JP2002123617A - Rescue squad organizing method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide technology capable of improving a lifesaving rate by speedily calling out a rescue squad to an emergency site and transporting sufferers to a suitable medical institution. SOLUTION: This method has a step for inputting the condition information of the rescue squad showing whether or not it is a condition capable of being called out to the emergency site and transmitting the information from the on-vehicle terminal equipment of the relevant rescue squad to a fire command headquarter side processor installed in a fire command headquarter, and a step for inputting position information showing the position of the rescue squad and transmitting the information from the on-vehicle terminal equipment of the relevant rescue squad to the fire command headquarter side processor. The condition information shows a condition capable of being called out, and the rescue squad being the shortest in the time required for moving from the position shown by the position information to the emergency site is determined as the rescue squad to be called out to the relevant emergency site. Then, the call-out command to the emergency site is transmitted from the fire command headquarter side processor to the on-vehicle terminal equipment of the relevant rescue squad.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a rescue squad formation method for forming a rescue squad for participating in an emergency site where an emergency case has occurred and transporting a patient to a medical institution, and more particularly, for participating in an emergency site where an emergency case has occurred. The amendment to be performed is determined according to the position and situation of each ambulance, and the medical institution to which the ambulance is to be transported is determined according to the situation of the injured and the receiving situation of each medical institution. It is.

[0002]

2. Description of the Related Art Conventionally, when an emergency case has occurred, first, a 119th notification indicating that an emergency case has occurred is received at a communication control room of a fire department headquarters, and the fire department which has jurisdiction over the emergency site waits. After ordering a rescue squad to check the status of the victim at the emergency scene, the patient is transported to a medical facility that can accept the victim. Emergency sites where emergency rescue teams waiting at the fire department enter as described above are under the jurisdiction of the fire department, but the number of medical institutions that can accept patients who need emergency rescue treatment is limited, Frequently, squads transport victims to medical institutions within the jurisdiction of other fire departments. The rescue squad that has completed transport to the medical institution can also enter other emergency sites when returning to their fire department from the transport destination. For this reason, 11
When the ninth report is received, there is a possibility that other rescue squads that can re-enter while returning home beside the rescue squad are near the rescue squad, in addition to the rescue squad that is waiting at the fire department that supervises the emergency scene. In this way, when deciding which emergency rescue squad is to be entered from among multiple rescue squads, including those returning home, the Fire Defense Command Headquarters will check the position of the rescue squad during return home wirelessly, The location of the rescue squad waiting at the fire department and the distance between the rescue spots are determined to determine which rescue squad to enter. In addition, for a vehicle guidance system that guides a vehicle operated in an emergency such as a fire engine, an ambulance, or a vehicle such as a hire, taxi, helicopter, etc. to a destination quickly and accurately,
It is described in JP-A-9-44796.

[0003]

In the prior art, when a rescue squad to be entered from among a plurality of rescue squads including a rescue squad returning home is determined, the position of the rescue squad returning home is wirelessly confirmed. Because it is necessary to determine whether the rescue team is near the emergency site, especially when there are multiple rescue teams on the way home, the selection of the rescue team to enter is complicated, and the order is delayed There is a problem. Further, in the prior art, if it is insufficient to understand the reception status such as how much the medical institution serving as the transport destination is receiving injured patients due to the occurrence of an emergency case, the transport is concentrated and the specific medical institution May be transferred to a medical institution where the attending physician is in an emergency operation and is difficult to accept. An object of the present invention is to solve the above-mentioned problem, and to provide a technique capable of promptly entering a rescue spot by an emergency rescue squad and transporting it to an appropriate medical institution, thereby improving a life-saving rate.

[0004]

SUMMARY OF THE INVENTION The present invention relates to a rescue squad formation system for forming a rescue squad for attending an emergency site where an emergency case has occurred and transporting a patient to a medical institution. The emergency rescue team to be entered is determined according to the location of the emergency site where the emergency case occurred, and the medical institution to be transported is selected according to the situation of the injured and the reception status of each medical institution.

[0005] In the rescue squad formation system of the present invention, each rescue squad transmits status information indicating the status of the rescue squad to the fire command headquarters at any time, and sends a GPS (Global P
ositioning System) It is equipped with a device to measure the position of the unit, etc., and transmits the position information of the rescue team returning home to the fire command headquarters at predetermined time intervals. In addition, each medical institution transmits medical institution information (medical subjects, bed empty status, doctor waiting status, etc.) indicating whether or not the patient can be accepted to the fire command headquarters at any time.

In the rescue squad formation system of the present invention, when a rescue incident occurs and the 119th report is sent to the fire department headquarters, emergency information on the location and status of each rescue squad and the site where the rescue incident occurred is provided. And rescue squad, whose status information indicates that the situation is available,
A rescue squad that takes a short time to travel from the position of the rescue squad to the emergency site is determined as a rescue squad to enter the site, and the rescue squad is instructed to participate.

[0007] When the rescue squad receives the participation instruction, when it arrives at the emergency site, it examines the condition of the victim and transmits victim information indicating the condition of the victim to the fire department headquarters. The Fire Defense Command Headquarters compares the patient information transmitted from the emergency services and the medical institution information, and determines that the medical institution indicates that the medical institution can accept the patient as the destination medical institution. Select and send the information of those medical institutions to the emergency services. The rescue squad receives the information on the medical institution from the fire command headquarters and transports the victim.

As described above, according to the rescue squad formation method of the present invention, the rescue squad to be entered is determined according to the position and situation of each rescue squad and the location of the rescue site where the rescue incident occurred, and The medical institution to be transported is determined according to the acceptance status of medical institutions and medical institutions, so it is possible for the rescue crew to quickly enter the emergency site and transport to the appropriate medical institution quickly, improving the survival rate .

