in S240. It should be noted that it is not necessary to actually reduce the number of candidate injuries or illnesses, and it is also possible not to perform narrowing down processing. Furthermore, the estimation processing of the disease candidate estimation processing unit 25 may not be performed.

Then, the medical institution candidate selection processing unit 27 identifies the candidates of medical institutions that can handle the above-mentioned candidate medical institutions by referring to the medical institution information storage unit 26 (S300), and the medical institutions identified as candidates. information is sent to the ambulance terminal 6 (S310). As a method for identifying candidates of medical institutions that can treat the candidate injury or disease, if the medical institution information storage unit 26 stores the medical institution information storage unit 26, the candidate is identified based on the information. If the medical department is stored instead of the injury or disease, the medical department associated with the injury or disease can be identified, thereby identifying the medical institution.

At the ambulance terminal 6 that has received the information of the candidate medical institution, the ambulance crew taps the "select hospital" button on the ambulance terminal 6, and the information of the received medical institution is displayed in the medical institution selection shown in FIG. A screen is displayed, and the medical institution to which the emergency transport request is to be requested is selected by tapping the check box, and is transmitted by tapping "batch request" (S320). When the ambulance terminal 6 accepts this selection, the information of the medical institution requesting emergency transportation is transmitted from the ambulance terminal 6 to the management system 2 (S330).

The transport destination medical institution selection processing unit 28 of the management system 2 identifies the information of the telephone number of the selected medical institution requesting emergency transport from the medical institution information storage unit 26, and requests the medical institution for emergency transport. is automatically called (S340). This call is preferably made by broadcasting to the candidate medical institutions, but is not limited to this.

When the medical institution receives a call, the management system 2 extracts the information of the injured person, such as age, sex, condition of injury or disease, estimated injury or disease, etc., from the emergency dispatch information stored in the emergency dispatch information storage unit 21. Then, such information, access from the medical institution terminal 7 if more detailed information is desired, input of a response to the acceptance request, etc. are conveyed by automatic voice (S350). When the medical institution wants to know more detailed information, it accesses the management system 2 by performing a predetermined operation from the medical institution terminal 7, and the management system 2 stores the information in the emergency dispatch information storage unit 21. The emergency dispatch information to be stored is specified, and the specified information is displayed on the medical institution terminal 7 as an acceptance request screen. An example of the acceptance request screen is shown in FIG.

Doctors, nurses, and other medical personnel at medical institutions, as well as their support staff, may withhold "Possible" on the acceptance request screen if they accept transport of the injured or sick, and "Impossible" if they do not accept transport. Select “Hold” for At this time, it may be possible to input the reason for non-acceptance. These pieces of information are then transmitted from the medical institution terminal 7 to the management system 2 (S360), and the transportation destination medical institution selection processing unit 28 of the management system 2 receives the information on whether or not the candidate medical institution can request acceptance. It is transmitted to the team terminal 6 (S370). The ambulance crew terminal 6 displays information on whether or not the acceptance request received from the management system 2 is accepted on the medical institution selection screen, and the ambulance crew selects a medical institution to be transported from among the medical institutions that can accept (S380). ). FIG. 13 shows an example of a medical institution selection screen on which information on acceptance or rejection of an acceptance request is displayed.

When the ambulance crew selects the destination medical institution, the information is sent to the management system 2, and the destination medical institution selection processing unit 28 of the management system 2 determines whether the injured person is transported to the selected medical institution. to notify you that In this case, by tapping the row of the medical institution selected as the transportation destination from the medical institution selection screen of FIG. 13, the medical institution details screen shown in FIG. The ambulance crew may inform the medical institution by telephone from the team terminal 6 that the patient will be transported.

