JP2015141709A - Rescue initial medical care promotion system network using smart phone - Google Patents
Rescue initial medical care promotion system network using smart phone Download PDFInfo
- Publication number
- JP2015141709A JP2015141709A JP2014025863A JP2014025863A JP2015141709A JP 2015141709 A JP2015141709 A JP 2015141709A JP 2014025863 A JP2014025863 A JP 2014025863A JP 2014025863 A JP2014025863 A JP 2014025863A JP 2015141709 A JP2015141709 A JP 2015141709A
- Authority
- JP
- Japan
- Prior art keywords
- smart phone
- medical care
- rescue
- patient
- doctor
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Images
Landscapes
- Medical Treatment And Welfare Office Work (AREA)
Abstract
Description
本発明は、救急医療において、救急コールから救急隊到着までの平均９分間、医療処置が行えなった現状を憂い、救命率向上の為に考案された情報共有システムに関するものである。The present invention relates to an information sharing system devised for improving the lifesaving rate because of anxiety about the current situation that medical treatment could not be performed for an average of 9 minutes from the emergency call to the arrival of the ambulance team in emergency medical care.
従来から、救急医療における患者搬送時の情報伝達は、電話による音声伝達が主である。しかし、音声だけでは情報は的確に伝わらない。また、現存のシステムは救急隊が到着してから病院搬送までをいかに効率よく行うかに腐心している。一方、患者目線のサービスを探してみると、患者は医療を提供される受け身の立場であるので、患者が自分の為に医療機関を改善しようとする試みは極端に少ない。企業や行政が関与し、患者目線で試みたものは、いくつか見つかる。しかし、啓発的なものや学習教材的な要素の強いものがほとんどで、１分１秒を争う緊急時には役に立たない。緊急時に使えるものは皆無といっていい状況である。一方で、社会背景を考えると、スマートフォンの普及が著しい。
そして、スマートフォンには、動画録音と音声会話の機能が標準装備されている。そこで、スマートフォンを用いることにより患者の緊急時、如何に医師がアプローチできるかに関してインフラ整備に関する発明である。［特許文献１］のようにバイタル値を共有するシステムの提案はあるが、スマートフォンを利用し、個々の患者の自発的なシステムの提案はない。Conventionally, information transmission at the time of patient transportation in emergency medicine has been mainly voice transmission by telephone. However, information is not transmitted accurately by voice alone. In addition, the existing system is devoted to how efficiently the emergency service arrives and the hospital transport. On the other hand, when looking for a patient-oriented service, the patient is in a passive position to be provided with medical care, and there are extremely few attempts by the patient to improve the medical institution for themselves. There are several things that companies and governments have been involved in and tried from a patient perspective. However, most of them are enlightening and have strong teaching materials, and they are useless in emergencies competing for 1 minute and 1 second. There is nothing that can be used in an emergency. On the other hand, considering the social background, the spread of smartphones is remarkable.
Smartphones are equipped with video recording and voice conversation functions as standard. Therefore, the invention relates to infrastructure development regarding how a doctor can approach in the event of a patient's emergency by using a smartphone. Although there is a proposal of a system that shares vital values as in [Patent Document 1], there is no proposal of a spontaneous system for each patient using a smartphone.
救急医療において、医師が１分１秒でも早く、患者に到達することは重要である。問題解決のための試みとして、ヘリコプターや車を用いて，医師を現場まで派遣しようとする試みや、救急車における搬送システムにおいて、救急車が病院到着までの時間効率を改善するための試みはすでになされている。しかし、これらは次のような欠点があった。
（イ）Ｄｒ．ＨｅｌｉやＤｒ．Ｃａｒの取り組みは如何に医師が患者に到着するかに腐心している。しかし，派遣できる医師のリソースが限られている、天候・時刻・場所等にと多くの条件に左右されるなど問題を抱えている。
（ロ）ｅ−ＭＡＴＣＨシステム等 救急搬送から病院までの効率を向上させようとする試みは行われているが、医療従事者側の入力の手間がかかるなど、利便性の面から、導入されてもあまり活用されていない実情がある。
本発明は、以上のような取り組みの欠点を踏まえ、患者の発症直後の容態を病院の医師、救急隊が初期段階から共有し、治療の効率化・救命率向上を目指すものである。In emergency medicine, it is important that the doctor reaches the patient as soon as possible for 1
(A) Dr. Heli and Dr. Car's efforts are devoted to how doctors arrive at the patient. However, there are problems such as limited resources of doctors that can be dispatched, and depending on many conditions such as weather, time and place.
(B) An e-MATCH system etc. Attempts have been made to improve the efficiency from emergency transport to hospitals, but it has been introduced from the viewpoint of convenience, such as taking time and effort on the part of medical staff. There is a fact that is not utilized much.
The present invention aims at improving the efficiency of treatment and improving the lifesaving rate by sharing the condition immediately after the onset of the patient between the initial stage of the hospital and the ambulance team based on the drawbacks of the above-described approaches.
