TW202133185A - Emergency nursing information decision making and learning assistance system - Google Patents

Abstract

The present invention relates to an emergency nursing information decision making system, including a server host for connection with a client-end electronic device. The server host establishes an operation interface displayed on a screen of the client-end electronic device to show an emergency nursing information, so that a user can select and input a patient's symptoms via the client-end electronic. The server host includes an operation interface, a menu module, a computation unit, a summary module, a result evaluation module, a coma scale module, a graphic module, and videos of emergency treatment cases. The server host receives the main selections input from the client-end electronic device and, after computation process, outputs a summary information, an evaluation result information, a coma scale information, and a graphic wound information, thereby improving the efficiency of emergency treatment.

Description

Emergency Nursing Information Decision System

The present invention relates to an emergency care information display system that can immediately display patient symptoms in summary information and propose treatment measures.

At present, ordinary emergency patients need to fill out the evaluation form before receiving emergency treatment. Because all the information is paper, it is not possible to quickly classify and extract the key points, so it is difficult for medical personnel to quickly solve multiple complex problems. Filtering out the required information, it is also impossible to directly know what kind of illness the emergency patient may get, and how to deal with it initially, so it will delay the time for medical treatment or fail to receive treatment quickly.

Therefore, there is the patent case of Invention No. I514309 "Ambulance System and Ambulance Method" announced on December 21, 104 of the Republic of China, which discloses: the ambulance system is suitable for ambulance of a patient. Command and rescue module, at least one unit terminal module, at least one mobile rescue module, at least one physician guidance interface, and at least one hospital interface. The command ambulance module is suitable for inputting an ambulance notification, and the command ambulance module converts the ambulance notification into an ambulance information and uploads it to the cloud server. The squad module receives the ambulance information from the command ambulance module. The mobile ambulance module receives ambulance information from the squad-side module, and the mobile ambulance module is suitable for inputting patient information and sending the patient information to the cloud server. The physician guidance interface downloads patient information from the cloud server. The hospital interface module downloads patient information from the cloud server.

However, the previous patent case did not provide very detailed information on the classification of patients. Therefore, the information provided to medical staff was quite limited, and it could not provide the help needed in emergency treatment.

Therefore, there is the patent case of Invention No. 201921376 "System and Method for Collecting and Analyzing Comprehensive Medical Information" published on June 1, 108 of the Republic of China, which discloses: It is used to collect, analyze and report information from one or more Information system and method for comprehensive medical information of each user. In some aspects, a system for collecting and analyzing medical data includes: a data management system for collecting and storing medical information about a user; and a knowledge creation engine for communicating with the data management system And it is configured to analyze the stored medical information to create at least one of personalized medical advice for the user and general scientific information about a medical condition. A display that communicates with the data management system and the knowledge creation engine can be configured to present a digital representation of the user based on the stored medical information. The stored medical information includes electronic health records (EHR) and patient report results (PRO), biological samples, wearable devices, sensors, medical devices, and a dynamic questionnaire used to create a digital representation of the user.

The previous patent case is only for the collection of medical data for general patients, not for emergency treatment and decision-making. Therefore, it is also difficult to quickly provide the information needed by medical staff during emergency treatment in a short period of time, so it is in use. There are disadvantages.

In view of this, in view of the current use of emergency information establishment has the above-mentioned shortcomings. Therefore, the present invention provides an emergency care information decision-making system, which includes: a server-side host for connecting at least one client electronic device, the server-side host generates an operating interface, and the operating interface is established on the client electronic On the screen of the device, an emergency care information is displayed for the client electronic device to click and input according to a patient’s symptoms; a menu module is built in the server host, and the menu module is a signal connection To the operation interface, for displaying a menu screen on the operation interface, the menu content displayed on the menu screen includes a primary evaluation, a primary evaluation and disposal, a primary evaluation, a secondary evaluation and disposal, and a whole Foot evaluation and treatment, a psychosocial evaluation and treatment, a medical treatment guide, a nursing treatment decision-making or any combination of the main options; an arithmetic unit is built in the server host, the arithmetic unit is a signal Connected to the menu module for receiving the main options selected by the client electronic device, and outputting a summary information, an evaluation result information, a coma index information, and a graphical wound information after processing. The content displayed in the summary information is based on the symptoms selected by the client electronic device for the patient, and the content displayed by the assessment result information is based on the symptoms selected by the client electronic device for the patient. A recommended treatment strategy, the recommended treatment strategy includes the most likely disease, the process that should be started, the department of the physician, the examination items that should be performed, the follow-up evaluation, or any combination thereof, as shown by the coma index information The content is calculated to determine the patient’s coma index score based on the different responses of the client electronic device to the patient’s clicks. The content displayed in the graphical wound information is based on the client electronic device’s response to the patient’s coma index. The wound type selected by the patient, and the wound type is correspondingly displayed on a human body image on the front and back; a summary module is built in the server host, and the summary module is connected to the signal The arithmetic unit is used to receive the summary information and display it on the operation interface; an evaluation result module is built in the server host, and the evaluation result module is signal-connected to the arithmetic unit for receiving the The evaluation result information is displayed on the operation interface; a coma index module is built in the server host, and the coma index module is connected to the computing unit by a signal to receive the coma index information and display it on the The operating interface; an imaging module is built in the server host, the imaging module is connected to the arithmetic unit by signals for receiving the imaging wound information and displaying it on the operating interface .