[0009]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A rescue squad formation method according to an embodiment for forming a rescue squad for attending an emergency site where an emergency case has occurred and transporting a patient to a medical institution will be described below. FIG. 1 is a diagram showing a schematic configuration of a rescue squad formation method of the present embodiment. As shown in FIG. 1, the rescue squad formation system of this embodiment includes a fire command headquarters side processing device 100 and an in-vehicle terminal device 1.
01 and the medical institution-side processing device 102. The firefighting command headquarters side processing device 100 determines the rescue squad to enter according to the position and situation of each rescue squad and the location of the emergency site where the rescue case occurred, and according to the situation of the injured and the reception status of each medical institution This is a processing device on the side of the fire command headquarters that selects a medical institution to be transported. The in-vehicle terminal device 101 is a device that transmits, to the fire command headquarters side processing device 100, status information indicating the status of the rescue squad and position information indicating the position. The medical institution-side processing device 102 is a medical institution-side processing device that transmits medical institution information indicating whether or not a patient can be accepted to the fire department headquarters side processing device 100. In the present embodiment, an ambulance will be described as an example of an ambulance squad.However, other transportation means such as an ambulance helicopter of an air squad that performs life rescue from the sky, a fire boat that performs life rescue of a ship, and the like are used. It may be applied to emergency services performed.

FIG. 2 is a diagram showing a schematic configuration of the firefighting command headquarters side processing device 100 of the present embodiment. As shown in FIG. 2, the firefighting command headquarters side processing device 100
01, a memory 202, a magnetic disk device 203,
Input device 204, output device 205, CD-ROM device 206, communication device 207, rescue squad information DB 208
And a medical institution information DB 209. CPU2
Reference numeral 01 denotes a device that controls the operation of the entire firefighting command headquarters side processing device 100. The memory 202 is a storage device for loading various processing programs and data for controlling the entire operation of the fire command headquarters side processing device 100. The magnetic disk device 203 is a storage device for storing the various processing programs and data. Input device 204
Is a device for performing various inputs for organizing a rescue squad to be taken to an emergency site. The output device 205 is a device for organizing rescue squads to enter the rescue scene and performing various outputs in accordance with the display of a position and a map of each rescue squad. CD-ROM device 2
06 is a CD-RO recording the various processing programs.
This is a device for reading the contents of M. The communication device 207 is a device that performs various types of communication processing between the in-vehicle terminal device 101 mounted on the ambulance of each rescue squad and the medical institution-side processing device 102 installed in each medical institution. Emergency service information DB20
Reference numeral 8 denotes a database that stores the position information and the status information of each rescue squad managed by the fire command headquarters. The medical institution information DB 209 is a database that stores medical institution information indicating whether or not each medical institution can accept a patient.

The fire command headquarters side processing device 100 includes a participation command processing unit 210, a destination instruction processing unit 211, a status acquisition processing unit 212, a position acquisition processing unit 213, and a medical institution information acquisition processing unit 214. have. The entry command processing unit 210 indicates that the situation information stored in the rescue squad information DB 208 indicates that the entry is possible, and that the rescue squad with a short travel time from the position indicated by the position information to the rescue site participates in the rescue site. This is a processing unit that determines a rescue squad to be performed and transmits a command to enter the emergency site from the fire command headquarters side processing device 100 to the on-board terminal device 101 of the determined rescue squad. The transfer destination instruction processing unit 211 acquires the victim information transmitted from the in-vehicle terminal device 101 of each rescue squad, stores the acquired information in the rescue squad information DB 208, and stores the medical institution information DB 209.
A medical institution indicating that the medical institution information stored in the medical institution can accept the patient in the situation of the patient information stored in the rescue squad information DB 208 is selected as the transport destination medical institution, and the fire department headquarters side A processing unit that transmits a transfer command to the selected medical institution from the processing device 100 to the on-board terminal device 101 of the rescue squad. The situation acquisition processing unit 212 is a processing unit that acquires the situation information transmitted from the in-vehicle terminal device 101 of each rescue squad and stores it in the rescue squad information DB 208. The position acquisition processing unit 213 acquires the position information transmitted from the in-vehicle terminal device 101 of each rescue squad and obtains the rescue squad information D
B208 is a processing unit to store. The medical institution information acquisition processing unit 214 is a medical institution side processing device 102 of each medical institution.
Get medical institution information sent from
B209.

A program for causing the firefighting command headquarters-side processing device 100 to function as the entry command processing unit 210, the destination instruction processing unit 211, the status acquisition processing unit 212, the position acquisition processing unit 213, and the medical institution information acquisition processing unit 214 is as follows. , CD
-After being recorded on a recording medium such as a ROM and stored on a magnetic disk or the like, it is loaded into a memory and executed. The recording medium for recording the program is CD-R.
A recording medium other than the OM may be used. In the present embodiment, the fire command headquarters side device is represented by the fire command headquarters side processing device 100. However, a host computer that performs various processes for forming an emergency rescue squad, a position information server that processes position information of the rescue squad A system on the fire command headquarters side may be constituted by a plurality of devices such as a squadron formation terminal device for performing various inputs and outputs when forming a rescue squad, and a position display map terminal device for displaying the position and map of the rescue squad.

FIG. 3 is a rescue squad information DB 208 of the present embodiment.
It is a figure showing an example of. As shown in FIG. 3, the rescue squad information DB 208 of the present embodiment includes a squad code for identifying the rescue squad, a squad name indicating the name of the squad, a normal ambulance, a high-standard ambulance capable of performing advanced rescue treatment, Type indicating the type of vehicle such as a special ambulance capable of emergency rescue and transport of a large number of victims, average speed indicating the average speed at which the ambulance entered, status information indicating the status of the ambulance crew, and the emergency It stores victim information indicating the status of the victim transported by the squad and position information indicating the longitude and latitude of the current position of the rescue squad. In this embodiment, the status information includes “standby”, “participation”, “re-entry possible”, “secondment”, and “impossible”, but “standby” of the status information waits in the fire department to which the rescue squad belongs. "Entry" means that the rescue squad is moving to an emergency location or transporting to a medical institution,
"Re-entry possible" means that the rescue squad has completed transportation to the medical institution and is returning to the fire department to which it belongs, and "secondment" means going to a place other than the fire department to which the rescue squad belongs and providing emergency rescue guidance. "Impossible" indicates that the ambulance is unusable due to periodic inspection, vehicle inspection, breakdown, or the like. Therefore, in this example, when the status information is “standby”, “re-enterable” or “seconded”, it is understood that the rescue squad is in a status where it can enter.

