CN105405085A - Method for realizing "seamless" connection of pre-hospital and in-hospital first air for hospitals - Google Patents
Method for realizing "seamless" connection of pre-hospital and in-hospital first air for hospitals Download PDFInfo
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Abstract
The invention relates to a method for realizing "seamless" connection of pre-hospital and in-hospital first aid for hospitals. Pre-hospital 120 first aid and in-hospital specialized first air are combined via the information network, a network information two-way transmission system from an event generating place to a hospital emergency center is established, and "seamless" connection of pre-hospital and in-hospital first air is realized. The method is advantageous in that in the pre-hospital first aid link, a remote electrocardiogram monitoring service system is introduced, an emergency platform is truly moved forward, and information of the electrocardiogram, blood pressure, and breathing etc. of patients can be immediately obtained at the disease site so that the disease determination capability and the rescue level during pre-hospital first aid can be effectively improved, in-hospital treatment is realized in advance, the treatment time of the patients is reduced, and seamless connection of in-hospital and pre-hospital first aid becomes possible.
Description
[technical field]
The present invention relates to first aid administrative skill field, specifically, is a kind of method that before hospital realizes institute, first aid in hospital " seamless " connects.
[background technology]
First-aid personnel to the first aid procedures before Yuan Nei emergency department medical worker handing-over, be called " pre hospital care ".Along with socioeconomic development, the flow process of emergency treatment in current institute, first aid and technology have been becoming better and approaching perfection day by day and maturation.But pre hospital care work, still has part to be strengthened.
Current emergency pattern is generally: the sick and wounded or eyewitness calling for help → first-aid centre accept to call for help and schedule a car → first-aid personnel and ambulance reach the spot → after the on-the-spot diagnosis and treatment → sick and wounded of first-aid personnel to the sick and wounded are carried to ambulance → the pass on monitoring in hospital way → arrive at hospital first-aid personnel to hospital emergency department medical worker join the sick and wounded → emergency department doctor again the sick and wounded are monitored and assess → to the emergency treatment (operation) of the sick and wounded or take in the further diagnosis and treatment in training lesion.
The drawback of the existence of existing first aid modes comprises: the treatment on field first aid and ambulance there is no the guidance that method obtains expert in institute; Wounded's quantity and affair character that will arrive cannot be understood before ambulance arrives by the emergency unit of hospital, therefore just cannot get ready in advance, usually miss best therapeutic time; The Initiated Mechanism of rational liaison method and normalization is lacked between the comprehensive large hospital that Shanghai is main.
" green channel " described in the present invention refers to: first aid " green channel ", namely after patient dials 120 callings for help, 120 emergency physician are when entering pre-admission measure to patient, life monitoring instrument on ambulance is then automatic by monitoring figure and data such as the cardiogram of patient, pulse, blood oxygen, breathing, blood pressures, is real-time transmitted on the network computer of the hospital emergency department will changed the place of examination according to conditions of patients; Emergency department doctor grasps the change of illness state of patient accordingly at any time, then by computer or PDA, online direction 120 doctor implements correct rescue to patient before institute; Meanwhile, in institute, medical personnel carry out surgery/intervene operation or ICU/CCU preparation, and the patient making life critical avoids emergency department and divides the trouble of examining, and directly undergos surgery or provides special care to, and saves life.
Chinese patent literature CN:103093075A, patented claim day is on November 6th, 2011, disclosing a kind of Doctor-patient communication platform (pre hospital care) is that a kind of hospital is for doctor patient communication system and method during pre hospital care, the compositions such as center, communication apparatus, first aid means of transport, first aid medical instruments, emergency medical personnel, first aid field staff are notified primarily of hospital, it is linked up by communication network wireless connections, and wherein software, information, data etc. are shared.The full-time communication personnel of hospital participate in first aid overall process, and whenever and wherever possible, communicate information data has good grounds doctor patient communication.
In sum, need badly a kind of about efficient in time at present, first aid emergency situations can be reduced, in first aid procedures, realize the method that in Hospital front courtyard, " seamless " connects, solved the defect existed in current first aid by the method.