The main options of the above-mentioned primary assessment are to show the main complaint or the reason for the consultation on behalf of the patient. The main options of the primary assessment further include basic information, respiration, cardiovascular, digestion, nerve, skeletal muscle, urinary, skin, general and other, trauma. Or any combination of sub-options.

The sub-options of the above basic information further include medical record number, name, age, gender, identity, date and time of arrival, department, emergency diagnosis, emergency bed number, hospitalization method, classification of injuries, vital signs, religious beliefs, and education The sub-options of degree, marital status, height, weight, height and body mass index (BMI), ideal weight value (IBW), source or any combination thereof, the sub-options for breathing further include abnormal breathing, respiratory arrest, cough, Hyperventilation, foreign bodies in the respiratory tract, allergic reactions, chest pain, fever, other complaints, one of them or any combination of them. The cardiovascular sub-options further include cardiac arrest, chest pain/chest tightness, palpitations/irregular heartbeats, Changes in blood pressure, abnormal breathing, decreased urine output, pitting edema, limb abnormalities, general symptoms, other complaints, or any combination of them. The sub-options for digestion further include stool, diarrhea, and foreign bodies in the rectum. , Abdominal pain and discomfort, nausea, vomiting, abnormal stool color, jaundice, hiccups, swallowing foreign bodies, poor appetite, dysphagia, abdominal bloating, weakness, other complaints, one of or any combination of detailed options, the secondary option of the nerve It further includes changes in consciousness/unconsciousness, acute confusion, dizziness (rotation of the sky), dizziness, headache, convulsions, weakness, gait instability, tremor, sensory/paresthesia or loss, changes in communication patterns, changes in vision, and changes in hearing , Changes in urine and bowel patterns, general symptoms, occurrence of stroke FAST symptoms, one of other complaints, or any combination of detailed options. The skeletal and muscle sub-options further include limb pain, joint swelling, muscle pain, and other complaints. One or any combination of sub-options, the urinary sub-options further include changes in urination pattern, pain and discomfort, fever, chills, abnormal genital secretions, other complaints, or any combination of sub-options, the skin’s The sub-options further include blood/body fluid exposure, itching, rash, lumps, cyanosis, spontaneous ecchymosis, foreign body, general symptoms, one of other complaints or any combination of sub-items, the general and other sub-options It further includes exposure to infectious diseases (asymptomatic), fever, chills, hyperglycemia, hypoglycemia, other abnormal blood test values, abnormal examinations, referrals, imaging examinations, medical device problems, requests for issuance of medical certificates, requests Prescription, paleness or anemia, one of the other main complaints, or any combination of the fine options, the secondary options of the trauma further include blunt trauma, puncture injury, trauma confirmed major injury, head trauma, facial trauma , Eye trauma, nose trauma, ear trauma, neck trauma, chest trauma, abdominal trauma, pelvic trauma, waist trauma, back trauma, perineal trauma, genital trauma, limb muscle trauma, skin trauma, general trauma, one of them Or a combination of fine options.

The main options for the above-mentioned primary assessment and treatment are to display the rapid assessment and treatment of emergency ABCD (airway, breathing, heartbeat, consciousness). The main options for the primary assessment and treatment further include respiratory tract, cervical spine, respiration, spontaneous heartbeat, hemorrhage, and consciousness. One or any combination of sub-options.

The above-mentioned respiratory tract sub-options further include one or a combination of evaluation and treatment options. The cervical spine sub-option further includes one or a combination of evaluation and treatment options. The breathing sub-option further includes evaluation and treatment. One or a combination of sub-options. The spontaneous heartbeat sub-option further includes one or a combination of evaluation and treatment sub-options. The bleeding sub-option further includes evaluation, bleeding site, blood source, and treatment. One or any combination of detailed options. The sub-options of consciousness further include detailed options for evaluating consciousness, type, current coma index score, pupil size, and presence or absence of light reflection, and disposing of one or any combination thereof.