FIG. 4 shows a medical institution information DB 20 of this embodiment.
FIG. 9 is a diagram showing an example of the ninth embodiment. As shown in FIG. 4, the medical institution information DB 209 of the present embodiment includes a hospital code for identifying the medical institution, a hospital name indicating the name of the medical institution, and a medical treatment indicating a subject performing medical care at the medical institution. Subjects, whether or not the emergency victims can be accepted;
It stores received information such as the number of available beds, the number of waiting doctors, the number of emergency patients accepted and the progress of treatment, telephone numbers, and information representing the location of the medical institution in longitude and latitude.

FIG. 5 is a diagram showing a schematic configuration of the in-vehicle terminal device 101 of the present embodiment. As shown in FIG. 5, the in-vehicle terminal device 101 according to the present embodiment includes a CPU 501 and a memory 502.
A magnetic disk device 503, an input device 504, an output device 505, a ROM 506, a communication device 507,
And a GPS unit 508. CPU 501
Is a device that controls the operation of the entire in-vehicle terminal device 101. The memory 502 is a storage device that loads various processing programs and data for controlling the operation of the entire vehicle-mounted terminal device 101. The magnetic disk drive 503 is
A storage device for storing the various processing programs and data. The input device 504 is a device that participates when an emergency case occurs, transports the victim to a medical institution, and performs various inputs for transmitting the position information and the status information of the emergency services to the fire command headquarters. The output device 505 is a device that performs various outputs in connection with participation in an emergency case and transmission of position information and status information. The ROM 506 is a storage device for storing the various processing programs. Communication device 507
Is a device that performs various communication processes with the firefighting command headquarters side processing device 100 installed in the firefighting command headquarters. GPS
The unit 508 is a device that receives signals transmitted from a plurality of GPS satellites and measures the position of the rescue squad.

The in-vehicle terminal device 101 has a status notification processing unit 510, a position notification processing unit 511, and a destination inquiry processing unit 512. The status notification processing unit 510 includes:
By inputting status information indicating whether the rescue squad is ready to enter the emergency scene, the in-vehicle terminal device 1 of the rescue squad is input.
01 is a processing unit that transmits to the fire fighting command headquarters side processing device 100 installed in the fire fighting command headquarters. Location notification processing unit 5
11, a GPS unit 508 measures the position of the ambulance on which the in-vehicle terminal device 101 is mounted, inputs position information indicating the position from the GPS unit 508, and sends a command from the in-vehicle terminal device 101 of the rescue squad to the fire command headquarters. This is a processing unit that transmits to the processing device 100. The transport destination inquiry processing unit 512 transmits victim information indicating the status of the victim transported by the rescue squad from the in-vehicle terminal device 101 of the rescue squad to the firefighting command headquarters side processing unit 100, and transports the victim. The processing unit acquires information on the medical institution of the transport destination to be performed from the firefighting command headquarters side processing device 100. The in-vehicle terminal device 101 is connected to the status notification processing unit 510,
A program for functioning as the transfer destination inquiry processing unit 512 is recorded on a recording medium such as a ROM and executed. The recording medium for recording the program may be a recording medium other than the ROM.

FIG. 6 shows a medical institution side processing apparatus 1 according to the present embodiment.
It is a figure which shows the schematic structure of No. 02. As shown in FIG. 6, the medical institution-side processing device 102 of the present embodiment includes a CPU 601 and
Memory 602, magnetic disk device 603, input device 604, output device 605, CD-ROM device 606
, A communication device 607, and a medical institution information management DB 608. The CPU 601 is the medical institution side processing device 1
02 is a device for controlling the entire operation. Memory 602
Is a storage device for loading various processing programs and data for controlling the operation of the medical institution side processing device 102 as a whole. The magnetic disk device 603 is a storage device that stores the various processing programs and data.
The input device 604 is a device that performs various inputs for receiving a patient transported by the rescue squad when an emergency case occurs. The output device 605 is a device that performs various outputs in response to the reception of the patient. The CD-ROM device 606 is
This is a device for reading the contents of a CD-ROM in which the various processing programs are recorded. The communication device 607 is a device that performs various types of communication processing with the firefighting command headquarters side processing device 100 installed in the firefighting command headquarters. Medical institution information management DB
Reference numeral 608 denotes a database that manages medical institution information indicating whether or not a patient transported by the emergency services can be accepted.

Further, the medical institution side processing device 102 has a medical institution information notification processing unit 610. If the medical institution information indicating processing unit 610 changes the medical institution information indicating whether or not another injured person can be received with the reception of the injured person transported by the rescue squad, the changed content is This is a processing unit that inputs and transmits from the medical institution side processing device 102 of the medical institution to the fire fighting command headquarters side processing device 100.
The medical institution side processing device 102 is connected to the medical institution information notification processing unit 6
The program to function as 10 is a CD-ROM
After being recorded on a recording medium such as a digital disk and stored on a magnetic disk or the like, it is loaded into a memory and executed. The recording medium for recording the program may be a recording medium other than the CD-ROM.

FIG. 7 is a flow chart showing the processing procedure of the entry command processing of this embodiment. As shown in FIG. 7, the entry command processing unit 210 of the fire command headquarters side processing device 100 can enter by referring to the position information and status information of each rescue squad and the first-aid site information indicating the site where the first-aid event occurred. A process is performed to determine a rescue squad that is in a situation and requires a short time to move to the site as an emergency squad to enter the site.

In step 701, the entry command processing section 210 of the fire command headquarters side processing device 100 checks whether or not the 119th notification indicating the occurrence of the emergency case has been made.
If the 19th notification has been made, the process proceeds to step 702. In step 702, the location of the caller is checked from the telephone number of the caller from whom the 119th call was made, and is stored in the memory 202 as emergency site information indicating the position of the emergency site. In step 703, the emergency site is displayed together with the map data. It is displayed on the output device 205.

