CN108671401B - Intelligent medical Internet of things-cooperated AED automatic external defibrillator system and method - Google Patents

Intelligent medical Internet of things-cooperated AED automatic external defibrillator system and method Download PDF

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CN108671401B
CN108671401B CN201810468548.7A CN201810468548A CN108671401B CN 108671401 B CN108671401 B CN 108671401B CN 201810468548 A CN201810468548 A CN 201810468548A CN 108671401 B CN108671401 B CN 108671401B
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things
aid
aed
internet
patient
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CN108671401A (en
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谭希妤
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Shanghai Xineryue Teaching Model Co ltd
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Shanghai Xineryue Teaching Model Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/004Heart stimulation
    • A61H31/007Manual driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0048Mouth-to-mouth respiration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3925Monitoring; Protecting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3993User interfaces for automatic external defibrillators
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/12Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks

Abstract

An intelligent medical internet-of-things-cooperated AED (automatic external defibrillator) system comprises an internet-of-things-cooperated auxiliary AED (automated external defibrillator) box, an AED automatic external defibrillator, a heterochromatic inertial respiration measuring electrode plate, a small first-aid kit and a 120 first-aid heart server. The Internet of things (IOT) medical and patient cooperative assistance AED case comprises an IOT tripod pan-tilt camera, a frame type folding liquid crystal display and a rechargeable battery which is quickly pressed and replaced; the system is used for detecting the battery condition and sending information to a maintainer; used for loading the existing AED automatic external defibrillation case; the device is used for guiding passers to carry out chest compression and external defibrillation on patients in gold 4 minutes for emergency doctors. The Internet of things tripod pan-tilt camera comprises a real-time first-aid control unit, a communication device, a Bluetooth device, a battery and a charging interface, and is used for communicating with the 120 first-aid center server to control the direction of the Internet of things tripod pan-tilt camera by the 120 first-aid center server; when the tripod is opened, the tripod is automatically started to work.

Description

Intelligent medical Internet of things-cooperated AED automatic external defibrillator system and method
Technical Field
The invention relates to the technical field of big data, artificial intelligence, financial machines, internet of things, RFID, solar energy application, NFC, smart cities, payment and new materials, in particular to an automatic external defibrillator system and method based on cooperation of smart medical Internet of things and AED.
Background
An Automatic External Defibrillator (AED) is a portable emergency equipment which is easy to operate and can be used skillfully with little training and is specially designed for on-site emergency treatment. It is different from traditional defibrillator which can analyze and determine whether the patient needs to be electrically defibrillated by built-in computer. During defibrillation, the voice prompt and screen display of the AED make operation easier and easier. Automatic external defibrillators require only a few hours of training to operate for most people. The american heart disease society has recognized that learning AEDs is much simpler than learning CPR for cardiopulmonary resuscitation.
Although AEDs are convenient to use, AEDs currently do not allow use by untrained unskilled persons.
Without trained professionals on site, and doctors are difficult to catch up within 4 minutes, sudden cardiac death patients can only wait to die.
Therefore, there is a need for a method that allows a physician to visually assist sudden cardiac death patients within 4 minutes by instructing the on-site witness to take first aid.
Disclosure of Invention
The embodiment of the invention provides an intelligent medical Internet of things-cooperated AED (automatic external defibrillator) system to solve the problem that a patient suffering from sudden cardiac death is rescued within 4 minutes.
One of the objectives of the present invention is to provide help to sudden cardiac death patients within 4 minutes.
The invention achieves the above object through the following technical scheme.
An automatic external defibrillator system of intelligent medical treatment thing networking in coordination with AED comprises a thing networking medical and patient cooperation auxiliary AED case, an automatic external defibrillator of AED, a heterochromatic inertial respiration measuring electrode plate, a small-sized first-aid kit and a 120 first-aid heart server.