The main options of the above-mentioned secondary assessment are the current and past medical history assessments. The primary options of this secondary assessment further include one of medical history, pain and discomfort, abdominal pain or gynecological disease, trauma, travel history, poisoning, or any combination of secondary options. .

The sub-options of the above medical history further include whether there is a history of drug allergies, whether you are currently taking other drugs, whether there is a history of chronic medical and surgical diseases in the past, emergency surgery or the need for immediate NPO examination, whether there are other special events or abnormalities before the accident, and whether there is any in the past Smoking history, history of drinking alcohol in the past, or any combination of the detailed options. The sub-options for pain and discomfort further include the factors that cause pain, the source of pain, the factors that aggravate the pain, the factors that reduce the pain, and the nature of the pain , The first painful part, the current painful part, whether there is a source of pain rebound or retraction pain, whether the pain is transferred to other parts, the degree of pain, the degree of pain, how long the pain is, whether the pain lasts, whether the pain is accompanied by other symptoms among them One or any combination of sub-options, the sub-options for abdominal pain or gynecological diseases further includes one or any combination of the date of the most recent menstruation, flow, number of days, pregnancy and birth history, or any combination thereof, and the sub-options for the trauma The options further include the detailed options of whether there are other injured persons in the same accident, the time of the accident, the type of the accident, the location of the accident, the object related to the trauma, the improved trauma index, the current trauma severity score, or any combination thereof, the tour The sub-options of history further include whether the patient has a history of going abroad, whether the patient has a domestic travel record, whether the family has a travel record abroad, whether the family has a domestic travel record, whether they have been in contact with special people during travel, whether relatives, friends, and colleagues who live with the same life are suffering from infectious diseases, There is a detailed option of whether to keep pets or any combination thereof. The sub-options for poisoning further include the cause of the poison, the name of the contact poison, the dose of the contact poison, the time of contact with the poison, how long it is since the current consultation, the way of poisoning, and whether to use it at the same time Other substances, whether they have been dealt with urgently due to exposure to poisons, or any combination of them.

The main options of the above-mentioned secondary assessment and treatment display the in-depth assessment and treatment of the first aid ABCD (airway, breathing, circulation). The main options of the secondary assessment and treatment further include one of respiratory tract, respiration, and circulation or any combination thereof Sub-options.

The above-mentioned sub-options of the respiratory tract further include the detailed options of assessing whether there is a foreign body, whether the tongue is receded, whether there are external influencing factors, whether there is a disease influencing factor, whether there is medical blockage or slippage, and the treatment of one or any combination of them. The sub-options further include evaluating whether there is an open wound in the chest, breathing rate, breathing depth, breathing rhythm, breathing volume, breathing sound quality, appearance of the oral mucosa, whether to use respiratory assist muscles, whether to take mouth breathing, whether to raise the head of the bed for maintenance Respiration, blood draw value of arterial gas before and after oxygen use, blood oxygen concentration value of pulse oximetry before and after oxygen use, treatment of one or any combination of these options, the cycle's sub-options further include evaluation of heart rate, heartbeat Rhythm, pulse pressure, blood pressure, capillary filling time, jugular venous pressure, skin and mucous membrane type, peripheral tissue perfusion, urine output, treatment options, or any combination thereof.

The main options for head-to-toe evaluation and treatment above show the in-depth evaluation and treatment of the patient's whole body. The main options for head-to-toe evaluation and treatment further include the whole body skin, head and face, eyes, ears, nose, throat, thoracic cavity, and abdominal cavity. And pelvic cavity, limbs, back, one of the common tests or any combination of sub-options.