In step 704, the rescue squad information DB 20
8 record is read. In step 705, the status information in the read record is referred to, and the status information of the rescue squad is set to “standby”, “re-entry possible” or “secondment”.
It is checked whether or not the status of the rescue squad is possible. If the status information of the rescue squad indicates the status of possible participation, the process proceeds to step 706. Here, in a case where the number of injured persons is large and a special ambulance is required, it may be determined whether or not participation is possible including the vehicle type in the read record. In step 706, the position information in the read record is referred to.
In step 2, the distance from the current position of the rescue squad to the rescue site is calculated using the stored emergency site information and the referenced rescue team position information. In step 708, the average speed in the read record is referred to, the travel time from the current position of the rescue squad to the rescue site is calculated using the calculated distance and the referenced average speed, and stored in the memory. It is held at 202.

In step 709, the rescue squad information DB 20
It is checked whether or not all the records of No. 8 have been read out.
4, the next record is read, and when reading of all records is completed, the process proceeds to step 710. In step 710, the required time of movement of each rescue squad held in the memory 202 in step 708 is compared, and the rescue squad with the shortest required time for movement is determined as the rescue squad to enter the emergency site. In step 711, the status information of the determined rescue squad is referred to, and if the status information of the rescue squad is "standby", a command to enter the emergency site to the fire department to which the rescue squad belongs is transmitted, If the status information of the rescue squad is “re-entry possible” or “seconded”, a command to enter the emergency site is transmitted to the on-board terminal device 101 of the rescue squad. When the rescue squad enters and arrives at the rescue site as described above, the member checks the status of the injured and carried by the rescue squad, reports the situation to the fire department headquarters, and inquires of the medical institution to which the rescue squad is carried.

FIG. 8 is a flowchart showing a procedure of a destination inquiry process according to this embodiment. As illustrated in FIG. 8, the transport destination inquiry processing unit 512 of the on-board terminal device 101 transmits the victim information to the fire command headquarters side processing device 100, and acquires information on the medical institution of the transport destination that transports the victim. Perform processing. In step 801, the transport destination inquiry processing unit 512 of the vehicle-mounted terminal device 101 checks whether or not victim information indicating the status of injury or illness has been input by a member, such as a medical treatment subject for treating the victim, and the victim information is input. If so, the process proceeds to step 802, where the input carrier status information is transmitted to the fire fighting command headquarters side processing device 100 together with the unit code of the rescue squad to inquire about the destination medical institution. In step 803, it is checked whether or not information indicating the destination medical institution has been received from the fire fighting command headquarters side processing device 100. If the information indicating the candidate of the destination medical institution has been received, the process proceeds to step 804. In step 804, candidates for the destination medical institution are displayed in a list in ascending order of the required travel time. In step 805, the selection of the destination input by the member is accepted and the route to the destination medical institution is shown. Display the map.

FIG. 9 is a flowchart showing the procedure of the destination instruction process according to this embodiment. As shown in FIG. 9, the transfer destination instruction processing unit 211 of the fire command headquarters side processing device 100.
When receiving an inquiry about the medical institution of the transport destination from the in-vehicle terminal device 101 of the rescue squad, it compares the patient information with the medical institution information and performs a process of selecting a medical institution capable of accepting the victim.

In step 901, the transfer destination instruction processing unit 211 of the fire department headquarters side processing device 100 determines whether or not the victim information of the victim transported by the rescue squad is received from the on-board terminal device 101 of the rescue squad. If it is determined that the victim information has been received, the victim information is acquired and stored in the emergency services information DB 208, and the process proceeds to step 902. In step 902, a record in the medical institution information DB 209 is read. In step 903, by referring to the medical subject and the acceptability in the read record, it is checked whether the medical subject indicated by the patient information indicates an acceptable situation, and the medical institution information is acceptable. If such a situation is indicated, the process proceeds to step 904.

In step 904, the location information in the read record is referred to, and in step 905,
Emergency squad information DB 208 corresponding to the squad code of the emergency squad
Using the inside position information (emergency site information) and the information on the referenced location, the distance from the emergency site to the location of the medical institution is calculated. At step 906, rescue team information D corresponding to the calculated distance and the unit code of the rescue team
Using the average speed in B208, the required travel time from the rescue site of the rescue squad to the location of the medical institution is calculated and stored in the memory 202.

At step 907, the medical institution information DB2
It is checked whether or not all the records 09 have been read. If there is a record that has not been read yet, step 9
Returning to step 02, the next record is read, and when reading of all records is completed, the flow proceeds to step 908.
In step 908, the required travel time to each medical institution held in the memory 202 in step 906 is compared, and a predetermined number of medical institutions are selected in ascending order of the required travel time, and are selected as candidates for the destination medical institution. I do. In step 909,
The candidate of the selected medical institution is transmitted to the in-vehicle terminal device 101 of the rescue squad that inquired of the medical institution of the transport destination,
Instruct the rescue squad to transport. The emergency services instructed to transport the patient to a medical institution as described above complete the transport,
When returning to the fire station to which the user belongs, the situation information and the position information of the rescue squad are transmitted to the fire command headquarters.

FIG. 10 is a flowchart showing a processing procedure of the status notification processing of this embodiment. As shown in FIG. 10, the situation notification processing unit 510 of the in-vehicle terminal device 101 uses the firefighting command headquarters side processing device as situation information when the rescue squad is in a standby, participation, re-entry possible, seconded, etc. situation. 1
The process of transmitting to 00 is performed. In step 1001, the status notification processing unit 510 of the in-vehicle terminal device 101 checks whether or not an instruction to transmit status information indicating that the rescue squad is in a standby, participation, re-entry possible, secondment, etc. status has been issued.
If the transmission of the status information has been instructed, the process proceeds to step 1002. In step 1002, the status information instructed to be transmitted is stored in the magnetic disk device 503,
In step 1003, the stored situation information is transmitted to the fire fighting headquarters side processing device 100 together with the corps code. In step 1004, it is checked whether or not the status information instructed to be transmitted indicates that re-entry is possible. If the status information indicates that re-entry is possible, the process proceeds to step 1005. In step 1005, a position notification process for transmitting position information indicating the position of the rescue squad to the fire command headquarters is started. Here, the position notification process may be started even when the status information instructed to be transmitted is a secondment, so that entry to the second destination or entry from the second destination can be performed quickly.

