RU99308U1 - INTEGRATED SYSTEM FOR RENDERING EMERGENCY CARE AND INTERACTION WITH STATIONARY MEDICAL AND PREVENTIVE INSTITUTIONS - Google Patents

Abstract

 1. A comprehensive system for emergency medical care and interaction with inpatient treatment facilities, characterized in that it contains:! a data processing center containing a database of patients (victims); ! at least one central server of at least one inpatient hospital connected to said data center; ! a central server of at least one ambulance station connected to said data center; ! at least one mobile ambulance complex connected and configured to exchange information with a data processing center and with a central server of at least one ambulance station. ! 2. The integrated system according to claim 1, characterized in that the data center is configured to determine a mobile ambulance complex that is closest to the location of the patient (victim). ! 3. The complex system according to claim 1 or 2, characterized in that the mobile ambulance complex is configured to obtain preliminary information about the patient (victim) from the database of the information processing center before arrival at the patient (victim) address. ! 4. An integrated system according to any one of claims 1, 2, or 3, characterized in that at least one mobile ambulance complex is configured to transmit data from a cardiograph and / or video data to the central server of the ambulance station during defibrillation and / or pulse oximetry data. ! 5. An integrated system according to any one of claims 1 or 2, and

Description

The utility model relates to the field of medical technology.

A device is known for recording and monitoring human medical data (RU 2288629 IPC АВВ 5/00, published December 10, 2006), configured to control medical data, call an external service and transmit measured data to it, as well as the location of a person in need of medical care .

A known configuration for monitoring human health (RU 2005111760 IPC A61RB 5/00 published September 20, 2005), which receives and / or monitors medical data, is equipped with a module for determining the location of a person, through which data on the location of a person are transmitted to a third party.

The disadvantage of these technical solutions is the relatively large time of arrival of the medical care team and transportation of the person (patient, victim) to the medical institution, since the person from whom the call was made may be located at a considerable distance from the mobile and / or stationary medical care stations.

Another drawback is the long time to make a diagnosis, since the mobile medical care station does not use the history of his illness and contraindications before arriving at the patient’s location. Thus, there is a risk of allergic reactions, for example, anaphylactic shock, if a medicine is introduced that the person is allergic to.

The purpose of the utility model is to create a unified information space for the clear interaction of inpatient treatment and prevention institutions and the ambulance service in terms of the urgent arrival of the ambulance team to a person (patient, victim) and assisting him, the interactive exchange of normative, reference and medical information ( electronic medical records, electronic outpatient records, individual electronic medical documents).

The technical result achieved in this case is to reduce the precious time of arrival of the ambulance crew to the person (patient, victim).

Another technical result is the reduction of time to diagnose a person in need of medical care.

Another technical result is the reduction of costs and labor costs for document management in the provision of medical care.

Another technical result is the reduction of fuel costs and maintenance costs for ambulances due to the efficient distribution of vehicles on calls and control their employment.

The indicated technical results are achieved by the fact that a comprehensive system for the provision of emergency medical care and interaction with inpatient treatment facilities according to the utility model contains:

- a data processing center containing a database of patients (victims);

- at least one central server of at least one inpatient health care facility connected to said data center;

- a central server of at least one ambulance station connected to said data center;

- at least one mobile ambulance complex, connected and configured to exchange information with a data processing center and with a central server of at least one ambulance station.

In addition, the data center is configured to determine the mobile ambulance complex that is closest to the location of the patient (s).

In addition, the mobile ambulance complex is configured to obtain preliminary information about the patient (victim) from the database of the information processing center prior to arrival at the patient (victim) address.

Additionally, at least one mobile ambulance complex is configured to transmit data from a cardiograph and / or video data to the central server of the ambulance station during defibrillation and / or pulse oximetry data.

In addition, at least one mobile ambulance system is configured to record in permanent memory video data on the actions of medical personnel and to transmit real-time data to the central server of the ambulance station.

In addition, the mobile ambulance complex is configured to receive from the central server at least one inpatient treatment and prevention institution information on the availability of seats in the department corresponding to the diagnosis of the patient (victim), as well as information on the nearest treatment and prevention institution that satisfies given requirements.

Additionally, the data center is connected to at least one server of the health insurance company.

In another particular embodiment of the system, the data center is connected to at least one administrative server of the Department of Health and / or the Ministry of Health.

These signs of the performance of the utility model are significant and interconnected with the formation of a stable set of essential features sufficient to obtain the required technical results.

The figure shows a structural diagram of an integrated system for providing first aid.

This useful model is illustrated by a concrete example, which, however, is not the only possible one, but clearly demonstrates the possibility of achieving the required set of features with the required technical results.

The system operates as follows.

A call is made to the central server of the ambulance station (1). The call is automatically copied to the data center (2), which contains a database of patients (victims).

The dispatcher on the remote makes a call to the database, and if necessary also to the police database. At the same time, according to the data on the monitor, the dispatcher determines which of the mobile ambulance systems (3) is closest to the call address (navigation and tracking equipment is included in the system).

At the direction of the dispatcher, the nearest free mobile ambulance complex (3) follows the call site via the shortest route using navigation equipment (GPS). If the patient (victim) has data in the database of the data processing center (2), they automatically enter the mobile ambulance complex (3) and are displayed on the monitor. Thus, the team of the mobile ambulance complex (3) is already aware of the history of the patient (s), if such is known and entered into the database of the data center (2). The database is created both in the stationary medical care station (call registration) and in local treatment and prevention institutions (4) that are connected with the system.