Conversation between the medical institution and the ambulance crew at this time is received by the ambulance terminal 6 via the voice input device, and the ambulance terminal 6 transmits voice data of the conversation to the management system 2 . The ambulance processing unit 24 receives voice data from the ambulance terminal 6, and the voice processing unit 20 transmits the voice data to the voice recognition server 3 to convert it into text. When the speech processing unit 20 accepts the text data obtained by converting the speech data into text by the speech recognition server 3, it is stored in the emergency dispatch information storage unit 21 in association with the emergency dispatch information, and the ambulance processing unit 24 receives the emergency dispatch information. It may be transmitted to the medical institution terminal 6 and displayed as text data on the medical institution details screen.

The ambulance crew transports the injured or sick to the medical institution selected as the destination (S380), and the injured or sick receives a diagnosis by a doctor at the medical institution (S390) and is treated.

After the treatment is completed, the medical staff such as doctors and nurses of the medical institution, their support staff, and the like perform predetermined operations on the terminal 7 of the medical institution to confirm the final injury or disease to the patient. is input, and the information is transmitted from the medical institution terminal 7 to the management system 2 (S400). The diagnostic information reception processing unit 29 of the management system 2 stores the information of the diagnosis result of the injury or disease received from the medical institution terminal 7 as the diagnosis information in the emergency dispatch information of the patient to be stored in the emergency dispatch information storage unit 21. (S410).

By executing the above process, a series of actions such as emergency call by the caller, dispatch of emergency services, emergency treatment by emergency services, selection of the medical institution to be transported to, reflection of the diagnosis result at the medical institution, etc. Processing can be implemented as a more efficient system.

In addition to the above-described embodiments, the ambulance crew can use the ambulance terminal 6 to display the time when the ambulance was dispatched, the time when they arrived at the scene, the time when the injured or sick were accommodated, the time when transportation to the medical institution was started, and the medical institution It is preferable to be able to input date and time information (time, etc.) regarding the timing of emergency dispatch, such as the time of arrival, the time of withdrawal from the medical institution, and the time of returning to the fire station. It should be noted that the time of notification is preferably the time at which the ambulance team terminal 6 receives the information on the content of the first report from the management system 2 .

As for this input, for example, when the ambulance crew performs a predetermined operation on the ambulance crew terminal 6 to display the clocking screen shown in FIG. At that time, by tapping the corresponding item, the date and time information can be acquired and the time can be displayed on the clock screen. The acquired date and time information is sequentially transmitted from the ambulance terminal 6 to the management system 2 , and the ambulance processing unit 24 of the management system 2 stores the information in the emergency dispatch information storage unit 21 .

In addition to acquiring date and time information by tapping each item, if the GPS device provided in the ambulance terminal 6 is activated, an ambulance is dispatched based on the acquired location information and date and time information. The time, time of arrival at the site, time of starting transportation to the medical institution, time of arrival at the medical institution, time of withdrawing from the medical institution, and time of returning to the fire station may be specified. In other words, the time when the location information changed from the fire department was the time when the emergency dispatched, the time when the location information in the report content arrived at the scene, and the time when the location information changed after starting to move from the scene was medical care. The time when transportation to the institution started, the time when the location information of the medical institution arrived at the medical institution, the time when the location information changed after starting to move from the medical institution, the time when the medical institution was withdrawn, and the location of the fire station. The time of arrival at the information may be automatically set as the time of returning to the fire station. The time at which the patient was accommodated may be input by the ambulance staff, or the time at which the text data of the utterances of the ambulance staff indicating that the patient should be accommodated may be used. It may be automatically set as the time when the

In this way, it is possible to easily input the time information of the items determined in advance in the emergency dispatch, so that when the ambulance crew returns to the fire station and creates a report, they do not write the time based on their own memory. , the time information can be recorded more accurately.

In particular, the time it takes to arrive at the scene (the difference between the time the ambulance was dispatched and the time it arrived at the scene) and the time it takes to arrive at the medical institution (the time the ambulance was dispatched and the time it arrived at the medical institution). Differences) are extremely important data that are often collected by administrative agencies in order to plan the administration of emergency services in the area. Therefore, accurate information is required as much as possible, but if we rely on memory as we do now, the accuracy is lacking. Therefore, by configuring as in this embodiment, it is possible to improve the accuracy.