FIG. 11 is a flowchart showing the processing procedure of the position notification processing according to this embodiment. As shown in FIG. 11, the position notification processing unit 511 of the in-vehicle terminal device 101 measures the position of the ambulance on which the in-vehicle terminal device 101 is mounted by the GPS unit 508, and outputs the information to the firefighting command headquarters as position information of the rescue squad. A process for transmitting to the device 100 is performed.
In step 1101, the position notification processing unit 511 of the in-vehicle terminal device 101 measures the longitude and latitude indicating the current position of the rescue squad by the GPS unit 508, and
In step 2, the measured position information is transmitted to the fire fighting command headquarters side processing device 100 together with the corps code. Step 1103
Then, by referring to the status information stored in the magnetic disk device 503, it is checked whether or not the status information indicates that re-entry is possible. If the status information indicates that re-entry is possible, the process proceeds to step 1104. move on. Here, if the position notification process is started even when the status information instructed to be transmitted in the status notification process is seconded, the process proceeds to step 1104 even when the status information is seconded. In step 1104, after waiting for a predetermined time to elapse, the process returns to step 1101 and repeats the position information transmission processing.

FIG. 12 is a flowchart showing the processing procedure of the status acquisition processing according to this embodiment. As shown in FIG. 12, the situation acquisition processing unit 212 of the firefighting command headquarters side processing device 100
Performs a process of acquiring the status information transmitted from the on-board terminal device 101 of each rescue squad and storing it in the rescue squad information DB 208.

In step 1201, the status acquisition processing unit 212 of the firefighting command headquarters side processing device 100 checks whether or not status information indicating the status of the rescue squad has been received from the on-board terminal device 101 of the rescue squad, and receives the status information. If so, the process proceeds to step 1202. In step 1202, the content of the received status information is stored in the status information corresponding to the unit code of the rescue squad that transmitted the status information with reference to the rescue team information DB 208.

In step 1203, it is checked whether or not the content of the received status information is standby. If the content of the received status information is standby, step 1204 is executed.
Proceed to. In step 1204, the rescue squad information DB 208
, The location information corresponding to the unit code of the rescue squad that transmitted the information is changed to the location information indicating the location of the fire department to which the rescue squad belongs.

In step 1205, it is checked whether or not the content of the received status information is participation. If the content of the received status information is participation, step 1206 is performed.
Proceed to. In step 1206, the rescue squad information DB 208
, The position information corresponding to the unit code of the rescue squad that transmitted the information is changed to the position information indicating the rescue site where the rescue squad participated.

In step 1207, it is checked whether or not the content of the received status information is seconded. If the content of the received status information is seconded, step 1208 is performed.
Proceed to. In step 1208, the rescue squad information DB 208
, The location information corresponding to the unit code of the rescue squad that has transmitted the information is changed to the location information indicating the destination to which the rescue squad was dispatched.

In step 1209, the rescue squad information DB2
With reference to the situation information and position information 08, the situation and position of each rescue squad are displayed on the output device 205 together with the map data. Here, the colors and shapes of the figures indicating each rescue squad are changed according to the squad code, status information, type, etc. of each rescue squad, so that it is easy to see which rescue squad is displayed good.

FIG. 13 is a flowchart showing the processing procedure of the position acquisition processing according to this embodiment. As shown in FIG. 13, the position acquisition processing unit 213 of the fire command headquarters side processing device 100
Performs a process of acquiring the position information transmitted from the on-board terminal device 101 of each rescue squad and storing it in the rescue squad information DB 208. In step 1301, the fire command headquarters side processing device 10
The position acquisition processing unit 213 of 0 checks whether or not position information indicating the position of the rescue squad has been received from the in-vehicle terminal device 101 of the rescue squad. If the position information has been received, the process proceeds to step 1302. In step 1302, the rescue squad information DB 208 is referred to, and the content of the received position information is stored in the position information corresponding to the squad code of the rescue squad that transmitted the position information. In step 1303, the rescue squad information D
The status and position of each rescue squad are displayed on the output device 205 together with the map data by referring to the status information and position information in B208. Here, the colors and shapes of the figures indicating each rescue squad are changed according to the squad code, status information, type, etc. of each rescue squad, so that it is easy to see which rescue squad is displayed good. On the other hand, each medical institution to be transported generates medical institution information indicating whether or not the medical institution can accept a victim in response to a change in the situation of the medical institution, and transmits the information to the fire command headquarters.

FIG. 14 is a flowchart showing the processing procedure of the medical institution information notification processing according to this embodiment. As shown in FIG. 14, the medical institution information notification processing unit 610 of the medical institution side processing device 102 performs a process of transmitting the medical institution information of the victim to the fire department headquarters side processing device 100. Step 140
In step 1, the medical institution information notification processing unit 610 of the medical institution-side processing device 102 checks whether or not an instruction to change medical institution information indicating whether or not the patient can be accepted at the medical institution is input. If an information change instruction has been input, the process proceeds to step 1402. In step 1402, the medical institution of the medical institution, acceptance or non-acceptance, the number of available beds, the waiting state of the attending physician, the number of patients who were urgently accepted,
Accepting the contents of the acceptance status instructed to be changed in step 1401, such as the number of emergency operations in progress, and the medical institution information management DB
608 is updated. In step 1403, medical institution information indicating the content of the updated reception status is generated,
The information is transmitted to the fire department headquarters side processing device 100 together with the hospital code of the medical institution.

FIG. 15 is a flowchart showing the procedure of the medical institution information acquisition process of this embodiment. As shown in FIG. 15, the medical institution information acquisition processing unit 214 of the firefighting command headquarters side processing device 100 includes a medical institution side processing device 1 of each medical institution.
A process for acquiring the medical institution information transmitted from the medical institution 02 and storing it in the medical institution information DB 209 is performed. Step 1501
The medical institution information acquisition processing unit 214 of the firefighting instruction headquarters side processing device 100
It is checked whether or not medical institution information has been received from the user. If the medical institution information has been received, the process proceeds to step 1502. In step 1502, the medical institution information DB 209 is referred to, and the clinical subject corresponding to the hospital code of the medical institution that has transmitted the medical institution information, the acceptability, the number of available beds, the waiting state of the doctor in charge, and the number of patients accepted by emergency , And update items such as the number of emergency operations in progress. Step 1503
Then, referring to the medical institution information DB 209, the output device 205 displays whether or not each medical institution is in an acceptable state. Here, the location of each medical institution may be displayed together with the position display of each rescue squad, and whether or not the medical institution is acceptable may be represented by the color or shape of the figure.