[summary of the invention]
The object of the invention is for deficiency of the prior art, the method that before providing a kind of hospital that efficiently can complete first aid procedures in time to realize institute, first aid in hospital " seamless " connects.
For achieving the above object, the technical scheme that the present invention takes is: a kind of method that before hospital realizes institute, first aid in hospital " seamless " connects, comprises the following steps:
A) the normality UNICOM mechanism of 120 first aids and first aid in hospital mechanism is set up by remote ecg Monitoring and Service System: the critical case for normalization is given treatment to, rescue team member gives suitable treatment at rescue scene, at the scene or ambulance leave in the way of hospital, get in touch with hospital distributing diagnosis place; For needing the case of technological guidance at the scene or in way, by real-Time Signal Transfer, obtain the guidance of expert in treatment process in Hospital;
B) set up " green channel " of first aid scene and first aid in hospital center life-information: in emergency tender, place terminal computer worktable, this terminal computer worktable is connected with immediate care center, hospital emergency rooms workbench;
C) first aid in hospital joint-action mechanism is set up: set up emergency care of trauma network in institute, information by before institute namely venue location be transferred in time trauma center then by central transmission to relevant training, relevant training carries out preparation of seeing and treating patients or hold a consultation, once treatment object arrival hospital starts " green channel " immediately enter a line treatment, respectively the emergency medical personnel of " green channel " will put in place in 30 minutes, carry out first rescues pay afterwards or treatment limit, limit paying service mode.
Described terminal computer worktable has diagnosis, treatment and medication guide effect, makes preliminary to judge and treatment according to the information of pre hospital care collection in worksite, can accept the tutorial message that immediate care center and hospital are transmitted simultaneously.
In above-mentioned steps, for the event of the above severely injured people of generation 3 example, for avoiding road traffic congestion problem, can by Current GPS and other infotecies, the medical institutions of real-time understanding minimum distance at that time, and the coordination of administrative organs is with under guidance, forms certain regional cooperation network, combines with 120 first-aid system websites.
The invention has the advantages that:
1, the inventive method is in pre hospital care link, introduce remote ecg Monitoring and Service System, the platform of emergency treatment is really made to move forward, be convenient to the information such as electrocardio, blood pressure, breathing onset site very first time acquisition patient, thus Diseases diagnosis ability when effectively improving pre hospital care and rescue level make institute's internal therapy in advance, shorten the therapeutic time of patient, make in institute that gap is connected becomes possibility with " seamless " before institute.
2, the inventive method sets up " green channel " joint-action mechanism in first aid in hospital process, for rescue process and follow-up treatment try to gain time precious to one, improves the speed of first aid, realizes the high efficiency of first aid.
[accompanying drawing explanation]
Accompanying drawing 1 is that first aid in hospital before institute " seamless " connects first aid modes schematic diagram.
[embodiment]
Below in conjunction with accompanying drawing, embodiment provided by the invention is elaborated.
As first aid in hospital " seamless " before accompanying drawing 1 institute connects shown in first aid modes schematic diagram, the method specific implementation process that before a kind of hospital of the inventive method realizes institute, first aid in hospital " seamless " connects is as follows:
Set up the normality UNICOM mechanism of 120 first aids and first aid in hospital mechanism: if the critical case of normalization is given treatment to, rescue team member gives suitable treatment at rescue scene, at the scene or ambulance leave in the way of hospital, get in touch with hospital distributing diagnosis place (Triage); If need technological guidance at the scene or in way, by real-Time Signal Transfer, obtain the guidance of hospital expert in treatment process.Here the technical foundation of real-Time Signal Transfer is the foundation of remote ecg Monitoring and Service System, namely remote ecg Monitoring and Service System is passed through by the victim conditions at first aid scene and sick and wounded details (comprising the Monitoring Data of patient's vital capacity, body weight, blood pressure, blood sugar, cardiogram and other life index), be transferred to the doctor of the corresponding training at immediate care center, doctor formulates corresponding first aid scheme as the case may be: on-scene care or temporarily give treatment to process.