The Internet of things cooperative assistance AED case comprises an Internet of things tripod pan-tilt camera, a rack type folding liquid crystal display and a quick pressing and replacing rechargeable battery; the system is used for detecting the battery condition and sending information to a maintainer; used for loading the existing AED automatic external defibrillation case; the device is used for guiding passers to perform chest compression and external defibrillation on patients in gold 4 minutes for emergency doctors.
The Internet of things tripod pan-tilt camera comprises a real-time first-aid control unit, a communication device, a Bluetooth device, a battery and a charging interface, and is used for communicating with the 120 first-aid center server to control the direction of the Internet of things tripod pan-tilt camera by the 120 first-aid center server; when the tripod is opened, the tripod is automatically started to work.
The heterochromatic inertial respiration measuring electrode plate comprises a left electrode plate, a right electrode plate, elastic connecting cloth, an inertial measuring device, a traction type chest and abdomen respiration sensor, a Bluetooth device, an external chest pressing position mark, an electrode plate battery and a charging interface, wherein the left electrode plate and the right electrode plate are different in color; the automatic external defibrillator is used for replacing the original left and right electrode plates to be inserted into the automatic external defibrillator of the AED for working; the left and right electrode plates and the elastic connecting cloth are respectively printed with different colors which are convenient for visual identification; the electrode plate battery is powered by a rechargeable battery which is quickly pressed and replaced and is used for supplying power to other equipment except the left and right electrode plates for measuring the different-color inertia respiration.
The inertial measurement unit comprises three single-axis accelerometers and three single-axis gyroscopes, and is used for identifying the action of the passerby on cardiopulmonary resuscitation.
The AED includes a non-rechargeable lithium battery; is a fool-type cardiac defibrillation device for non-medical personnel.
The small first-aid kit comprises a first-aid breathing air bag, a shaver, small scissors, gloves and cleaning paper towels; the first-aid breathing air bag comprises a manual breathing mask, a one-way valve, a ball body and an oxygen storage valve.
The 120 first-aid center server comprises a tablet personal computer and is used for transmitting the on-site images and the sound to a first-aid center and a first-aid cart to which the AED automatic external defibrillation case belongs and guiding an on-site passer-by to rescue the patient.
The tablet personal computer comprises a direction control button of the Internet of things tripod head camera, a picture painting function, a voice function and a first-aid education piece selecting function.
A use method of an automatic external defibrillator system with intelligent medical Internet of things and AED cooperation comprises the following steps.
A. When the Internet of things doctor-patient cooperative auxiliary AED box detects no electricity, a short message is sent to inform maintenance personnel of replacement in the future.
B. When a passerby finds that a person falls over the ground, the passerby calls a 120 first-aid center, and the 120 first-aid center guides the passerby to tap shoulders and call loud sounds to confirm that the patient is unconscious, and then the nearest position of the Internet of things medical-patient cooperative auxiliary AED box is given.
C. A passerby takes up an internet-of-things doctor-patient cooperative auxiliary AED box preset nearby, places the internet-of-things doctor-patient cooperative auxiliary AED box beside a patient and opens the internet-of-things tripod pan-tilt camera out of the real-time supporting auxiliary AED box, pulls out a tripod, and sends surrounding images to a 120 emergency center server, wherein the lens is aligned with the patient; opening the rack-type folding liquid crystal display; taking out the different-color inertial respiration measuring electrode slice; the AED is removed.
D. 120 first aid center server distribution emergency tender and emergency doctor are responsible for this patient, and emergency doctor takes out the panel computer and looks over the site conditions and guides, and emergency doctor adjusts thing networking tripod cloud platform camera direction, makes the best in vision.
E. The passerby pastes different-color inertia respiration measuring electrode plates to the patient according to the picture, the emergency doctor judges whether the passerby is pasted at the correct position or not through the image, and if not, the passerby is guided to correct through voice and painting at the wrong position of the on-site image; the inertial measurement control unit obtains a respiratory condition through a traction type chest and abdomen respiration sensor through a Bluetooth device, automatically analyzes the heart rate through a left electrode plate and a right electrode plate, judges whether the chest of a patient has chest hair and sweat or not and whether nearby people keep a distance or not through images if the respiration stop is detected within 5-10 seconds and the defibrillation is needed by electric shock, and guides passers to retreat after being corrected by a small first-aid kit and perform the electric shock defibrillation if the chest hair and the sweat exist in the chest of the patient; the emergency doctor takes the tablet personal computer to get on the emergency ambulance to prepare to arrive at the site.