The above-mentioned sub-options for whole body skin further include detailed options for evaluating color, integrity, wound type, humidity, skin lesions, other related assessments, possible causes, and treatment, or any combination thereof. The sub-options for head and face further include Evaluate the head, face and cheeks, the appearance of the lip mucosa, the jaw, the presence or absence of tenderness, other related evaluations, possible causes, treatment of one or any combination of the fine options. The secondary options of the eye further include the evaluation of appearance and visual field evaluation. , Visual acuity, possible causes, treatment of one or any combination thereof, the sub-options of the ear further include assessment of appearance, abnormal discharge, tinnitus, Bartel’s sign, other related assessments, possible causes, Treatment of one of them or any combination of the fine options, the sub-options of the nose further include the fine options of assessing appearance, presence or absence of abnormal discharge, nose hair, other related assessments, possible causes, treatment of one of them, or any combination thereof. The sub-options for the neck of the larynx further include detailed options for assessing appearance, activity status, carotid artery noise (bruits), lymph nodes, tenderness, other related assessments, possible causes, treatment of one or any combination thereof, the chest cavity The sub-options further include evaluating the appearance of the chest, the symmetry of chest undulations, bilateral breathing volume, breathing sound quality, heart sounds, lung percussion sounds, palpation, tactile tremor, presence or absence of tenderness, other related assessments, possible causes, and treatment among them One or any combination of sub-options. The sub-options of the abdominal cavity and pelvic cavity further include evaluating the appearance of the navel, overall appearance, bowel movement rate, abdominal percussion diagnosis, touch pressure, defecation pattern, urination pattern, and pelvic scale Qualitative, straddling injury, perineal condition, anal appearance, digital anal examination, other related assessments, possible causes, treatment of one or any combination of fine options, the sub-options of this limb further include assessing appearance, Perception, skin color of the affected limb, presence or absence of edema, degree of movement, whether movement pain, peripheral pulse intensity, whether there is a Babinski reflex, muscle strength testing, other related assessments, possible causes, treatment of one or any combination thereof The sub-options on the back further include the detailed options of assessing appearance, presence or absence of tenderness, other related assessments, possible causes, treatment of one or any combination thereof. The sub-options of this common test further include complete blood count, Inflammation-related tests, diabetes tests, blood fat tests, liver function tests, kidney function tests, pancreatic function tests, electrolyte tests, myocardial biochemical markers, routine urine tests, routine stool tests, or any combination of these options .

The above-mentioned main options of psychosocial assessment and treatment further include sub-options of one or a combination of psychological needs assessment and socioeconomic needs assessment.

The above-mentioned sub-options of the psychological needs assessment further include the ways to deal with health problems more commonly used in the past, whether this emergency visit caused stress, emotional state, cognition of the disease, expectations of the disease, the ability to solve problems or difficulties, Seek resources when you need assistance, whether you are a special high-risk group, whether there is chaotic behavior, emotion or thinking, whether there is a problem of self-harm/suicide, whether there is a problem of harming others, whether there is a risk of escape, or any combination thereof The sub-options of the socio-economic needs assessment further include detailed options such as economic status, family interaction status, nursing manpower status, possible causes, and disposal or any combination thereof.

The main options of the above medical treatment guidelines further include medical advice (drugs), respiratory system, nervous system, cardiovascular system, digestive system, hepatobiliary and pancreatic system, urinary system, endocrine system, skin system, electrolyte imbalance, skeletal muscle system, infection Sub-options of disease, poison or poisoning, one of the others, or any combination thereof.

The sub-options of the above-mentioned medical order [medicine] further include one or any combination of intravenous, emergency medication, and commonly used injections, and the sub-options of the respiratory system further include rib fractures and sill chest, hemothorax, pneumothorax, and pleural effusion Sub-options of one or any combination of, empyema, asthma, chronic obstructive pulmonary disease, acute respiratory failure, pneumonia, or lung abscess. The sub-options of the nervous system further include head trauma, cerebrovascular accident, epilepsy, and spinal injury Sub-options of one of, meningitis, or any combination thereof, the sub-options of the cardiovascular system further include sub-options of one of hypertension or malignant hypertension, congestive heart failure and pulmonary edema, arrhythmia, or any combination thereof The sub-options of the digestive system further include one of upper gastrointestinal bleeding, lower gastrointestinal bleeding, peptic ulcer, acute gastritis or acute enteritis, appendicitis, peritonitis, intestinal obstruction, or any combination thereof. The sub-options of the system further include one of acute hepatitis, hepatic cerebral coma, ascites, or spontaneous bacterial peritonitis or any combination thereof. The sub-options of the urinary system further include acute renal failure, urinary tract infection, acute pyelonephritis , Acute glomerulonephritis, urinary tract stones, or any combination thereof, the sub-option of the endocrine system further includes one of hypoglycemia, diabetic ketoacidosis, hyperglycemia and hyperosmotic state or any combination thereof The sub-options of the skin system further include one or a combination of cellulitis, burns and scalds, and the sub-options of electrolyte imbalance further include hyponatremia, hyperkalemia, hypokalemia, The sub-options of one or any combination of hypocalcemia, the sub-options of the musculoskeletal system further include evaluation of the affected limb neurovascular function, important diagnostic indicators, other, treatment and control of pain, control or prevention of comorbidities and injuries, One of the other sub-options or any combination thereof, the sub-option of the infectious disease further includes one of dengue fever, influenza, human immunodeficiency virus, or any combination thereof, the sub-option of the poison or poisoning further includes One of carbon monoxide poisoning, snake bite, organophosphate poisoning, balaclava poisoning, or any combination of fine options, the other sub-options further include one of other 1, other 2, other 3, or any combination of fine options .