Set up " green channel " of first aid scene and first aid in hospital center life-information.The foundation of " green channel " makes emergency tender and immediate care center and hospital emergency rooms workbench be connected with each other, the doctor at immediate care center can be made according to the information of pre hospital care collection in worksite preliminary to judge and treatment, the medical personnel on the other hand on emergency tender can accept diagnosis that immediate care center and hospital transmit, treatment and medication guide information in time
First aid as angiocardiopathy: 120 emergency tenders by CMT wireless network transmission mobile ecg telemonitoring instrument, the ecg information very first time of patient is sent to hospital or first-aid centre's server with Che doctor.Server staff, by received information, judges which kind of cardiovascular emergency case patient belongs to rapidly, thus guidance takes with Che doctor measure of the most reasonably rescuing or change the place of examination.
Pre hospital care process will solve the preliminary problem judging and treat in time, and road traffic also can impact first aid procedures to a certain extent.The inventive method is for the event owing to there are the 3 above severely injured peoples of example simultaneously, and when road traffic encounters difficulties, by Current GPS and other infotecies, the medical institutions of real-time understanding minimum distance at that time, and the coordination of administrative organs is with under guidance, forms certain regional cooperation network, combines with 120 first-aid system websites, optimized work flow, accomplishes that " seamless " connects.
Set up first aid in hospital joint-action mechanism: first aid in hospital with immediate care center for core, set up emergency care of trauma network in institute, information by before institute namely venue location be transferred in time trauma center then by central transmission to relevant training, carry out preparation of seeing and treating patients or hold a consultation, once namely treatment object arrival hospital starts " green channel " enter a line treatment.Here it should be noted that, the determination of " green channel " determines according to concrete first aid situation, the information returned according to place where the accident occurred to sick and wounded relevant training, judge whether emergency situations meets the treatment standard of " green channel ", once meet treatment standard, then start " green channel " immediately, then the emergency medical personnel of each " green channel " should put in place in 30 minutes, carried out first to rescue and paid afterwards or the service mode for the treatment of limit, limit paying.
The inventive method has higher requirement to the medical personnel participating in first aid procedures, therefore, relevant hospital mechanism need carry out GL training to the personnel participating in first aid, thus the First Aid Ability of strengthening first-aid personnel: by medical worker and " 120 " first-aid personnel " hybridization ", using the base that first aid is cultivated as hospital clinical doctor.Especially first aid related discipline, using with the indispensable stage of car first aid as training, examine qualified after to be allowed for access first aid in hospital network.
The above is only the preferred embodiment of the present invention; it should be pointed out that for those skilled in the art, under the prerequisite not departing from the inventive method; can also make some improvement and supplement, these improve and supplement and also should be considered as protection scope of the present invention.
Claims (3)
1. first aid in hospital before hospital realizes institute " seamless " method that connects, it is characterized in that,
A) the normality UNICOM mechanism of 120 first aids and first aid in hospital mechanism is set up by remote ecg Monitoring and Service System: the critical case for normalization is given treatment to, rescue team member gives suitable treatment at rescue scene, at the scene or ambulance leave in the way of hospital, get in touch with hospital distributing diagnosis place; For needing the case of technological guidance at the scene or in way, by real-Time Signal Transfer, obtain the guidance of expert in treatment process in Hospital;
B) set up " green channel " of first aid scene and first aid in hospital center life-information: in emergency tender, place terminal computer worktable, this terminal computer worktable is connected with immediate care center, hospital emergency rooms workbench;
C) first aid in hospital joint-action mechanism is set up: set up emergency care of trauma network in institute, information by before institute namely venue location be transferred in time trauma center then by central transmission to relevant training, relevant training carries out preparation of seeing and treating patients or hold a consultation, once treatment object arrival hospital starts " green channel " immediately enter a line treatment, respectively the emergency medical personnel of " green channel " will put in place in 30 minutes, carry out first rescues pay afterwards or treatment limit, limit paying service mode.
2. first aid in hospital before a kind of hospital according to claim 1 realizes institute " seamless " method that connects, it is characterized in that, described terminal computer worktable has diagnosis, treatment and medication guide effect, make according to the information of pre hospital care collection in worksite and preliminary to judge and treatment, the tutorial message that immediate care center and hospital are transmitted can be accepted simultaneously.
