CN109686451A - A kind of First Aid approaches to IM - Google Patents
A kind of First Aid approaches to IM Download PDFInfo
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- CN109686451A CN109686451A CN201811474866.0A CN201811474866A CN109686451A CN 109686451 A CN109686451 A CN 109686451A CN 201811474866 A CN201811474866 A CN 201811474866A CN 109686451 A CN109686451 A CN 109686451A
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- 238000013459 approach Methods 0.000 title claims abstract description 15
- 238000004458 analytical method Methods 0.000 claims abstract description 25
- 210000003462 vein Anatomy 0.000 claims abstract description 8
- 208000027418 Wounds and injury Diseases 0.000 claims description 38
- 208000014674 injury Diseases 0.000 claims description 21
- 230000008733 trauma Effects 0.000 claims description 14
- 230000006378 damage Effects 0.000 claims description 7
- 239000003814 drug Substances 0.000 claims description 7
- 230000036772 blood pressure Effects 0.000 claims description 4
- 230000036760 body temperature Effects 0.000 claims description 4
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 3
- 239000008280 blood Substances 0.000 claims description 3
- 210000004369 blood Anatomy 0.000 claims description 3
- 238000005259 measurement Methods 0.000 claims description 3
- 229910052760 oxygen Inorganic materials 0.000 claims description 3
- 239000001301 oxygen Substances 0.000 claims description 3
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 3
- 235000013399 edible fruits Nutrition 0.000 claims 1
- 238000011156 evaluation Methods 0.000 description 25
- 238000000034 method Methods 0.000 description 11
- 238000004891 communication Methods 0.000 description 9
- 238000013528 artificial neural network Methods 0.000 description 6
- 238000005457 optimization Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 229940079593 drug Drugs 0.000 description 4
- 238000012545 processing Methods 0.000 description 3
- 238000012546 transfer Methods 0.000 description 3
- TVZRAEYQIKYCPH-UHFFFAOYSA-N 3-(trimethylsilyl)propane-1-sulfonic acid Chemical compound C[Si](C)(C)CCCS(O)(=O)=O TVZRAEYQIKYCPH-UHFFFAOYSA-N 0.000 description 2
- 239000004642 Polyimide Substances 0.000 description 2
- 238000007405 data analysis Methods 0.000 description 2
- 229920001721 polyimide Polymers 0.000 description 2
- 238000011165 process development Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 241001269238 Data Species 0.000 description 1
- 206010061818 Disease progression Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 239000010836 blood and blood product Substances 0.000 description 1
- 229940125691 blood product Drugs 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000005750 disease progression Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012806 monitoring device Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 238000011897 real-time detection Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
Classifications
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
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- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Data Mining & Analysis (AREA)
- Biomedical Technology (AREA)
- Databases & Information Systems (AREA)
- Pathology (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Primary Health Care (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
The present invention provides a kind of First Aid approaches to IM, comprising: clinical wound data library receives the wound data from portable instruction terminal；Analysis and modeling is carried out to the wound data in the clinical wound data library；Decision-making assistant information is provided according to the analysis result of the analysis and modeling module；Determined whether to carry out operative treatment according to the decision-making assistant information, and medical treatment resource information needed for operative treatment is provided；The required medical treatment resource information is matched with the medical treatment resource information in medical resource database；A point examining finger veins is broadcast to enable.The present invention can be realized the scientific order of medical aid.
Description
Technical field
The present invention relates to medical fields, and in particular to First Aid approaches to IM.