F. The breathing condition of on-the-spot patient, rhythm of the heart send emergency doctor's panel computer through real-time first aid control unit, and emergency doctor considers to need the chest to press after assessing, and the step of pressing is pressed outside the chest to the folding LCD of rack-type shows and lets passerby do:
1. superposing the palms of the two hands on the external chest pressing position marks, straightening the two elbows, and pressing downwards with force;
2. the frequency of compression is at least 100 times per minute and the depth of compression is at least 5 cm.
G. After 30 chest compressions or when the emergency doctor thinks that the airway is opened and the artificial respiration is needed, the emergency doctor uses image display and voice prompt and demonstration on the pop-up display to guide the user to take out the artificial respiration mask from the small first-aid kit to open the airway and the artificial respiration.
H. In steps F and G, the Internet of things tripod head camera shoots an environment image, and the real-time first-aid control unit carries out the following inspection operations:
checking whether the position of the different-color inertial respiration measuring electrode slice is wrongly pasted or not;
checking whether the palm root position of the chest compression person is on the chest compression position mark or not;
checking whether the body posture of the chest compression person meets the technical requirements;
when a patient wears the artificial respiration mask, checking whether the mask is worn correctly, the color of the lips and the face of the patient changes, whether a one-way valve is properly used and whether the mask is in a fog shape;
if the error is detected, the real-time first-aid control unit makes a prompt by image display and voice on the rack-type folding liquid crystal display and the tablet personal computer, and the emergency doctor guides passers-by to correct the error through voice and painting at the position of the image error on site.
I. In steps E, F and G, the frame-mounted folding lcd transmits the detected data of the inertial measurement unit and the pull-type thoracoabdominal respiration sensor back to the real-time first-aid control unit for the following examination operations:
checking whether the compression frequency is between 100 and 120 times/minute;
checking whether the pressing depth is between 5 and 6 centimeters;
checking whether the thorax is completely restored after each compression;
checking whether the pressing time and the relaxing time respectively account for about 50 percent;
checking whether the palm root leaves the chest wall or not and whether the pressing point is displaced or not when the palm is relaxed;
checking whether the chest and abdomen of the patient are lifted moderately during artificial respiration;
if the operation error is detected, the real-time first-aid control unit prompts by image display and voice on the rack-type folding liquid crystal display and the tablet personal computer, and the emergency doctor guides passers-by to correct the operation error through voice and painting at the position of the on-site image error.
J. Emergency vehicles and emergency doctors come to the scene to perform emergency treatment on patients.
The method has the beneficial effects that: sudden cardiac death patients receive aid within 4 minutes.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without inventive exercise.
FIG. 1: an automatic external defibrillator system based on cooperation of intelligent medical internet of things and AED.
FIG. 2: heterochromatic inertial respiration measuring electrode slice.
FIG. 3: an application method of an automatic external defibrillator system based on cooperation of an intelligent medical Internet of things and an AED.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Embodiment l a method of using an intelligent medical internet of things in conjunction with an AED automatic external defibrillator system.
As shown in fig. l, an intelligent medical internet of things cooperating with an AED automatic external defibrillator system in an embodiment of the present invention includes an internet of things medical-patient cooperating auxiliary AED box, an AED automatic external defibrillation box, a heterochromatic inertial respiration measurement electrode pad, a small first-aid kit, and a 120 first-aid heart server.