本発明は、スマートフォンを使ったアプリケーションを基本とした情報共有システムである。スマートフォンは多くの人が持ち歩き、簡易コンピューターの代替を果たす程性能が向上してきている。そこで、スマートフォンを簡易遠隔診療所のメインコンピュータ（プラットフォーム）とみなすことができれば、スマートフォンがあるところを中心にどこにでも診療所ができることになる。
これは、Ｐｏｒｔａｂｌｅ Ｄｏｃｔｏｒという新しい発想である。患者が医師のもとに行くのではなく、患者がいるところが診察室になるのである。スマートフォンには、動画録音と音声会話の機能が標準装備されている。これが医師の目と口の変わりとなる。音声文字認識機能を搭載し、バイタル測定機器と連動させ、そのデータをスマホにデータ送信をし、その後電子カルテと連動してデータを反映させる。電子カルテに反映させることで、入力の手間を省くことができ、初期の治療の貴重な時間を確保できる。発症直後に得られた情報は、貴重な情報である。本発明は、スマートフォンとそれに搭載されたアプリケーション、バイタル値を測定できる電子機器、そしてそれらの活きた情報を添付できる電子カルテの構成よりなる。The present invention is an information sharing system based on an application using a smartphone. Smartphones are being carried around by many people, and their performance has been improved to replace simple computers. Therefore, if a smartphone can be regarded as the main computer (platform) of a simple remote clinic, a clinic can be established anywhere, especially where the smartphone is.
This is a new idea called Portable Doctor. Instead of going to the doctor, the patient is in the examination room. Smartphones come standard with video recording and voice conversation functions. This changes the eyes and mouth of the doctor. Equipped with a voice character recognition function, linked to vital measuring equipment, sends the data to the smartphone, and then reflects the data linked to the electronic medical record. By reflecting it in the electronic medical record, it is possible to save input time and to secure valuable time for the initial treatment. The information obtained immediately after the onset is valuable information. The present invention includes a configuration of a smartphone, an application mounted on the smartphone, an electronic device that can measure vital values, and an electronic medical record that can be attached with live information.
（イ）患者は（特に突発性疾患を抱えた患者）は、常に医師にコンタクトできる安心感を得ることができる。
（ロ）適切な治療、初期診断間での時間短縮により、救命率向上が見込まれる。
（ハ）救急隊はプレホスピタルケアに対して時間をかけることができ、処置に集中できる。
（ニ）救急患者発生場所の詳細情報が把握できる。
（ホ）医師は診断の方針を立てやすくなる。
（ヘ）診断にかかる時間の短縮、及び無駄をなくせることによる人材配置の方法を改良することができる。必要な医療従事者を適材適所に配置できることにより労働力の偏在を解消する
（ト）救命率・社会復帰率の向上が見込まれる。
（チ）ＡＥＤ、バイタル測定器と併せると、更なる救命率・社会復帰率の向上が見込まれる。
（リ）非医療従事者でも、救命に貢献できる。
以上から、結果として救急医療初期診断を効率化し，患者の救命率向上に寄与する。(B) Patients (especially patients with sudden illness) can always feel secure that they can contact a doctor.
(B) The survival rate is expected to be improved by appropriate treatment and shortening the time between initial diagnosis.
(C) The ambulance team can spend time on prehospital care and concentrate on treatment.
(D) Detailed information on where emergency patients occur can be grasped.
(E) It becomes easier for doctors to make a diagnosis policy.
(F) It is possible to improve the human resource allocation method by shortening the time required for diagnosis and eliminating waste. Eliminating the uneven distribution of labor by being able to place the necessary medical workers in the right place. (G) Expected to improve lifesaving and rehabilitation rates.
(H) When combined with AEDs and vital measuring instruments, further improvements in lifesaving and rehabilitation rates are expected.
(Li) Non-medical workers can contribute to lifesaving.
As a result, the initial diagnosis of emergency medical care is made more efficient and contributes to the improvement of the lifesaving rate of patients.
以下、本発明を実施するための形態について説明する。本発明は，スマートフォンに搭載可能なアプリケーションを基本とした情報共有システムである。スマートフォンの急速な普及と、標準機能（録画と通話）機能を利用したものである。付加的に、スマートフォンを固定するための三脚等の器具や、持ち運び可能なバイタル値測定器、緊急時にのみ作動する固定型家庭設置電気器具をも含む。本発明は、以上のような構造である。これらにより、“医師が常に側にいる”という疑似状況を作り、患者を診療所に運ぶのではなく、患者が発症した場所が診療所になるという発想の転換が可能になる。アプリケーション頒布方法は、▲１▼病院・診療所の受付によるインストール（患者情報の入力）、▲２▼新聞・広告・情報誌などにＱＲコードなど掲載、▲３▼１１９コールに伴って、ＵＲＬコードを送信、▲４▼標準アプリとしてスマホに配備する方法など、様々考えられる。Hereinafter, modes for carrying out the present invention will be described. The present invention is an information sharing system based on an application that can be installed in a smartphone. It uses the rapid spread of smartphones and standard functions (recording and calling). In addition, it also includes devices such as tripods for fixing smartphones, portable vital value measuring instruments, and fixed household appliances that operate only in emergencies. The present invention has the above structure. These make it possible to change the way of thinking that the place where the patient develops becomes the clinic, instead of creating a pseudo-state that “the doctor is always on the side” and bringing the patient to the clinic. Application distribution methods are as follows: (1) Installation at hospital / clinic reception (input of patient information), (2) QR code, etc. posted in newspapers, advertisements, information magazines, etc. (3) URL code accompanying 119 call (4) Various methods such as (4) deploying to a smartphone as a standard application are conceivable.