Background technique
Wound is the great hygienic issues that countries in the world today generally faces.WHO Report 2000 complete
Ball dies of the number about 5,000,000 of wound, accounts for the 9% of global dead sum.The ministry of Health of China of in August, 2007 publication " China's injury
Prevent report ", about 200,000,000 person-times of injury occurs every year for display China, and dead about 70~750,000 people account for 9% left side of total toll
The right side is the 5th cause of death.Estimation is seen a doctor because of injury about 62,000,000 person-times every year, and direct payment for medical care is up to 65,000,000,000 yuan.Wound
It is easiest to involve main body --- the Young crowd of social labor power, thus the caused dead and disabled influence to social economy
In obvious ascendant trend, heavy burden is brought to society, family.At the same time, the treatment of trauma patient is often multidisciplinary
Joint give treatment to process, injury in traumatic condition of patient weight, disease progression is fast, and assessment and Treatment decsion are difficult, determines currently without reliable assessment
The therapeutic process of plan system paramedical personnel, causes inefficiency, and Personnel Dependence is strong.
In general, after wound occurs, after ambulance reaches scene progress first aid process, first-aid personnel's meeting on ambulance
Entry evaluation is carried out to the state of an illness of patient, and is monitored using body temperature, blood pressure etc. of the portable instrument to patient.But this
A little monitoring data and assessment result can only be transferred to hospital by first-aid personnel after ambulance reaches hospital, travel in ambulance
It cannot achieve the timely handover of patient information in the process.The doctor that hospital is frequently necessary to after patient reaches hospital re-starts point
It examines, and during point examining, the personnel of the department, department, participation that are related to, workable resource also can not be transferred orderly, very
To there is mistake (drug needed for such as is out of stock), to delay valuable treatment time.
On the other hand, clinical experience of the current trauma care dependent on doctor, and the medical level of various regions, each hospital
It is irregular with the clinical experience of doctor, it is difficult to realize science, normative treatment.
Summary of the invention
The purpose of the present invention is providing to examine information dividing for scientific order for the first aid decision of new medical treatment patient, to win treasured
Expensive prime time.To achieve the above object, the embodiment provides following technical solutions:
A kind of First Aid approaches to IM, comprising: clinical wound data library receives the wound from portable instruction terminal
Hurt data；Analysis and modeling is carried out to the wound data in the clinical wound data library；According to the analysis and modeling module
Analysis result provide decision-making assistant information；Determined whether to carry out operative treatment according to the decision-making assistant information, and hand is provided
Medical treatment resource information needed for art is treated；By the medical treatment resource information in the required medical treatment resource information and medical resource database
It is matched；A point examining finger veins is broadcast to enable.
Preferably, the wound data includes conditions of patients assessment parameter and patient's human body physiological data.
Preferably, conditions of patients assessment parameter include wound time of origin, the first aid moment, condition of the injury scoring,
Internal medicine assessment or illness description.
Preferably, patient's human body physiological data includes that body temperature, blood pressure, blood oxygen, electrocardiogram, breathing or body are dynamic
The measurement data of measuring instrument.
Preferably, above-mentioned First Aid approaches to IM further include: be input to results of surgical described
Trauma care aid decision-making system is to realize clinical feedback.
Preferably, above-mentioned First Aid approaches to IM further include: the analysis and modeling module is carried out
Amendment.
The use of above-mentioned First Aid intelligent evaluation decision system, so that hospital possesses the processing of new medical trauma patient
Intelligentized evaluation decision platform, solves the not scientific emergency care of trauma DSS of Hospitals at Present, pure artificial
Evaluation decision causes inefficiency, and fault is frequently, still lack of standardization especially for the opposite shortage of medical resource and the process development
Medical institutions, it is difficult to the problem of being competent at growing medical demand；System passes through hierarchical, interrelated, United Dispatching
Management, the evaluation decision processing for the trauma patient that makes newly to be admitted to hospital have objectively can foundation and process for reference, to make new
Each link that medical patient sees a doctor can accomplish to plan as a whole to carry out in an orderly manner, medical resource farthest be utilized, so that patient
Treatment obtain more scientific optimization divide examining finger veins to wave；Furthermore intelligentized system, the case that can be accumulated by itself, no
Algorithm is examined in the disconnected study amendment assessment based on artificial neural network point, is allowed to progressively reach optimization, ensure that being applicable in for system
Property and availability.