As a different embodiment of the emergency dispatch support system 1 of the present invention, for example, the medical institution selection screen may be configured to display the acceptance probability for candidate medical institutions.

In this case, the medical institution information storage unit 26 stores, as information of the medical institution, the number of times an emergency dispatch request has been made, the number of times it has been answered that it can be accepted, and the number of times it has been answered that it cannot be accepted. When the transport destination medical institution selection processing unit 28 calls the medical institution to request acceptance, and receives a response that acceptance is possible from the medical institution terminal 7, a response that acceptance is not possible from the medical institution terminal 7 When you receive , add those times.

In this way, the medical institution candidate selection processing unit 27 stores the number of acceptance requests, the number of acceptable responses, and the number of unacceptable responses for each medical institution in the medical institution information storage unit 26. When specifying the medical institution and transmitting it to the ambulance terminal 6, the acceptance probability is calculated based on the information and transmitted to the ambulance terminal 6, so that the ambulance crew selects the destination medical institution can be used as a reference when It should be noted that the acceptance probability may be a numerical value or multiple levels such as "high", "medium", and "low". A threshold value for the probability of acceptance is set for each level, and the level can be specified based on the threshold value.

The acceptance probability may be calculated based on all acceptance requests, or the number of acceptance requests corresponding to the candidate injury or disease estimated by the disease candidate estimation processing unit 25, the number of acceptable Calculations may be made based on the number of times of impossible responses. In this case, the medical institution information storage unit 26 stores such information for each disease.

In this way, by displaying the acceptance probability of medical institutions, ambulance crews can preferentially request acceptance from medical institutions with a high possibility of acceptance, thereby reducing the time taken to transport the injured to the medical institution. can be shortened.

The medical institution candidate selection processing unit 27 may display the acceptance probability as a numerical value, level, or the like, or may display information in any form as long as it is information related to the acceptance possibility indicating whether or not acceptance is possible.

As a different embodiment of the third embodiment, the medical institution information storage unit 26 of the management system 2 stores information on the acceptance status, such as the number of requests for acceptance, the number of times it can be accepted, and the number of times it cannot be accepted, for each medical institution. By performing a predetermined operation, it is possible to analyze the acceptance status and acceptance results for each medical institution. FIG. 16 shows an acceptance status analysis screen showing acceptance status analysis, and FIG. 17 shows an acceptance performance analysis screen showing acceptance performance analysis. These analyzes are multifaceted depending on the purpose, such as calculating the number of acceptance requests, the number of acceptable acceptances, and the number of unacceptable times, totaling the reasons for unacceptable, and totaling them by day of the week. Just do some analysis.

As a different embodiment from Embodiments 1 to 4, a case will be described in which an ambulance team prepares a report on dispatch of an ambulance after returning to the fire station.

After returning to the fire station, the ambulance crew displays a report screen by performing a predetermined operation on the ambulance terminal 6, for example, by tapping a "report" button. At this time, the ambulance terminal 6 sends a request for acquisition of emergency dispatch information to the management system 2 to create a report. In the management system 2 that receives this, among the emergency dispatch information stored in the emergency dispatch information storage unit 21, the information of the items predetermined for report creation is specified, and it is sent from the management system 2 to the emergency crew terminal. Send to 6. FIG. 18 shows an example of the report screen.

The ambulance terminal 6 displays a report screen including the information received from the management system 2, inputs necessary information, and prepares a report of emergency dispatch. Information on the created emergency dispatch report is transmitted to and stored in a predetermined server by the emergency crew performing a predetermined operation on the emergency crew terminal 6 .