Next, in the rescue squad formation system of the present embodiment, the rescue squad that has entered the first rescue site where the rescue case has occurred, has finished transporting the patient to the medical institution, and is returning to the rescue squad, The process of participating in the second emergency site where the error has occurred will be described.

FIG. 16 is a diagram showing an example of a command to enter a rescue squad while returning home according to the present embodiment. As shown in FIG. 16, when the 119th report notifying the occurrence of an emergency case at the first emergency site is made to the fire command headquarters, the entry command processing unit 210 of the fire command center side processing device 100 in step 701 of FIG.
Receives the 119th report, stores emergency site information indicating the position of the first emergency site in the memory 202 in step 702, and displays the first emergency site together with the map data on the output device 205 in step 703.

At step 704, the rescue squad information D of FIG.
The record of B208 is read, and in step 705,
Since the status information of each of the rescue squads of Corps A to E indicates "standby", "re-entry possible" or "secondment", the process proceeds to steps 706 to 709, and the corps A to E
The travel time to the first emergency site is calculated from the coordinate values indicated by the position information of the squad.

In step 710, the calculated required travel time of each rescue squad is compared, and the rescue squad with the shortest required travel time is determined as the rescue squad to appear at the first emergency site. Here, it is assumed that the time required for the movement of the unit A is the shortest, and the unit A is determined as the rescue squad to enter the first rescue site. In step 711, the status information of the determined unit A is referred to, and since the status information is "standby", A
A command to enter the first emergency scene is sent to the A station to which the squad belongs.

Upon receiving a command to enter the first emergency site, in step 1001 in FIG. 10, the status notification processing unit 510 of the on-board terminal device 101 of the unit A sends status information indicating that the unit A is participating. Step 1002 upon receiving transmission instruction
After the status information is stored in the magnetic disk device 503, in step 1003, the stored status information is transmitted to the fire fighting command headquarters side processing device 100 together with the corps code.

At step 1201 in FIG. 12, the situation acquisition processing section 212 of the fire fighting command headquarters-side processing device 100 receives situation information indicating the situation of the unit A from the on-board terminal device 101 of the unit A. "Participation" is stored in the status information corresponding to the corps code. And step 120
In step 5, since the content of the received situation information is participation, the process proceeds to step 1206, and the position information of the unit A is changed to the position information indicating the position of the first emergency site.

When the unit A has arrived and arrived at the first rescue site as described above, in step 801 of FIG. 8, the destination inquiry processing unit 512 of the vehicle-mounted terminal device 101 determines the medical treatment subject or the like for treating the victim. Then, the victim information indicating the status of the illness and illness is input from the member, and the process proceeds to step 802. The input carrier status information is transmitted to the fire fighting command headquarter side processing device 100 together with the rescue team's unit code, and the Ask a medical institution.

At step 901 in FIG. 9, the transfer destination instruction processing unit 211 of the fire fighting command headquarters side processing device 100 receives the victim information of the injured and carried by the A unit from the on-board terminal device 101 of the A unit. In step 902, a record of the medical institution information DB 209 is read out. In step 903, the medical treatment indicated by the victim information of the patient transported by the Corps A is referred by referring to the medical treatment subject and acceptability in the read out record. It is determined whether the subject indicates an acceptable situation. If the medical institution information indicates an acceptable situation, the process proceeds to step 904. Here, it is assumed that the hospital A and the hospital B have accepted the medical department indicated by the victim information of the victim from the first emergency site as “O”, indicating that the hospital can be accepted. In steps 904 to 907, for the A hospital and the B hospital capable of receiving the patient, the required travel time from the first emergency site to the location of the medical institution is calculated.

In step 908, the calculated required travel time to each medical institution is compared, and a predetermined number of medical institutions are selected in ascending order of the required travel time to be candidates for the transport destination medical institution. Here, it is assumed that both hospital A and hospital B have been candidates for the transport destination. In step 909, the candidate of the selected medical institution is transmitted to the in-vehicle terminal device 101 of the unit A that inquired of the medical institution of the transfer destination, and the unit A is instructed to transfer.

In step 803 of FIG.
The first transport destination inquiry processing unit 512 receives the information indicating the hospitals A and B as candidates for the transport destination medical institution from the fire command headquarters side processing device 100, and in step 804, identifies the transport destination medical institution candidate. The list is displayed in ascending order of the required travel time, and in step 805, the selection of the transport destination input by the member is accepted, and a map showing the route to the medical institution at the transport destination is displayed. Here, it is assumed that hospital A has been selected. As described above, if the transportation is performed by the A corps to the A hospital and it becomes difficult to receive another patient at the A hospital, the medical institution information is transmitted to the fire command headquarters.

In step 1401 of FIG. 14, the medical institution information notification processing unit 610 of the medical institution side processing apparatus 102 indicates that the emergency operation has been started by the transportation by the Corps A, and it has become difficult to receive another patient. When the instruction to change the medical institution information is input, the process proceeds to step 1402, where "X" indicates whether or not the patient corresponding to the medical department of the hospital A is accepted, "0" indicates the waiting state of the doctor in charge, The number "2",
The contents of the status of acceptance indicated to be changed in step 1401 such as the number of ongoing emergency operations “1” are accepted, and the contents of the medical institution information management DB 608 are updated. In step 1403, medical institution information indicating the contents of the updated reception status is generated and transmitted to the fire department headquarters side processing device 100 together with the hospital code of Hospital A.