Detailed description of the invention
Next the embodiment of the present invention will be described in further details in conjunction with attached drawing, in which:
Fig. 1 is the structural block diagram using the portable instruction terminal of the embodiment of the present invention；
Fig. 2 is the structural block diagram of the intelligent evaluation decision system of the embodiment of the present invention；
Fig. 3 is the structural block diagram of the system for distribution of out-patient department of the embodiment of the present invention；
Fig. 4 is the structural block diagram of the First Aid system of the embodiment of the present invention；
Fig. 5 is the flow chart of the First Aid approaches to IM of the embodiment of the present invention.
Specific embodiment
With reference to Fig. 1, the portable instruction terminal of the present embodiment, comprising: communication module, human-machine interface module, general data
Coffret, CPU, communication module and locating module.Communication module use CDMA, GSM, 3G, 4G, 5G, WIFI mode or with
The combination of upper various modes.Human-machine interface module, communication module, locating module and general data transfer interface are connect with CPU,
Communication module and long-range intelligent evaluation decision system communicate to connect.Human-machine interface module, it is defeated by hand for receiving first-aid personnel
The conditions of patients assessment parameter entered, such as wound time of origin, first aid moment, condition of the injury scoring, internal medicine assessment or illness description, trouble
Person state of an illness related evaluation parameter such as PHI scoring, GCS comment grading information, this equipment for inputting the state of an illness with the common doctor of hospital
It is identical；One of general data transfer interface, including bluetooth, parallel port, serial ports or USB interface or a combination thereof, can with it is normal
Polyimide connect and by Data Transport Protocol acquisition such as body temperature, blood pressure, blood oxygen, heart rate, breathing or body
Dynamic to wait human body physiological datas, above-mentioned monitoring device is also known, and measurement data can be passed through general number by these measuring instruments
Portable instruction terminal is input to according to coffret.Connect with the human-machine interface module and the general data transfer interface communication
The conditions of patients is assessed parameter and patient's human body physiological data is sent to far by the CPU connect for controlling communication module
The intelligent evaluation decision system of journey.It is also known using the technology that CPU control communication module carries out remote information transmission.Positioning
Module can provide the position of first-aid personnel and ambulance in real time, provide reference for when hospital carries out preparation of seeing and treating patients.Positioning mould
Block is also connect with CPU, and CPU sends location information by communication module.Above-mentioned portable instruction terminal can be by first-aid personnel's hand
The parameter of work input, the data of polyimide acquisition send long-range intelligent evaluation decision system in advance, to make
Hospital can carry out preparation of seeing and treating patients in advance, win valuable rescue time.
Portable instruction terminal as described above can be removably installed on ambulance, which is used as with vehicle
Equipment is taken convenient for emergency physician.
With reference to Fig. 2, intelligent evaluation decision system includes: that clinical wound data library, analysis and modeling module, trauma care are auxiliary
Help decision system, clinical decision support module, doctor's self study interface and expert amendment interface.Clinical wound data library is by one
Or multiple hospitals construct to be formed, new clinical wound data is not received in disconnecting.Analysis and modeling module is used for clinical wound
Wound data in database carries out analysis and modeling, which can realize not for example, by artificial neural network
Disconnected self study is perfect to be able to.Preferably, which can be obtained by expert amendment interface
It establishes, intervene and corrects.Trauma care aid decision-making system is used to provide auxiliary according to the analysis result of analysis and modeling module
Decision information.Clinical decision support module carries out operative treatment for determining whether according to decision-making assistant information, and provides operation
Medical treatment resource information needed for treating.Doctor's self study interface is used to results of surgical being input to trauma care aid decision system
System is to realize clinical feedback.Doctor's self study interface also allows doctor that clinical information is inputted clinical wound data library, with continuous
Abundant data information.Doctor's self study interface is one or more, preferably several and be built up in different hospitals.Specially
Family's amendment interface allows clinical expert to input information to be modified to the analysis and modeling module.Expert amendment interface is
One or more, it is preferably several and be built up in different hospitals.Intelligent evaluation decision system real-time detection is each just
The patient information that formula instruction terminal uploads, including conditions of patients assessment parameter and patient's human body physiological data are taken, so
Enter clinical wound data library using these patient informations as new clinical wound data record afterwards, and by these patient information bands
Enter the data analysis and modeling module based on artificial neural network, carries out intellectual analysis, pass through trauma care aid decision-making system
To be formed, which include treatment guidelines for reference, point examine process, is related to the information such as department feeds back to instruction terminal and is transferred to simultaneously point
Examine system.Data analysis and modeling module learns to continuously optimize amendment automatically based on artificial neural network by the case of accumulation
Intelligent analysis process is allowed to progressively reach optimization, and can be corrected by expert amendment interface.