１ａ 救急車
１ｂ 救急隊端末
２ サーバー
３ａ 医師
３ｂ 病院端末
３ｃ 電子カルテ
４ スマートフォン
５ 家庭用カメラ付き電子機器
６ 患者
７ 第一発見者（家族）
８ 定点設置電子機器
９ ＡＥＤ
１０ 三脚
１１ バイタル測定機器
１２ アプリケーション基本画面
１３ 救急車位置情報
１４ ＡＥＤ設置場所
１５ モバイル型バイタル測定器DESCRIPTION OF SYMBOLS 1a Ambulance 1b Ambulance team terminal 2 Server 3a Doctor 3b Hospital terminal 3c Electronic
8 Fixed-point installation electronic equipment 9 AED
10 Tripod 11 Vital Measuring Device 12 Basic Application Screen 13 Ambulance Position Information 14 AED Installation Location 15 Mobile Vital Measuring Instrument
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2014025863A JP2015141709A (en) | 2014-01-28 | 2014-01-28 | Rescue initial medical care promotion system network using smart phone |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2014025863A JP2015141709A (en) | 2014-01-28 | 2014-01-28 | Rescue initial medical care promotion system network using smart phone |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JP2015141709A true JP2015141709A (en) | 2015-08-03 |
Family
ID=53771981
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2014025863A Pending JP2015141709A (en) | 2014-01-28 | 2014-01-28 | Rescue initial medical care promotion system network using smart phone |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2015141709A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10511952B2 (en) | 2016-03-07 | 2019-12-17 | Osaka University | Emergency determination support system, and a non-transitory computer readable medium having stored thereon an emergency determination support program |
-
2014
- 2014-01-28 JP JP2014025863A patent/JP2015141709A/en active Pending
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10511952B2 (en) | 2016-03-07 | 2019-12-17 | Osaka University | Emergency determination support system, and a non-transitory computer readable medium having stored thereon an emergency determination support program |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Arabi et al. | How the COVID-19 pandemic will change the future of critical care | |
| Bhaskar et al. | Telemedicine across the globe-position paper from the COVID-19 pandemic health system resilience PROGRAM (REPROGRAM) international consortium (Part 1) | |
| US9801036B2 (en) | Initial rescue information collection device, operation method thereof, recording medium, and system | |
| Binkin et al. | Protecting our health care workers while protecting our communities during the COVID-19 pandemic: a comparison of approaches and early outcomes in two Italian regions, 2020 | |
| WO2012098613A1 (en) | Emergency medicine control assistance system and server, and portable terminal | |
| Farrar | Responding to the Ebola virus disease outbreak in DR Congo: when will we learn from Sierra Leone | |
| Beech et al. | Does integrated governance lead to integrated patient care? Findings from the innovation forum | |
| Patel et al. | Human trafficking in the emergency department | |
| Eisele et al. | Strategies in primary care to face the SARS-CoV-2/COVID-19 pandemic: an online survey | |
| Shah et al. | Potential of telemedicine to provide acute medical care for adults in senior living communities | |
| Mendez et al. | Mobile remote-presence devices for point-of-care health care delivery | |
| Marin et al. | Experiences of Rhode Island assisted living facilities in connecting residents with families through technology during the COVID-19 pandemic | |
| Maslanka et al. | Vie scope® laryngoscope versus Macintosh laryngoscope with personal protective equipment during intubation of COVID-19 resuscitation patient | |
| Wang et al. | Telemedicine experience in China: our response to the pandemic and current challenges | |
| Vidul et al. | Telemedicine for emergency care management using WebRTC | |
| Zhang et al. | User needs and challenges in information sharing between pre-hospital and hospital emergency care providers | |
| Constantine et al. | Implementation of drive-through testing for COVID-19 with community paramedics | |
| Ganapathy et al. | Telemedicine to expand access to critical care around the world | |
| JP2015141709A (en) | Rescue initial medical care promotion system network using smart phone | |
| Khosla et al. | Mitigate the impact of Covid-19: telehealth | |
| Mitra et al. | Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India | |
| Mullick et al. | Telemedicine and Telehealth: a virtual care platform with prospects & importance during COVID-19 outbreak | |
| Ishikawa et al. | Preliminary study of prehospital use of smart glasses | |
| Rednor et al. | Critical care response during the COVID-19 pandemic | |
| Ghosh et al. | Mobile health applications during epidemic management in India: a review |