The Internet of things (IOT) medical and patient cooperative assistance AED case comprises an IOT tripod pan-tilt camera, a frame type folding liquid crystal display and a rechargeable battery which is quickly pressed and replaced; the system is used for detecting the battery condition and sending information to a maintainer; used for loading the existing AED automatic external defibrillation case; the device is used for guiding passers to perform chest compression and external defibrillation on patients in gold 4 minutes for emergency doctors.
The Internet of things tripod pan-tilt camera comprises a real-time first-aid control unit, a communication device, a Bluetooth device, a battery and a charging interface, and is used for communicating with the 120 first-aid center server to control the direction of the Internet of things tripod pan-tilt camera by the 120 first-aid center server; when the tripod is opened, the tripod is automatically started to work.
The heterochromatic inertial respiration measuring electrode plate comprises a left electrode plate, a right electrode plate, elastic connecting cloth, an inertial measuring device, a traction type chest and abdomen respiration sensor, a Bluetooth device, an external chest pressing position mark, an electrode plate battery and a charging interface, wherein the left electrode plate and the right electrode plate are different in color; the electrode plate is used for replacing the original left and right electrode plates to be inserted into an automatic external defibrillator of an AED for working; the left and right electrode plates and the elastic connecting cloth are respectively printed with different colors which are convenient for visual identification; the electrode plate battery is powered by a rechargeable battery which is quickly pressed and replaced and is used for supplying power to other equipment except the left and right electrode plates for measuring the different-color inertia respiration.
The inertial measurement unit comprises three single-axis accelerometers and three single-axis gyroscopes, and is used for identifying the action of the passerby on cardiopulmonary resuscitation.
The AED automatic external defibrillator comprises a non-rechargeable lithium battery; is a fool-type cardiac defibrillation device for non-medical personnel.
The small first-aid kit comprises a first-aid breathing air bag, a shaver, small scissors, gloves and cleaning paper towels; the first-aid breathing air bag comprises a manual breathing mask, a one-way valve, a ball body and an oxygen storage valve.
The 120 first-aid center server comprises a tablet personal computer and is used for transmitting the on-site images and the sound to a first-aid center and a first-aid cart to which the AED automatic external defibrillation case belongs and guiding an on-site passer-by to rescue the patient.
The tablet personal computer comprises a direction control button of the Internet of things tripod head camera, a picture painting function, a voice function and a first-aid education piece selecting function.
Example 2 heterochromatic inertial respiration measurement electrode pads.
As shown in fig. 2, the heterochromatic inertial respiration measuring electrode plate of the embodiment of the invention comprises a left electrode plate, a right electrode plate, elastic connecting cloth, an inertial measuring device, a pull-type chest-abdomen respiration sensor, a bluetooth device, an external chest compression position identifier, an electrode plate battery and a charging interface, wherein the left electrode plate and the right electrode plate are different in color; the automatic external defibrillator is used for replacing the original left and right electrode plates to be inserted into the automatic external defibrillator of the AED for working; the left and right electrode plates and the elastic connecting cloth are respectively printed with different colors which are convenient for visual identification; the electrode plate battery is powered by a rechargeable battery which is quickly pressed and replaced and is used for supplying power to other equipment except the left and right electrode plates for measuring the different-color inertia respiration.
The inertia measuring device comprises three single-axis accelerometers and three single-axis gyros and is used for identifying the action of the passerby on cardiopulmonary resuscitation.
Embodiment 3 a method of using an intelligent medical internet of things in conjunction with an AED automatic external defibrillator system.
As shown in FIG. 3, a method for using an intelligent medical Internet of things in cooperation with an AED automatic external defibrillator system according to an embodiment of the present invention includes the following steps.
A. When the Internet of things doctor-patient cooperative auxiliary AED box detects no electricity, a short message is sent to inform maintenance personnel of replacement in the future.
B. When a passer-by finds that someone falls down, the passer-by calls the 120 first-aid center, and the 120 first-aid center guides the passer-by to tap shoulders and make a loud call to confirm that the patient is unconscious, and then gives the nearest position of the Internet of things medical-patient cooperative auxiliary AED box.