With reference to Fig. 3, system for distribution of out-patient department includes scalable software interface, scalability medical resource database and consultation of doctors calling
Service module.By scalable software interface according to the medical attribute and demand of Different hospital, manually or automatically (such as
Input System is scanned by medical staff or by the drug in pharmacy) expanded editing addition configuration collaboration departments at different levels are (such as
Emergency department, ICU, orthopaedics, neurosurgery, department of general surgery etc.)；Add participant (such as first aid team member, doctors in emergency, department of anesthesia
Doctor, nurse, specialist etc.)；There is provided workable resource, (such as available bed quantity, is robbed at the medical care number that may participate in rescue
Rescue equipment, image documentation equipment, surgical apparatus, drug and instrument, blood product etc.), make scalability medical resource database.
The medical resource database can receive new information by software interface to constantly be updated.System for distribution of out-patient department is according to reality
It needs to establish mutual cascade, subordinate and dominance relation, to construct effective emergency command system, and determines with intelligent evaluation
Plan system real-time exchange data, according to being cured as a result, finding the matching in medical resource database for intelligent evaluation decision system
Resource is treated, calling service module of then holding a consultation, which broadcasts a point examining finger veins, to be enabled, and medical treatment patient is made to enter corresponding diagnosis and treatment process.
With reference to Fig. 4, the First Aid intelligent evaluation decision system of the present embodiment includes above-mentioned portable instruction terminal, intelligence
It can evaluation decision system and system for distribution of out-patient department.Portable instruction terminal is generally carried by first-aid personnel or is mounted in emergency tender,
The remote control center that long-range intelligent evaluation decision system is located at hospital or multiple hospitals share, system for distribution of out-patient department are located at doctor
Institute.
With reference to Fig. 4, Fig. 5, the First Aid approaches to IM of the present embodiment, firstly, long-range intelligent evaluation decision system
System receives the wound data including patient information, location information from portable instruction terminal, then long-distance intelligent
Evaluation decision system is based on artificial neural network and carries out intellectual analysis to the patient information, then long-distance intelligent evaluation decision system
The result of intellectual analysis is fed back to portable instruction terminal and system for distribution of out-patient department, the medical treatment that last system for distribution of out-patient department is stored according to it by system
Resource database enables to broadcast a point examining finger veins, and medical staff, instrument, drug of associated department etc. is made to enter state of seeing and treating patients, meanwhile, it takes
Patient directly can be sent into corresponding consultation of doctors position, patient after ambulance reaches hospital by the first-aid personnel with instruction terminal
It is directly entered rescue state.
Wherein, the clinical wound data library of long-distance intelligent evaluation decision system receives the wound data including patient information
Afterwards, analysis and modeling is carried out to the wound data in clinical wound data library；Then it is mentioned according to the analysis result of analysis and modeling
For decision-making assistant information, which determines whether to carry out operative treatment, and the money of medical treatment needed for providing operative treatment
Source information；Then after required medical treatment resource information being matched with the medical treatment resource information in medical resource database,
A point examining finger veins is broadcast to enable.In the process, allow doctor that results of surgical is fed back to the decision-making assistant information, and/or permit
Xu expert is modified analysis and modeling module.Clinical wound data library can be constructed by one or multiple hospitals.