3. first aid in hospital before a kind of hospital according to claim 1 realizes institute " seamless " method that connects, it is characterized in that, for the event of the above severely injured people of generation 3 example, for avoiding road traffic congestion problem, by Current GPS and other infotecies, the medical institutions of minimum distance at that time can be understood in real time, and the coordination of administrative organs is with under guidance, form certain regional cooperation network, combine with 120 first-aid system websites.
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| CN106357809A (en) * | 2016-11-02 | 2017-01-25 | 涓ユ不 | Trauma emergency pre-hospital treatment networking system and application method thereof |
| CN106357810A (en) * | 2016-11-02 | 2017-01-25 | 涓ユ不 | Pre-hospital medical networking system for traffic emergency treatment and application method thereof |
| CN107480439A (en) * | 2017-07-28 | 2017-12-15 | 杭州微云通信技术有限公司 | A kind of cerebral apoplexy first-aid system and method |
| CN107894870A (en) * | 2017-12-04 | 2018-04-10 | 百和医疗科技（深圳）有限公司 | Monitor the mobile terminal and its system of first aid procedure |
| CN108417255A (en) * | 2018-06-04 | 2018-08-17 | 南方医科大学第三附属医院（广东省骨科研究院） | Intelligent human-body transloading equipment |
| CN108877877A (en) * | 2018-06-11 | 2018-11-23 | 吕传柱 | A kind of information registration management system and method |
| CN108962367A (en) * | 2018-06-12 | 2018-12-07 | 梁旭光 | Emergency care of trauma system and implementation method before traffic accident injury institute based on EMS system |
| CN108962366A (en) * | 2018-06-12 | 2018-12-07 | 梁旭光 | The method for conveying wound pre hospital care using EMS system |
| CN110658747A (en) * | 2019-09-03 | 2020-01-07 | 南京美桥信息科技有限公司 | Medical first-aid control system based on remote control management |
| CN110993076A (en) * | 2019-11-21 | 2020-04-10 | 无锡紫云智能科技有限公司 | Medical first-aid system and first-aid method thereof |
| CN111105865A (en) * | 2018-10-26 | 2020-05-05 | 中国人民解放军第二军医大学 | Pre-hospital emergency system fusing community emergency |
| CN111132051A (en) * | 2019-12-19 | 2020-05-08 | 齐鲁师范学院 | Portable medical first-aid platform based on Internet of things |
| CN111199791A (en) * | 2019-12-30 | 2020-05-26 | 重庆同仁至诚智慧医疗科技股份有限公司 | Network system for stroke treatment and stroke treatment platform |
| CN112397182A (en) * | 2019-08-13 | 2021-02-23 | 健和九州（北京）科技有限公司 | System, subsystem, method and storage medium for emergency alert and alarm receiving |
| CN113066573A (en) * | 2021-03-26 | 2021-07-02 | 嘉兴市第二医院 | Pre-hospital emergency monitoring and diagnosis method based on 5G communication technology |
| CN113270180A (en) * | 2021-06-03 | 2021-08-17 | 重庆东登科技有限公司 | Dispatching management system for emergency medical treatment |
| CN113380425A (en) * | 2021-03-16 | 2021-09-10 | 广东医通软件有限公司 | Pre-hospital emergency intelligent plan pushing method based on 5G network |
| CN113436696A (en) * | 2021-07-21 | 2021-09-24 | 中南大学湘雅医院 | Digital management method for patient's condition |
| CN113691612A (en) * | 2021-08-23 | 2021-11-23 | 北京数字医信科技有限公司 | Method, device and system for sharing information |
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| CN117393130A (en) * | 2023-11-01 | 2024-01-12 | 绵竹市人民医院 | Whole-area hospital and outside integrated first aid and quality control system based on artificial intelligence |
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| CN106357809B (en) * | 2016-11-02 | 2019-06-07 | 严治 | Networked system and its application method are cured before emergency care of trauma institute |