By executing such processing, the ambulance crew can easily create a report after dispatching an ambulance. In addition, since the report is created based on the emergency dispatch information, the accuracy of the input information is also improved.

In each of the above-described embodiments, as a method of inputting the patient's vital signs to the ambulance terminal 6, the case where the ambulance crew performs voice or manual input has been described. , SpO ₂ , body temperature, etc., and the ambulance terminal 6 are each provided with a wireless communication device, and the measuring device and the ambulance terminal 6 perform short-range wireless communication, so that regular and automatic Measured vital signs may be obtained, and the information thereof may be entered on the vital signs screen. As a result, the work load on the ambulance crew can be reduced.

As the wireless communication device, it is preferable to automatically perform wireless communication using a system capable of short-range wireless communication such as Bluetooth (registered trademark) or ZigBee (registered trademark).

As a different embodiment of Examples 1 to 6, residents register their own medical-related information, such as medical history, medication history, allergy history, family medical institution, etc. A case of using it when dispatching an ambulance will be explained. An example of the overall configuration of the emergency dispatch support system 1 in this case is shown in FIG.

In the emergency dispatch support system 1 of FIG. 19, the management system 2 further includes a medical-related information processing section 30 and a medical-related information storage section 31 . The user terminal 8 is a communication terminal used by residents, and generally corresponds to a portable communication terminal such as a mobile phone or a smart phone, but is not limited thereto.

The medical-related information processing unit 30 receives its own medical-related information from the user terminal 8 operated by the resident before being transported by an ambulance (in normal times). At this time, resident identification information such as name, address, date of birth, telephone number, e-mail address, and SNS ID is also accepted. The medical-related information processing unit 30 stores the received medical-related information and resident identification information in the medical-related information storage unit 31, which will be described later.

When the resident is transported by ambulance, the medical-related information processing unit 30 stores the medical-related information of the resident stored in the medical-related information storage unit 31 from the user terminal 8 by the person or a close relative such as a family member. Receives instructions to provide medical-related information from residents along with resident identification information. When the medical-related information provision instruction is received, the medical-related information of the resident to be stored in the medical-related information storage unit 31 is specified based on the resident identification information, and passed to the command center processing unit 22 and/or the ambulance crew processing unit 24. . As a result, the command center processing unit 22 and the ambulance crew processing unit 24 pass the medical related information of the resident to the command center terminal 5 and the ambulance crew terminal 6, respectively. It is preferable that the provision instruction includes a declaration of intent to consent to the provision of information.

The medical-related information storage unit 31 stores medical-related information received by the medical-related information processing unit 30 . In the medical-related information storage unit 31, resident identification information and medical-related information are stored in association with each other.

Next, the processing process of the emergency dispatch support system 1 in this embodiment will be described.

Residents who wish to be provided with medical-related information by the emergency dispatch support system 1 in this embodiment operate the user terminal 8, access the management terminal 2 by a predetermined method, and obtain their own medical-related information, such as Enter information such as medical history, medication history, allergy history, and family medical institution. Also, enter the resident identification information. The medical-related information processing unit 30 that receives these pieces of information associates them and stores them in the medical-related information storage unit 31 .

The medical-related information processing unit 30 receives input of medical-related information from the user terminal 8, and acquires medical-related information from the computer that manages the electronic medical record of the family medical institution by the resident performing a predetermined operation. You may In this case, the resident performs a predetermined operation on the user terminal 8 to send medical-related information including part or all of the electronic medical record information to the emergency dispatch support system 1 to the computer of the family medical institution. make a request. The medical-related information processing unit 30 of the management system 2 receives medical-related information including part or all of the electronic medical record information of the resident from the computer of the family medical institution, and stores it in the medical-related information storage unit 31 . In addition to the family medical institution, the computer that manages the PHR (Private Health Record) of the resident is requested to send the above-mentioned transmission request to the emergency dispatch support system 1, and the medical related information of part or all of the PHR is sent to the medical institution. The related information processing unit 30 may receive the information and the medical related information storage unit 31 may store the information. PHR is information about an individual's own health, such as height, weight, blood type, vital information (pulse, respiration, blood pressure, body temperature, etc.), allergy history, side effect history, medical history, hospital visits, examinations, and medical care. information, prescribing and medication information, physician comments, medical examination information, health insurance information, and so on.