C. A passerby takes up an internet-of-things doctor-patient cooperative auxiliary AED box preset nearby, places the internet-of-things doctor-patient cooperative auxiliary AED box beside a patient and opens the internet-of-things tripod pan-tilt camera out of the real-time supporting auxiliary AED box, pulls out a tripod, and sends surrounding images to a 120 emergency center server, wherein the lens is aligned with the patient; opening the rack-type folding liquid crystal display; taking out the different-color inertial respiration measuring electrode slice; the AED is removed.
D. 120 first aid center server distribution emergency tender and emergency doctor are responsible for this patient, and emergency doctor takes out the panel computer and looks over the site conditions and guides, and emergency doctor adjusts thing networking tripod cloud platform camera direction, makes the best in vision.
E. The passerby pastes the different-color inertia respiration measuring electrode slice to the patient according to the picture, the emergency doctor judges whether the passerby is pasted at the correct position or not through the image, if not, the passerby is guided to correct through voice and painting at the wrong position of the on-site image; the inertial measurement control unit obtains a respiratory condition through a traction type chest and abdomen respiration sensor through a Bluetooth device, automatically analyzes the heart rate through a left electrode plate and a right electrode plate, judges whether the chest of a patient has chest hair and sweat or not and whether nearby people keep a distance or not through images if the respiration stop is detected within 5-10 seconds and the defibrillation is needed by electric shock, and guides passers to retreat after being corrected by a small first-aid kit and perform the electric shock defibrillation if the chest hair and the sweat exist in the chest of the patient; the emergency doctor takes the tablet personal computer to get on the emergency ambulance to be ready to arrive at the site.
F. The breathing condition of on-the-spot patient, rhythm of the heart send emergency doctor's panel computer through real-time first aid control unit, and emergency doctor considers to need the chest to press after assessing, and the step of pressing is pressed outside the chest to the folding LCD of rack-type shows and lets passerby do:
1. superposing the palms of the two hands on the external chest pressing position marks, straightening the two elbows, and pressing downwards with force;
2. the frequency of compression is at least 100 times/minute and the depth of compression is at least 5 cm.
G. After 30 chest compressions or when the emergency doctor thinks that the airway is opened and the artificial respiration is needed, the emergency doctor uses image display and voice prompt and demonstration on the pop-up display to guide the user to take out the artificial respiration mask from the small first-aid kit to open the airway and the artificial respiration.
H. In the steps F and G, the Internet of things tripod cloud deck camera shoots the environment image, and the real-time first-aid control unit carries out the following inspection operations:
checking whether the position of the different-color inertial respiration measuring electrode slice is wrongly pasted or not;
checking whether the position of the palm root of the chest compression person is on the external chest compression position mark;
checking whether the body posture of the chest compression person meets the technical requirements;
when a patient wears the artificial respiration mask, checking whether the mask is worn correctly, the color of the lips and the face of the patient changes, whether a one-way valve is properly used and whether the mask is in a fog shape;
if the error is detected, the real-time first-aid control unit prompts by image display and voice on the rack-type folding liquid crystal display and the tablet personal computer, and the emergency doctor guides passers-by to correct the error by voice and painting at the position of the image error on site.
I. In steps E, F and G, the frame-mounted folding lcd transmits the detected data of the inertial measurement unit and the pull-type thoracoabdominal respiration sensor back to the real-time first-aid control unit for the following examination operations:
checking whether the compression frequency is between 100 and 120 times/minute;
checking whether the pressing depth is between 5 and 6 centimeters;
checking whether the thorax is completely restored after each compression;
checking whether the pressing time and the relaxing time respectively account for about 50 percent;
checking whether the palm root leaves the chest wall or not and whether the pressing point is displaced or not when the palm is relaxed;
checking whether the chest and abdomen of the patient are lifted moderately during artificial respiration;
if the operation error is detected, the real-time first-aid control unit prompts by image display and voice on the rack-type folding liquid crystal display and the tablet personal computer, and the emergency doctor guides passers-by to correct the operation error through voice and painting at the position of the on-site image error.