The main options of the above-mentioned nursing treatment decision further include sub-options of ventilation, stimulation, body fluids and electrolytes, pain, skin integrity, mobility, nutrition, communication, psychosocial, one of the other or any combination thereof.

The above-mentioned sub-options for ventilation further include one or any combination of gas exchange disorders, inefficient breathing patterns, failure of airway clearance, and potentially dangerous lung inhalation, and the sub-options for stimulation further include intracranial adjustment Ability reduction, sensory perception changes (vision, hearing, orientation, taste, touch, smell) one of or any combination of fine options, the sub-options of body fluids and electrolytes further include excess body fluid volume, loss of body fluid volume, tissue perfusion Changes (brain, heart, lung, gastrointestinal, kidneys, peripherals), decreased cardiac output, potentially dangerous poisoning, potentially dangerous infection, urination pattern disorder, urinary retention, diarrhea, stools, hyperthermia, hypothermia, among others One or any combination of the fine options, the pain secondary option further includes acute or chronic pain, patient complaints, objective data, related factors, care treatment, or any combination of fine options, the skin integrity secondary option It further includes one of or a combination of impaired skin integrity and tissue integrity, and the sub-option of mobility further includes one or a combination of physical motor dysfunction, impaired mobility, and The nutritional sub-options further include one or a combination of nutritional imbalance, patient complaints, objective information, related factors, and nursing treatment. The communication sub-options further include acute confusion, ineffectiveness response ability, and non-adherence. , Lack of knowledge, or a combination of detailed options, the psychosocial sub-options further include anxiety, fear, hopelessness, self-mutilation, social isolation, social interaction disorder, the family operation process is complicated or a combination of one or a combination of details Option, the other sub-options further include detailed options of rape trauma syndrome, post-traumatic syndrome, parental dysfunction, other 1, other 2, other 3, or a combination thereof.

According to one of the sub-options and the sub-options selected by the above-mentioned client electronic device for the patient, or any combination thereof, the symptom will be displayed in the summary information.

After clicking the primary option of the above-mentioned primary assessment, then clicking the sub-option of the nerve, and then clicking the detailed option of limb weakness, the calculation unit will select the importance of different parts according to the detailed option of limb weakness, and The calculation determines that the patient's symptoms are suspected of stroke, and the information of the assessment result of the suspected stroke is output, and appropriate recommended treatment measures are provided.

Click the main option of the above primary assessment, then click the cardiovascular sub-option, and then click the chest pain/chest tightness detailed option, the calculation unit will transfer according to the chest pain/chest tightness detailed option. Pain, location, and how long it has occurred, and when the calculation determines that the patient’s symptoms are suspected of myocardial infarction, the assessment result information of the suspected myocardial infarction will be output, and appropriate recommended treatment measures will be provided.

Click the primary option of the above secondary assessment, and then click the secondary option of the trauma, and then click the detailed option of the accident type. The calculation unit calculates and judges the accident according to the selected cause of the accident type. When the patient's symptoms are high-risk trauma, the information on the evaluation results of the high-risk trauma will be output, and appropriate recommended treatment measures will be provided.

Click the main option of the primary assessment and treatment mentioned above, then click the sub-option of the consciousness, and then click the fine option of the current coma index score, and then the calculation unit will click according to the fine option of the current coma index score The importance of different reactions is calculated to determine the score of the patient’s coma index, and output the coma index information.

Click the primary option of the above-mentioned primary assessment, then click the secondary option of the basic data, and then click the detailed option of the height and mass index [BMI] or the ideal weight value [IBW]. And calculate the score of the patient’s body index, and output the body index information.

Click the primary option of the above secondary assessment, then click the secondary option of the trauma, and then click the modified trauma index (RTS) or the current trauma severity score (ISS). Click on the detailed option to calculate and judge the score of the patient's trauma index, and output the trauma index information.

Click the main option of head-to-toe assessment and treatment above, then click the sub-option of the limbs, and then click the detailed option of muscle strength detection. The score of the patient's muscle strength index, and output the muscle strength index information.

Click the above main option of head-to-toe assessment and treatment, then click the sub-option of the whole body skin, and then click the detailed option of wound type, the calculation unit will select it according to the detailed option of wound type According to different parts, the wound type, position and size are correspondingly displayed on the human body image.

The above-mentioned server host is a remote server computer, and the client electronic device is a personal computer, a smart phone or a tablet computer. The client electronic device needs to establish an account and a password before connecting.