The use of above-mentioned First Aid intelligent evaluation decision system and method, so that place of the hospital to new medical trauma patient
Reason possesses intelligentized evaluation decision platform, solves Hospitals at Present not scientific emergency care of trauma DSS, pure people
The evaluation decision of work causes inefficiency, and fault is frequent, still especially for medical resource shortage and the process development relatively
Nonstandard medical institutions, it is difficult to the problem of being competent at growing medical demand；System passes through hierarchical, interrelated, system
The management of one scheduling, the evaluation decision processing for the trauma patient that makes newly to be admitted to hospital have objectively can foundation and process for reference, from
And make each link that newly medical patient sees a doctor that can accomplish to plan as a whole to carry out in an orderly manner, medical resource is farthest utilized, makes
Patient treatment obtain more scientific optimization divide examining finger veins to wave；Furthermore intelligentized system can be accumulated by itself
Case, constantly the study amendment assessment based on artificial neural network point examine algorithm, are allowed to progressively reach optimization, ensure that system
Applicability and availability.
Above description is only presently preferred embodiments of the present invention, is not used to limit the scope of implementation of the present invention, to above-mentioned reality
The equivalence replacement and modification that example is done are applied, should all be fallen in claims of the invention.
Claims (6)
1. a kind of First Aid approaches to IM characterized by comprising
Clinical wound data library receives the wound data from portable instruction terminal；
Analysis and modeling is carried out to the wound data in the clinical wound data library；
Decision-making assistant information is provided according to the analysis result of the analysis and modeling module；
Determined whether to carry out operative treatment according to the decision-making assistant information, and medical treatment resource information needed for operative treatment is provided；
The required medical treatment resource information is matched with the medical treatment resource information in medical resource database；
A point examining finger veins is broadcast to enable.
2. First Aid approaches to IM according to claim 1, which is characterized in that the wound data includes patient
Condition assessment parameter and patient's human body physiological data.
3. First Aid approaches to IM according to claim 2, which is characterized in that the conditions of patients assesses parameter
Including wound time of origin, first aid moment, condition of the injury scoring, internal medicine assessment or illness description.
4. First Aid approaches to IM according to claim 2, which is characterized in that patient's human body physiological data
The measurement data of measuring instrument is moved including body temperature, blood pressure, blood oxygen, electrocardiogram, breathing or body.
5. First Aid approaches to IM according to claim 1, which is characterized in that further include: by operative treatment knot
Fruit is input to the trauma care aid decision-making system to realize clinical feedback.
6. First Aid approaches to IM according to claim 1, which is characterized in that further include: to it is described analysis and
Modeling module is modified.
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| CN201811474866.0A CN109686451A (en) | 2018-12-04 | 2018-12-04 | A kind of First Aid approaches to IM |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201811474866.0A CN109686451A (en) | 2018-12-04 | 2018-12-04 | A kind of First Aid approaches to IM |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111048213A (en) * | 2019-12-06 | 2020-04-21 | 张彩东 | Emergency call quality assessment management system |
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| CN103942454A (en) * | 2014-05-07 | 2014-07-23 | 东南大学 | Emergency patient emergency rescue system based on mobile monitoring car |
| CN105023073A (en) * | 2014-04-16 | 2015-11-04 | 北京百和园科技有限公司 | Hospital intelligence assessment triage system based on artificial neural network |
| 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 |
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2018
- 2018-12-04 CN CN201811474866.0A patent/CN109686451A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105023073A (en) * | 2014-04-16 | 2015-11-04 | 北京百和园科技有限公司 | Hospital intelligence assessment triage system based on artificial neural network |
| CN103942454A (en) * | 2014-05-07 | 2014-07-23 | 东南大学 | Emergency patient emergency rescue system based on mobile monitoring car |
| 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 |
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Application publication date: 20190426 |