Upon arrival at the location of the patient (victim), the mobile ambulance complex team (3) takes the necessary actions (for example, cardiopulmonary resuscitation) and establishes a preliminary diagnosis.

When a cardiogram is taken from a cardiograph, all data is monitored in a mobile ambulance complex (3) and transferred on-line to the computer of the cardiologist on call. Consultation with him can be carried out in a videoconference mode or simply by phone. During defibrillation, all actions of the brigade of the mobile ambulance complex (3) are monitored and transferred to the data center (2). At the same time, pulse oximetry data is transmitted. It should be understood that any other data from devices that are not mentioned here may be transmitted to the data center. When transporting a patient (injured), the recorded data is recorded and transmitted on-line to the central server of the dispatcher of the ambulance station (1).

The actions of the brigade in the car are monitored by surveillance cameras integrated in the mobile ambulance complex (3) and are recorded in the computer’s memory of the mobile ambulance complex and on an SD card or USB drive. If necessary, they can be transmitted in real time to the central server of the ambulance station, as well as to the server of the medical insurance company (5), as well as the administrative server of the Department of Health and / or the Ministry of Health (6). Data on the consumption of accounting medicines can also be entered into the database of the data processing center (2) directly from the mobile ambulance complex.

According to the results of first aid, one of two decisions is made: either the sick victim remains (delivered) home or is urgently hospitalized in an inpatient medical institution (4). In the second case, the mobile ambulance complex (3) receives from the central server of the ambulance station (1) at least one inpatient medical and preventive institution (4) information about the availability of seats in the department (infectious, traumatology, etc.) corresponding to the diagnosis of the patient (victim), as well as information about the nearest medical institution that meets these requirements. The nearest health care facility is recommended for hospitalization, but information about other health care facilities with free places can be used.

Using a technical solution according to the utility model allows to achieve the following effects:

Reducing the time of arrival of the brigade of the mobile ambulance complex, which significantly increases the chances of the patient (victim) to save his life;

Reducing the risk of medical errors due to the fact that the team has data on the patient's medical history;

Reducing the risk of anaphylactic shock in a patient in cases of an allergic reaction to drugs (carrying out rapid tests for allergies is not always possible, and information on allergic reactions of patients is entered into the database in medical institutions);

Reduction of time for diagnosis;

Reduce the cost of qualified medical staff. Not all regions can boast of staffed qualified cardiologists, and if there is such a system, paramedics can follow the call, receiving real-time advice from a qualified cardiologist on call;

Accounting for the turnover of medicines and their timely replenishment;

The ability to control the actions of the brigade of the mobile ambulance complex and archiving this data, primarily for cases with a fatal outcome. At any time in the event of a lawsuit, you can raise a call record with full information about the actions of the brigade of the mobile ambulance complex up to the order of pressing the buttons on the devices (especially the defibrillator);

Automatic replenishment of the database of patients in the region;

Reducing fuel costs and car maintenance costs by efficiently distributing cars on calls and controlling their occupancy;

Reduction of expenses and labor costs for document management;

Prompt data transfer to insurance companies.

This utility model is industrially applicable, since it is based on existing technologies for data transmission and processing, on location technology (GPS), and the novelty is to take into account the peculiarities of the interaction between inpatient care facilities and the ambulance service in terms of exchanging regulatory, reference and medical information (electronic medical records, electronic outpatient records, individual electronic medical documents).

Claims (8)

1. A comprehensive system for the provision of emergency medical care and interaction with inpatient treatment facilities, characterized in that it contains:  a data processing center containing a database of patients (victims);  at least one central server of at least one inpatient hospital connected to said data center;  a central server of at least one ambulance station connected to said data center;  at least one mobile ambulance complex connected and configured to exchange information with a data processing center and with a central server of at least one ambulance station. 2. The integrated system according to claim 1, characterized in that the data center is configured to determine a mobile ambulance complex that is closest to the location of the patient (victim). 3. The complex system according to claim 1 or 2, characterized in that the mobile ambulance complex is configured to obtain preliminary information about the patient (victim) from the database of the information processing center before arrival at the patient (victim) address. 4. An integrated system according to any one of claims 1, 2, or 3, characterized in that at least one mobile ambulance complex is configured to transmit data from a cardiograph and / or video data to the central server of the ambulance station during defibrillation and / or pulse oximetry data. 5. An integrated system according to any one of claims 1, 2, or 3, or 4, characterized in that at least one mobile ambulance complex is configured to record video data about the actions of medical personnel in a permanent memory and transmit in real-time this data to the central server of the ambulance station. 6. An integrated system according to any one of claims 1, 2, or 3, or 4, or 5, characterized in that the mobile ambulance complex is configured to receive at least one stationary medical treatment institution information from a central server about the availability of free places in the department corresponding to the diagnosis of the patient (victim), as well as information about the nearest medical institution that meets these requirements. 7. The integrated system according to claim 1, characterized in that the data center is connected to at least one server of the medical insurance company. 8. The complex system according to claim 1 or 7, characterized in that the data center is connected to at least one administrative server of the Department of Health and / or the Ministry of Health.