At step 1501 in FIG. 15, the medical institution information acquisition processing unit 214 of the firefighting command headquarters side processing device 100
The medical institution information is received from the medical institution side processing device 102 of the hospital A, and in step 1502, each item corresponding to the hospital code of the hospital A is updated. In step 1503, A
Output device 205 indicates that the hospital has become unacceptable
To be displayed. As described above, when the unit A completes the transportation to the hospital A and returns to the fire station to which the unit belongs, the situation information and the position information of the unit A are transmitted to the fire command headquarters.

In step 1001 of FIG. 10, the status notification processing unit 510 of the vehicle-mounted terminal device 101 receives a transmission instruction of the status information indicating that the unit A can re-enter, and in step 1002, the transmission instruction is received. The stored status information is stored in the magnetic disk device 503, and in step 1003, the stored status information is transmitted to the firefighting command headquarters side processing device 100 together with the corps code.

At step 1201 in FIG. 12, the situation acquisition processing section 212 of the fire command headquarters side processing apparatus 100 receives situation information indicating the situation of Corps A from the on-board terminal device 101 of Corps A. "Re-entry possible" is stored in the status information corresponding to the squad code.

In step 1004 of FIG. 10, the status notification processing unit 510 of the in-vehicle terminal device 101 determines that the status information instructed to be transmitted indicates that it is possible to re-enter.
Proceed to 5 to start position notification processing for transmitting position information indicating the position of the A Corps to the fire command headquarters.

When the position notification processing is started, the position notification processing unit 511 of the vehicle-mounted terminal device 101 in step 1101 of FIG.
Measured by the unit 508, and in step 1102,
The measured position information is transmitted to the fire command headquarters side processing device 100 together with the corps code.

In step 1301 in FIG. 13, the position acquisition processing unit 213 of the fire command headquarters side processing device 100 receives the position information indicating the position of the unit A from the on-board terminal device 101 of the unit A, and in step 1302, the unit A The content of the received position information is stored in the position information corresponding to the corps code. In step 1303, the status and the position of each rescue squad are displayed on the output device 205 together with the map data by referring to the status information and the position information in the rescue squad information DB 208.

In step 1103 of FIG. 11, the position notification processing unit 511 of the on-vehicle terminal device 101
Since the status information stored in No. 03 indicates that re-entry is possible, the process proceeds to step 1104. After waiting for a predetermined time to elapse, the process returns to step 1101 to repeat the position information transmission process.

Next, as shown in FIG. 16, when the fire command headquarters notifies the fire command headquarters of the occurrence of an emergency case at the second emergency site, the fire command headquarter-side processing device 100 proceeds to step 701 in FIG. The entry command processing unit 210 determines that
In response to the call notification, in step 702, emergency site information indicating the position of the second emergency site is stored in the memory 202. In step 703, the second emergency site is displayed on the output device 205 together with map data.

At step 704, the rescue squad information D of FIG.
The record of B208 is read, and in step 705,
Since the status information of each of the rescue squads of Corps A to E indicates "standby", "re-entry possible" or "secondment", the process proceeds to steps 706 to 709, and the corps A to E
The travel time to the second emergency site is calculated from the coordinate values indicated by the position information of the squad.

In step 710, the calculated required travel time of each rescue squad is compared, and the rescue squad with the shortest required travel time is determined as the rescue squad to enter the second rescue site. Here, the unit A is returning to the vicinity of the second rescue site, and the time required for the unit A to move is the shortest. Therefore, the unit A is determined as the rescue unit to enter the second rescue site. In step 711, referring to the status information of the determined unit A,
Since the status information is “re-entry possible”, the command to enter the second emergency site is transmitted to the in-vehicle terminal device 101 of the unit A.

Upon receiving the entry command to the second emergency site, the status notification processing unit 510 of the on-board terminal device 101 of the unit A in step 1001 of FIG. Step 1002 upon receiving transmission instruction
Then, the status information is stored in the magnetic disk device 503. In step 1003, the stored situation information is transmitted to the fire fighting headquarters side processing device 100 together with the corps code. Also, in step 1103 of FIG.
1 position notification processing unit 511
Since the status information has been changed to the participation, the transmission of the position information of the unit A ends.

At step 1201 in FIG. 12, the situation acquisition processing unit 212 of the fire command headquarters side processing device 100 receives situation information indicating the situation of the unit A from the on-board terminal 101 of the unit A, and at step 1202, the unit A "Participation" is stored in the status information corresponding to the corps code. And step 120
In step 5, since the content of the received situation information is participation, the process proceeds to step 1206, and the position information of the unit A is changed to the position information indicating the position of the second emergency site.

When the unit A has arrived and arrived at the second emergency site as described above, in step 801 in FIG. 8, the destination inquiry processing unit 512 of the vehicle-mounted terminal device 101 determines the medical treatment subject or the like for treating the victim. Then, the victim information indicating the status of the illness and illness is input from the member, and the process proceeds to step 802. The input carrier status information is transmitted to the fire fighting command headquarter side processing device 100 together with the rescue team's unit code, and the Ask a medical institution.

At step 901 in FIG. 9, the transfer destination instruction processing unit 211 of the fire fighting command headquarters side processing device 100 receives from the on-board terminal device 101 of the corps A the victim information of the victim transported by the corps A. In step 902, a record of the medical institution information DB 209 is read out. In step 903, the medical treatment indicated by the victim information of the patient transported by the Corps A is referred by referring to the medical treatment subject and acceptability in the read out record. It is determined whether the subject indicates an acceptable situation. If the medical institution information indicates an acceptable situation, the process proceeds to step 904. Here, Hospital A is undergoing an emergency operation for the victim transported from the first emergency site,
It is assumed that the acceptability of the medical treatment subject indicated by the victim information of the victim from the second emergency site is “x”, and it is not possible to accept. Step 904 to step 90
In the 7th, about the B hospital which can accept the patient,
Calculate the travel time from the emergency site to the location of the medical institution.

In step 908, the calculated required travel time to each medical institution is compared, and a predetermined number of medical institutes are selected in ascending order of the required travel time to be candidates for the transport destination medical institution. Here, it is assumed that only the hospital B is a candidate for the transport destination. In step 909, the candidate of the selected medical institution is transmitted to the in-vehicle terminal device 101 of the unit A that inquired of the medical institution of the transfer destination, and the unit A is instructed to transfer.