Further construct an image case of the standard emergency patient clinical situation in the above menu module and display it on the menu screen. The image case includes common acute myocardial infarction, cerebrovascular accident, asthma, diabetic ketoacidosis, trauma and acute gallbladder. The case of Yanzhi's image.

The above technical features have the following advantages:

1. The medical staff can immediately display the symptoms in a summary information according to the selected and input patient symptoms, which can be checked at any time and confirm whether the content is wrong, so that the medical staff can clearly understand the patient's various symptoms .

2. Medical staff can directly filter the required information, and when clicking on a symptom that requires special attention and emergency treatment, the system will automatically generate an assessment result information. The assessment result information is to propose a recommended treatment countermeasure. The recommended treatment The countermeasures include the most likely disease, the process that should be initiated, the department of the physician, the examination items that should be performed, and the follow-up assessment or any combination thereof. So that the medical staff can pay special attention to the emergency of the patient, and immediately carry out emergency treatment according to the suggested treatment countermeasures displayed by him, so as to avoid delaying the golden opportunity to seek treatment.

3. Further, a coma index information can be output, which can be used by medical personnel to know the coma status of the patient immediately so as to grasp the coma status of the patient.

4. By displaying a front and back human body image, and correspondingly display the patient's wound type, location and size on the body image, so that medical staff can immediately know the patient's wound status more intuitively , And take necessary measures.

5. The established emergency care information decision-making system can be used as a complete assessment tool for emergency medical personnel and medical staff to quickly understand the symptoms and patterns of patients, and provide suggestions for treatment measures to deal with, so as to achieve The purpose of improving the efficiency of emergency department is to facilitate the guidance and quality of patient care.

6. Especially when it is suitable for medical staff to transfer shifts, they can understand in the shortest time and can grasp the patient's condition immediately.

7. It can be further extended to the teaching and training of nursing students and new nurses, so that they can conduct independent learning, training and evaluation through client electronic devices during class, practice or after-school, or guide nurses to write case reports Guidance tools, through the collected information, can analyze the problems of emergency learners, and conduct research or teaching design improvements.

Please refer to the first and nineteenth figures, the implementation of the present invention is provided with a server host (1), the server host (1) is a remote server computer for at least one client electronic The device (A) is connected, and the client electronic device (A) is a user's personal computer, smart phone or tablet computer. The client electronic device needs to create an account and password before it can connect. The server host (1) includes an operating interface (2), a menu module (3), an arithmetic unit (4), a summary module (5), an evaluation result module (6), and a coma Index module (7) and a graphical module (8), in which:

The operation interface (2) is established on the screen of the client electronic device (A) for displaying emergency care information (as shown in the second figure) for the client electronic device (A) The user clicks and inputs according to the symptoms of one of the patients waiting for emergency.

The menu module (3), which is built in the server host (1), and the menu module (3) is connected to the operation interface (2) with signals for displaying a display on the operation interface (2) Menu screen (31). As shown in the third, seventh, and eleventh pictures, the menu content displayed on the menu screen (31) includes primary evaluation, primary evaluation and disposal, secondary evaluation, secondary evaluation and disposal, from the beginning to the The main option of one or any combination of foot assessment and treatment, psychosocial assessment and treatment, medical treatment guidelines, nursing treatment decision, for the user to select according to the patient's symptoms.

As shown in the third figure, the main options of the primary assessment are to display the main complaint or the reason for seeking consultation. The main options of the primary assessment further include basic information, respiration, cardiovascular, digestion, nerve, skeletal muscle, urinary, skin, general And other sub-options, one of trauma, or any combination thereof, for the user to select according to the patient’s symptoms.

As shown in the fourth figure, the sub-options of the basic information further include medical record number, name, age, gender, identity, date and time of arrival, department, emergency diagnosis, emergency bed number, hospitalization method, inspection classification, Vital signs, religious beliefs, education level, marital status, height, weight, height and body mass index (BMI), ideal weight value (IBW), one of the source or any combination of detailed options for the user to follow the patient Click on the symptoms of.

As shown in the fifth figure, the breathing sub-options further include one or any combination of abnormal breathing, respiratory arrest, cough, hyperventilation, foreign body in the respiratory tract, allergic reaction, chest pain, fever, other complaints or any combination thereof , For the user to select according to the patient’s symptoms.

The cardiovascular sub-options further include cardiac arrest, chest pain/chest tightness, palpitations/irregular heartbeat, changes in blood pressure, abnormal breathing, decreased urine output, pitting edema, limb abnormalities, general symptoms, one or any of other complaints A combination of detailed options for the user to select according to the patient’s symptoms.