As described above, residents register their medical-related information in the emergency dispatch support system 1 before being transported by ambulance (in normal times).

Then, if the resident requests emergency dispatch due to poor physical condition or the like, he/she makes a 119 call and performs a predetermined operation on the user terminal 8, so that the management system 2 receives the resident identification information, Send information and instructions for providing medical-related information. The medical-related information processing unit 30, which has received this, identifies the medical-related information of the resident from the medical-related information storage unit 31 based on the resident identification information, and specifies it to the command center processing unit 22 and/or the ambulance crew processing unit 24. pass medical-related information. As a result, the command center processing unit 22 provides the command center terminal 5 and the ambulance crew processing unit 24 the ambulance crew terminal 6 with medical-related information on the resident. can recognize medical-related information of residents being transported by ambulance.

In addition, the residents who are transported by ambulance cannot operate by themselves, and when their family members make a report, the family members can operate to instruct the provision of medical-related information. In this case, in order to indicate that the operation was performed by a family member rather than the person himself/herself, information indicating that the operation was performed by the family member or identification information such as the name of the person who performed the operation should be sent from the user terminal 8 to the management system 2. . This makes it possible to clarify who gave the provision instruction.

In addition, if the commander of the command center requests a request for provision of medical-related information in the 119 call, and the consent of the person who is talking to the 119 call (the person himself or his family, etc.) is obtained, the ambulance Verbally ask for resident identification information such as the phone number of the person being transported. Then, the commander of the command center who heard the telephone number performs a predetermined operation on the command center terminal 5 to input the heard resident identification information and request the management system 2 to acquire the medical-related information. When the command center processing unit 22 receives this acquisition request, the medical-related information processing unit 30 identifies the medical-related information in the medical-related information storage unit 31 based on the resident identification information, It is handed over to the group processing unit 24 . Then, the command center processing unit 22 sends the medical related information to the command center terminal 5 and the ambulance crew processing unit 24 to the ambulance crew terminal 6 .

In addition, as a further modification of this embodiment, in addition to storing medical-related information in the medical-related information storage unit 31 in advance, when being transported by ambulance, the residents who are transported can perform a predetermined operation on the user terminal 8. By doing so, emergency medical information including part or all of electronic medical records and medical information including part or all of PHR will be sent to the computer that manages electronic medical records and PHR of the family medical institution. A transmission request to the dispatch support system 1 may be made. In this case, medical-related information is transmitted to the emergency dispatch support system from the computer of the medical institution that has received the transmission request or the computer that manages the PHR. Then, the medical-related information processing section 30 that has received the medical-related information from those computers passes the received medical-related information to the command center processing section 22 and/or the ambulance crew processing section 24 . The command center processing unit 22 can be configured to send medical related information to the command center terminal 5 and the ambulance crew processing unit 24 to the ambulance crew terminal 6 .

By using the emergency dispatch support system 1 of the present invention, more effective support for emergency dispatch becomes possible.