In step 803 of FIG.
The first transfer destination inquiry processing unit 512 receives the information indicating the B hospital as a candidate of the transfer destination medical institution from the fire command headquarters side processing device 100, displays the B hospital in step 804, and displays the B hospital in step 805. A map showing the route to the hospital is displayed.

As described above, according to the rescue squad formation method of the present embodiment, the rescue squad to be entered is determined according to the position and situation of each rescue squad and the position of the emergency site where the rescue incident occurred. The medical institution to be transported is determined according to the situation of the hospital and the acceptance status of medical institutions, so it is possible for the emergency rescue team to quickly enter the emergency site and transport to the appropriate medical institution quickly, improving the survival rate It is.

[0067]

According to the present invention, the rescue squad to be entered is determined according to the position and situation of each rescue squad and the location of the emergency site where the rescue incident occurred, and the rescue squad is determined according to the situation of the injured and sick and the reception status of the medical institution. Since the medical institution to which the patient is to be transported is determined, it is possible for the rescue squad to quickly enter the emergency site and transport to an appropriate medical institution, thereby improving the survival rate.

[Brief description of the drawings]

FIG. 1 is a diagram showing a schematic configuration of a rescue squad formation method of the present embodiment.

FIG. 2 is a diagram showing a schematic configuration of a firefighting command headquarters side processing device 100 of the present embodiment.

FIG. 3 is a diagram illustrating an example of a rescue squad information DB 208 according to the present embodiment.

FIG. 4 is a diagram illustrating an example of a medical institution information DB 209 according to the present embodiment.

FIG. 5 is a diagram illustrating a schematic configuration of an in-vehicle terminal device 101 according to the present embodiment.

FIG. 6 is a diagram showing a schematic configuration of a medical institution-side processing device 102 of the present embodiment.

FIG. 7 is a flowchart illustrating a processing procedure of a participation instruction process according to the embodiment;

FIG. 8 is a flowchart illustrating a procedure of a destination inquiry process according to the embodiment;

FIG. 9 is a flowchart illustrating a procedure of a destination instruction process according to the embodiment;

FIG. 10 is a flowchart illustrating a procedure of a status notification process according to the embodiment;

FIG. 11 is a flowchart illustrating a procedure of a position notification process according to the embodiment;

FIG. 12 is a flowchart illustrating a procedure of a status acquisition process according to the embodiment;

FIG. 13 is a flowchart illustrating a processing procedure of position acquisition processing according to the present embodiment.

FIG. 14 is a flowchart illustrating a procedure of a medical institution information notification process according to the embodiment;

FIG. 15 is a flowchart illustrating a procedure of a medical institution information acquisition process according to the embodiment;

FIG. 16 is a diagram illustrating an example of a command to enter a rescue squad during return to home in the present embodiment.

[Explanation of symbols]

100: Fire Command Headquarters side processing device, 101: In-vehicle terminal device, 102: Medical institution side processing device, 201: CPU, 2
02 memory, 203 magnetic disk device, 204 input device, 205 output device, 206 CD-ROM device, 207 communication device, 208 rescue squad information DB, 20
9: Medical institution information DB, 210: Participation instruction processing unit, 21
1 ... destination instruction processing unit, 212 ... status acquisition processing unit, 21
Reference numeral 3: position acquisition processing unit, 214: medical institution information acquisition processing unit, 501: CPU, 502: memory, 503: magnetic disk device, 504: input device, 505: output device, 5
06 ROM, 507 communication device, 508 GPS unit, 510 situation notification processing unit, 511 location notification processing unit, 512 destination inquiry processing unit, 601 CPU, 6
02 memory, 603 magnetic disk device, 604 input device, 605 output device, 606 CD-ROM device, 607 communication device, 608 medical institution information management D
B, 610: Medical institution information notification processing unit.

Claims (3)

[Claims] 1. A rescue squad forming method for forming a rescue squad that participates in an emergency site where an emergency case has occurred and transports a patient to a medical institution, and indicates whether or not it is possible to enter the emergency site. Inputting the situation information and transmitting the information from the in-vehicle terminal device of the rescue squad to the firefighting command headquarters side processing device installed in the firefighting command headquarters; A step of transmitting from the in-vehicle terminal device to the fire command headquarters side processing device; a step of acquiring status information transmitted from the in-vehicle terminal device of each rescue squad and storing it in the rescue team information DB; Acquiring the position information transmitted from the emergency rescue squad information DB and storing the situation information stored in the rescue squad information DB indicating a possible situation, and rescue from the position indicated by the position information. A rescue squad with a short travel time to the site is determined as a rescue squad to enter the rescue site, and a command to enter the rescue site is sent from the firefighting command headquarters side processing device to the on-board terminal device of the determined rescue squad. And inputting medical institution information indicating whether or not the patient transported by the emergency services can be accepted and transmitting the information from the medical institution side processing device installed in the medical institution to the fire command headquarters side processing device. Step, inputting the victim information indicating the status of the conveyed victim and transmitting the information from the on-board terminal device of the rescue squad to the firefighting command headquarters side processing device; transmitting from the medical institution side processing device of each medical institution Acquiring the acquired medical institution information and storing it in the medical institution information DB, and acquiring the victim information transmitted from the on-board terminal device of each rescue squad and storing it in the rescue squad information DB And selecting a medical institution in which the medical institution information indicates that the patient in the situation of the injured patient information can be accepted as a transport destination medical institution, and from the firefighting command headquarters side processing device, the rescue squad Transmitting a transfer command to the selected medical institution to the on-board terminal device of (1). 2. When the status information of the rescue squad indicates that re-entry is possible, position information of the rescue squad is transmitted from the in-vehicle terminal device of the rescue squad to the firefighting command headquarters side processing device. The rescue squad formation method according to claim 1. 3. In the case where medical institution information indicating whether or not another injured person can be accepted has been changed with the acceptance of the injured person transported by the rescue squad, the contents of the change are reported to the medical institution. The rescue squad formation method according to claim 1, wherein the rescue squad is sent from the medical institution side processing device to the fire department headquarters side processing device.