The digestion sub-options further include stool loops, diarrhea, foreign bodies in the rectum, abdominal pain and discomfort, nausea, vomiting, abnormal stool color, jaundice, hiccups, swallowing foreign bodies, poor appetite, dysphagia, abdominal bloating, weakness, and other complaints One or any combination of the detailed options can be selected by the user according to the patient's symptoms.

The sub-options of this nerve further include changes in consciousness/unconsciousness, acute confusion, dizziness (rotation of the sky), dizziness, headache, convulsions, weakness, gait instability, tremor, abnormal or loss of perception/paresthesia, changes in communication patterns, Visual changes, hearing changes, changes in urine and feces patterns, general symptoms, the appearance of FAST symptoms of stroke, other main complaints, or any combination thereof, can be selected by the user according to the patient's symptoms.

The skeletal and muscle secondary options further include one of limb pain, joint swelling, muscle pain, other complaints, or any combination thereof, for the user to select according to the patient's symptoms.

The urinary sub-options further include changes in urination pattern, pain and discomfort, fever, chills, abnormal genital secretions, other complaints, or any combination thereof, for the user to select according to the patient’s symptoms .

The skin sub-options further include blood/body fluid exposure, itching, rash, lumps, cyanosis, spontaneous ecchymosis, foreign body, general symptoms, other complaints, or any combination thereof, for the use The person selected according to the patient’s symptoms.

This general and other sub-options further include exposure to infectious diseases (asymptomatic), fever, chills, hyperglycemia, hypoglycemia, other abnormal blood test values, abnormal examinations, referrals, imaging examinations, medical device problems, The detailed options of one or any combination of requesting a medical certificate, requesting a medication, pallor or anemia, other main complaints, for the user to select according to the patient's symptoms.

The sub-options of this trauma further include blunt trauma, puncture trauma, major trauma confirmed by trauma, head trauma, facial trauma, eye trauma, nose trauma, ear trauma, neck trauma, chest trauma, and abdominal trauma , Pelvic trauma, lumbar trauma, back trauma, perineal trauma, genital trauma, limb muscle trauma, skin trauma, general trauma, or a combination of detailed options for the user to select according to the patient’s symptoms.

As shown in the third figure, the main options of the primary assessment and treatment are to display the rapid assessment and treatment of emergency ABCD (airway, respiration, heartbeat, consciousness). The main options of the primary assessment and treatment further include respiratory tract, cervical spine, breathing, One of spontaneous heartbeat, bleeding, consciousness, or any combination of sub-options for the user to select according to the patient's symptoms.

As shown in the sixth figure, the secondary options of the respiratory tract further include one or a combination of detailed options of evaluation and treatment, for the user to select according to the patient's symptoms.

The sub-options of the cervical spine further include one or a combination of evaluation and treatment options for the user to select according to the patient's symptoms.

The breathing sub-options further include one or a combination of evaluation and treatment options for the user to select according to the patient's symptoms.

The sub-options of the spontaneous heartbeat further include one of evaluation, treatment, or a combination thereof, for the user to select according to the patient's symptoms.

The bleeding sub-options further include one of evaluation, bleeding location, blood source, treatment, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options of the consciousness further include detailed options for assessing consciousness, type, current coma index (Glasgow Coma Scale) score, pupil size and presence or absence of light reflection, treatment of one or any combination thereof, for the user to follow the patient Click on the symptoms of.

As shown in the seventh figure, the main options of this secondary assessment are to display current and past medical history assessments. The primary options of this secondary assessment further include medical history (AMPLE), pain and discomfort, abdominal pain or gynecological diseases, trauma, travel history, poisoning One or any combination of sub-options can be selected by the user according to the patient's symptoms.

As shown in the eighth figure, the sub-options of the medical history [AMPLE] further include whether there is a history of drug allergy, whether you are currently taking other drugs, whether there is a history of chronic medical and surgical diseases in the past, emergency surgery or the need for immediate NPO examination, and before the accident There are detailed options of whether there are other special events or abnormalities, whether there is a history of smoking in the past, whether there is a history of drinking in the past, or any combination thereof, for the user to select according to the patient’s symptoms.

The sub-options for pain and discomfort further include factors that cause pain, source of pain, factors that aggravate pain, factors that reduce pain, nature of pain, part of the first pain, location of current pain, whether there is a source of pain rebound or return Pain, whether the pain is transferred to other parts, the degree of pain, the degree of pain, how long the pain is, whether the pain continues, whether the pain is accompanied by one of other symptoms or any combination of them, for the user to choose according to the patient’s symptoms Click.