| CN106357810A (en) * | 2016-11-02 | 2017-01-25 | 涓ユ不 | Pre-hospital medical networking system for traffic emergency treatment and application method thereof |
| CN106357809A (en) * | 2016-11-02 | 2017-01-25 | 涓ユ不 | Trauma emergency pre-hospital treatment networking system and application method thereof |
| CN106357810B (en) * | 2016-11-02 | 2019-07-19 | 严治 | Networked system and its application method are cured before traffic first aid institute |
| CN107480439A (en) * | 2017-07-28 | 2017-12-15 | 杭州微云通信技术有限公司 | A kind of cerebral apoplexy first-aid system and method |
| CN107894870A (en) * | 2017-12-04 | 2018-04-10 | 百和医疗科技（深圳）有限公司 | Monitor the mobile terminal and its system of first aid procedure |
| CN108417255A (en) * | 2018-06-04 | 2018-08-17 | 南方医科大学第三附属医院（广东省骨科研究院） | Intelligent human-body transloading equipment |
| CN108877877A (en) * | 2018-06-11 | 2018-11-23 | 吕传柱 | A kind of information registration management system and method |
| CN108962367A (en) * | 2018-06-12 | 2018-12-07 | 梁旭光 | Emergency care of trauma system and implementation method before traffic accident injury institute based on EMS system |
| CN108962366A (en) * | 2018-06-12 | 2018-12-07 | 梁旭光 | The method for conveying wound pre hospital care using EMS system |
| CN111105865A (en) * | 2018-10-26 | 2020-05-05 | 中国人民解放军第二军医大学 | Pre-hospital emergency system fusing community emergency |
| CN111105865B (en) * | 2018-10-26 | 2023-11-24 | 中国人民解放军海军军医大学 | Pre-hospital emergency system for fusing community emergency |
| CN112397182A (en) * | 2019-08-13 | 2021-02-23 | 健和九州（北京）科技有限公司 | System, subsystem, method and storage medium for emergency alert and alarm receiving |
| CN110658747A (en) * | 2019-09-03 | 2020-01-07 | 南京美桥信息科技有限公司 | Medical first-aid control system based on remote control management |
| CN110993076A (en) * | 2019-11-21 | 2020-04-10 | 无锡紫云智能科技有限公司 | Medical first-aid system and first-aid method thereof |
| CN111132051B (en) * | 2019-12-19 | 2022-03-04 | 齐鲁师范学院 | Portable medical first-aid platform based on Internet of things |
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| CN111199791A (en) * | 2019-12-30 | 2020-05-26 | 重庆同仁至诚智慧医疗科技股份有限公司 | Network system for stroke treatment and stroke treatment platform |
| CN113380425A (en) * | 2021-03-16 | 2021-09-10 | 广东医通软件有限公司 | Pre-hospital emergency intelligent plan pushing method based on 5G network |
| CN113066573A (en) * | 2021-03-26 | 2021-07-02 | 嘉兴市第二医院 | Pre-hospital emergency monitoring and diagnosis method based on 5G communication technology |
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| CN113270180A (en) * | 2021-06-03 | 2021-08-17 | 重庆东登科技有限公司 | Dispatching management system for emergency medical treatment |
| CN113436696A (en) * | 2021-07-21 | 2021-09-24 | 中南大学湘雅医院 | Digital management method for patient's condition |
| CN113691612A (en) * | 2021-08-23 | 2021-11-23 | 北京数字医信科技有限公司 | Method, device and system for sharing information |
| CN113691612B (en) * | 2021-08-23 | 2024-06-07 | 北京数字医信科技有限公司 | Method, device and system for sharing information |
| CN113990464B (en) * | 2021-10-22 | 2024-06-28 | 东南大学 | Planning method and system for urban emergency medical facility |
| CN114203289A (en) * | 2021-12-13 | 2022-03-18 | 杭州佑医科技有限公司 | Method and device for real-time communication with hospital emergency system |
| CN114203289B (en) * | 2021-12-13 | 2023-03-21 | 杭州佑医科技有限公司 | Method and device for real-time communication with hospital emergency system |
| CN117393130A (en) * | 2023-11-01 | 2024-01-12 | 绵竹市人民医院 | Whole-area hospital and outside integrated first aid and quality control system based on artificial intelligence |
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Application publication date: 20160316 |