1: Emergency dispatch support system 2: Management system 3: Voice recognition server 4: Caller terminal 5: Command center terminal 6: Emergency crew terminal 7: Medical institution terminal 8: User terminal 20: Voice processing unit 21: Emergency dispatch information Storage unit 22: Command center processing unit 23: First aid information storage unit 24: Ambulance crew processing unit 25: Disease candidate estimation processing unit 26: Medical institution information storage unit 27: Medical institution candidate selection processing unit 28: Transfer destination medical institution selection Processing unit 29: Diagnosis information reception processing unit 30: Medical related information processing unit 31: Medical related information storage unit 90: Arithmetic device 91: Storage device 92: Display device 93: Input device 94: Communication device

Claims (8)

An emergency dispatch support system that supports emergency dispatch,
The emergency dispatch support system includes:
a medical institution information storage unit that stores medical institution information including contact information of the medical institution;
A medical institution candidate selection processing unit that displays medical institutions that are candidates for transportation destinations in the ambulance terminal used by the ambulance crew;
a transportation destination medical institution selection processing unit that notifies the medical institution of the acceptance request,
The destination medical institution selection processing unit
When information on a medical institution selected from the medical institutions that are candidates for transport destinations displayed on the ambulance terminal is received from the ambulance terminal, the contact information of the medical institution stored in the medical institution information storage unit is stored. Based on the request for acceptance,
When acceptance or rejection is received from the medical institution, the information is displayed on the ambulance terminal,
An emergency dispatch support system characterized by: The destination medical institution selection processing unit
If there are multiple selected medical institutions, contact each medical institution by broadcast,
The emergency dispatch support system according to claim 1, characterized by: The medical institution information storage unit further
As the medical institution information, for each medical institution, one or more of the number of requests for acceptance, the number of times that acceptance is possible, and the number of times that acceptance is not possible is stored,
The medical institution candidate selection processing unit,
In the ambulance terminal, when displaying the medical institutions that are candidates for the transportation destination, for each medical institution stored in the medical institution information storage unit, any of the number of requests for acceptance, the number of times that acceptance is possible, and the number of times that acceptance is not possible or one or more to display information about the acceptability of candidate medical institutions,
The destination medical institution selection processing unit
For the medical institution that contacted the acceptance request, updating the number of acceptance requests to the medical institution stored in the medical institution information storage unit,
For the medical institution that has answered the acceptance or rejection, updating the number of times of acceptance or non-acceptance from the medical institution stored in the medical institution information storage unit;
3. The emergency dispatch support system according to claim 1 or 2, characterized in that: The emergency dispatch support system further includes:
an emergency treatment information storage unit that stores information on emergency treatment;
and a command center processing unit that transmits emergency treatment information stored in the emergency treatment information storage unit to a caller terminal used by a caller. The emergency dispatch support system described in . The ambulance terminal in the emergency dispatch support system is capable of short-range wireless communication with a measuring device that measures the vital signs of the patient,
The ambulance terminal,
Acquiring the vital signs of the patient by performing the short-range wireless communication with the measuring device;
5. The emergency dispatch support system according to any one of claims 1 to 4, characterized in that: The ambulance terminal in the emergency dispatch support system is equipped with a GPS device that acquires position information,
At the ambulance terminal,
The position information in the emergency dispatch is acquired by the GPS device,
Receiving the input of the time information of the timing that is determined to be recorded in the emergency dispatch from the ambulance crew, or specifying using the position information and the date and time information obtained by the GPS device,
The emergency dispatch support system according to any one of claims 1 to 5, characterized in that: The emergency dispatch support system further includes:
Acquiring medical-related information of a person who is transported by ambulance, and displaying the acquired medical-related information on the ambulance terminal or command center terminal of the command center;
The emergency dispatch support system according to any one of claims 1 to 6, characterized in that: the computer,
A medical institution candidate selection processing unit that displays medical institutions that are candidates for transportation destinations on the ambulance terminal used by the ambulance crew,
Function as a transport destination medical institution selection processing unit that contacts medical institutions for acceptance requests,
The destination medical institution selection processing unit
medical institution information for storing medical institution information including contact information of the medical institution when information of a medical institution selected from the medical institutions of the destination candidates displayed on the ambulance crew terminal is received from the ambulance crew terminal; Make a request for acceptance based on the storage unit,
When acceptance or rejection is received from the medical institution, the information is displayed on the ambulance terminal,
An emergency dispatch support program characterized by:

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