J. Emergency vehicles and emergency doctors come to the scene to perform emergency treatment on patients.
The principle and the implementation mode of the invention are explained by applying specific embodiments in the invention, and the description of the embodiments is only used for helping to understand the method and the core idea of the invention; meanwhile, for a person skilled in the art, according to the idea of the present invention, the specific embodiments and the application range may be changed, and in summary, the content of the present specification should not be construed as a limitation to the present invention.

Claims (1)

1. An intelligent medical Internet of things-cooperated AED automatic external defibrillator system is characterized by comprising an Internet of things-cooperated auxiliary AED case, an AED automatic external defibrillation case, a heterochromatic inertial respiration measuring electrode plate, a small first-aid kit and a 120 first-aid heart server;
the Internet of things cooperative assistance AED case comprises an Internet of things tripod pan-tilt camera, a rack type folding liquid crystal display and a quick pressing and replacing rechargeable battery; the system is used for detecting the battery condition and sending information to a maintainer; used for loading the existing AED automatic external defibrillation case; the device is used for guiding passers to perform chest compression and external defibrillation on patients within gold 4 minutes for emergency doctors;
the Internet of things tripod pan-tilt camera comprises a real-time first-aid control unit, a communication device, a Bluetooth device, a battery and a charging interface, and is used for communicating with the 120 first-aid center server to control the direction of the Internet of things tripod pan-tilt camera by the 120 first-aid center server; when the tripod is opened, the tripod is automatically started to work;
the heterochromatic inertial respiration measuring electrode plate comprises a left electrode plate, a right electrode plate, elastic connecting cloth, an inertial measuring device, a traction type chest and abdomen respiration sensor, a Bluetooth device, an external chest pressing position mark, an electrode plate battery and a charging interface, wherein the left electrode plate and the right electrode plate are different in color; the electrode plate is used for replacing the original left and right electrode plates to be inserted into an automatic external defibrillator of an AED for working; the left and right electrode plates and the elastic connecting cloth are respectively printed with different colors which are convenient for visual identification; the electrode plate battery is powered by a rechargeable battery which is quickly pressed and replaced and is used for supplying power to other equipment except the left and right electrode plates for measuring the different-color inertia respiration;
the inertial measurement device comprises three single-axis accelerometers and three single-axis gyroscopes, and is used for identifying the action of the passerby on cardiopulmonary resuscitation;
the AED includes a non-rechargeable lithium battery; is a fool-type cardiac defibrillation device for non-medical personnel;
the small first-aid kit comprises a first-aid breathing air bag, a shaver, small scissors, gloves and cleaning paper towels; the emergency breathing air bag comprises an artificial breathing mask, a one-way valve, a sphere and an oxygen storage valve;
the 120 first-aid center server comprises a tablet personal computer, is used for transmitting live images and sound to a first-aid center and a first-aid vehicle which the AED automatic external defibrillation box belongs to, and is used for guiding a live passer to rescue a patient by a first-aid doctor;
the tablet personal computer comprises an Internet of things tripod head camera direction control button, a picture coloring function, a voice function and an emergency education film selection function;
the use method of the intelligent medical Internet of things cooperative AED automatic external defibrillator system comprises the following steps:
A. when the Internet of things doctor-patient cooperative assistant AED box detects no electricity, sending a short message to inform maintenance personnel of replacement in the future;
B. when a passerby finds that a person falls over the ground, the passerby is called to a 120 first-aid center, and the 120 first-aid center guides the passerby to tap shoulders and call loud sounds to confirm that the patient is unconscious, and then gives the nearest position of the Internet of things medical-patient cooperative auxiliary AED box;
C. a passerby takes up an internet-of-things doctor-patient cooperative auxiliary AED box preset nearby, places the internet-of-things doctor-patient cooperative auxiliary AED box beside a patient and opens the internet-of-things tripod pan-tilt camera out of the real-time supporting auxiliary AED box, pulls out a tripod, and sends surrounding images to a 120 emergency center server, wherein the lens is aligned with the patient; opening the rack-type folding liquid crystal display; taking out the different-color inertial respiration measuring electrode slice; removing the AED from the automatic external defibrillator;
D. the server of the 120 first-aid center distributes an emergency ambulance and an emergency doctor to be responsible for the patient, the emergency doctor takes out the tablet personal computer to check the field condition and give guidance, and the emergency doctor adjusts the direction of the camera of the cloud deck of the Internet of things tripod to ensure that the visual field is optimal;
E. the passerby pastes the different-color inertia respiration measuring electrode slice to the patient according to the picture, the emergency doctor judges whether the passerby is pasted at the correct position or not through the image, if not, the passerby is guided to correct through voice and painting at the wrong position of the on-site image; the inertial measurement control unit obtains a respiratory condition through a traction type chest and abdomen respiration sensor through a Bluetooth device, automatically analyzes the heart rate through a left electrode plate and a right electrode plate, judges whether the chest of a patient has chest hair and sweat or not and whether nearby people keep a distance or not through images if the respiration stop is detected within 5-10 seconds and the defibrillation is needed by electric shock, and guides passers to retreat after being corrected by a small first-aid kit and perform the electric shock defibrillation if the chest hair and the sweat exist in the chest of the patient; the emergency doctor takes the tablet personal computer to get on the emergency ambulance to prepare to arrive at the site;
F. the breathing condition of on-the-spot patient, rhythm of the heart send emergency doctor's panel computer through real-time first aid control unit, and emergency doctor considers to need the chest to press after assessing, and the step of pressing is pressed outside the chest to the folding LCD of rack-type shows and lets passerby do:
1. placing two palms of hands on the external chest pressing position marks in an overlapping manner, straightening the elbows, and pressing downwards forcefully;
2. the pressing frequency is at least 100 times/min, and the pressing depth is at least 5 cm;
G. after 30 times of chest compressions or when the emergency doctor thinks that the airway and the artificial respiration need to be opened, the emergency doctor uses image display and voice prompt and demonstration on a pop-up display to guide the user to take out the artificial respiration mask from the small first-aid kit to open the airway and the artificial respiration;
H. in steps F and G, the Internet of things tripod head camera shoots an environment image, and the real-time first-aid control unit carries out the following inspection operations:
checking whether the position of the different-color inertial respiration measuring electrode slice is wrongly pasted or not;
checking whether the position of the palm root of the chest compression person is on the external chest compression position mark;
checking whether the body posture of the chest compression person meets the technical requirements;
when a patient wears the artificial respiration mask, checking whether the mask is worn correctly, the color of the lips and the face of the patient changes, whether a one-way valve is properly used and whether the mask is in a fog shape;
if the error is detected, the real-time first-aid control unit prompts by image display and voice on the rack-type folding liquid crystal display and the tablet personal computer, and the emergency doctor guides passers-by to correct the error by voice and painting at the position of the image error on site;
I. in steps E, F and G, the frame type folding liquid crystal display transmits the detected data of the inertia measuring device and the pull-type chest and abdomen respiration sensor back to the real-time first-aid control unit for the following checking operations:
checking whether the compression frequency is between 100 and 120 times/minute;
checking whether the pressing depth is between 5 and 6 centimeters;
checking whether the thorax is completely restored after each compression;
checking whether the pressing time and the relaxing time respectively account for about 50 percent;
checking whether the palm root leaves the chest wall or not and whether the pressing point is displaced or not when the palm is relaxed;
checking whether the chest and abdomen of the patient are lifted moderately during artificial respiration;
if the operation error is detected, the real-time first-aid control unit makes a prompt by image display and voice on the rack-type folding liquid crystal display and the tablet personal computer, and the emergency doctor guides passers to correct the error position of the image through voice and painting;
J. emergency vehicles and emergency doctors come to the scene to perform emergency treatment on patients.
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