The sub-options for abdominal pain or gynecological diseases further include one or any combination of the approximate date of the most recent menstruation, the flow rate, the number of days, and the history of pregnancy and delivery, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options of the trauma further include whether there are other injured persons in the same accident, the time of the accident, the type of the accident, the location of the accident, the object related to the trauma, the modified trauma index (RTS), and the current trauma severity score (ISS). Or any combination of detailed options for the user to select according to the patient's symptoms.

The sub-options of the travel history further include whether the patient has a history of going abroad, whether the patient has a domestic travel record, whether the family has a travel record abroad, whether the family has a domestic travel record, whether they have been in contact with special people during travel, and whether relatives, friends, and colleagues who live together are infected with infectious diseases. The detailed options of one of the disease, the presence or absence of pets, or any combination thereof can be selected by the user according to the patient's symptoms.

The poisoning sub-options further include the cause of the poison, the name of the contact poison, the dose of the contact poison, the time of contact with the poison, how long is the time since the current consultation, the poisoning route, whether other substances are used at the same time, and whether there has been an emergency treatment due to contact with the poison. Or any combination of detailed options for the user to select according to the patient's symptoms.

As shown in the seventh figure, the main options of this secondary assessment and treatment are to display the in-depth assessment and treatment of emergency ABCD (airway, breathing, circulation). The main options of this secondary assessment and treatment further include respiratory tract, breathing, and circulation. One or any combination of sub-options for the user to select according to the patient's symptoms.

As shown in the ninth figure, the sub-options of the respiratory tract further include assessing whether there are foreign bodies, whether the tongue is receded, whether there are external influence factors, whether there are disease influence factors, whether there is medical blockage or slippage, treatment of one or any of them A combination of detailed options for the user to select according to the patient’s symptoms.

This breathing sub-option further includes assessing whether there is an open wound in the chest, breathing rate, breathing depth, breathing rhythm, breathing volume, breathing sound quality, appearance of the mouth and lip mucosa, whether to use respiratory assist muscles, whether to breathe with mouth open, and whether to raise the head of the bed To maintain respiration, the blood draw value of arterial gas [AMG] before and after oxygen use, the blood oxygen concentration [SpO2] value of pulse oximetry before and after oxygen use [Pulse oximetry], and the detailed options of one or any combination of them, For the user to select according to the patient’s symptoms.

The sub-options of the cycle further include assessment of heart rate, heart rhythm, pulse pressure, blood pressure, capillary filling time, jugular vein pressure, skin and mucous membrane pattern, peripheral tissue perfusion, urine output, treatment of one or any combination thereof Detailed options for the user to select according to the patient’s symptoms.

As shown in the seventh figure, the main options of the head-to-toe assessment and treatment show the in-depth assessment and treatment of the patient's whole body. The main options of the head-to-toe assessment and treatment further include the whole body skin, head and face, eyes, ears, and nose. , Throat, chest, abdomen and pelvic cavity, limbs, back, common test one or any combination of sub-options for the user to select according to the patient’s symptoms.

As shown in the tenth figure, the sub-options of the whole body skin further include detailed options for evaluating color, integrity, wound type, humidity, skin lesions, other related evaluations, possible causes, treatment, or any combination thereof. For the user to select according to the patient’s symptoms.

The sub-options of the head and face further include detailed options for evaluating the head, face and cheeks, the appearance of the lip mucosa, the jaw, the presence or absence of tenderness, other related assessments, possible causes, treatments, or any combination thereof, for the user Click according to the patient’s symptoms.

The sub-options of the eye further include one of evaluation appearance, visual field evaluation, vision, possible cause, treatment, or any combination thereof, for the user to select according to the patient's symptoms.

The ear’s sub-options further include evaluation of appearance, presence or absence of abnormal secretions, presence or absence of tinnitus, presence or absence of Battle's sign, other related evaluations, possible causes, treatment of one or any combination thereof, for the purpose of this The user selects according to the patient's symptoms.

The nasal sub-options further include detailed options for evaluating appearance, presence or absence of abnormal secretions, nose hair, other related assessments, possible causes, treatments, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options for the neck of the larynx further include detailed options for assessing appearance, activity status, carotid arterial noise (bruits), lymph nodes, tenderness, other related assessments, possible causes, treatments, or any combination thereof. For the user to select according to the patient’s symptoms.

The sub-options of the chest cavity further include evaluation of the appearance of the chest, the symmetry of chest undulations, bilateral breathing volume, breathing sound quality, heart sounds, lung percussion sounds, palpation, tactile tremor, presence or absence of tenderness, other related assessments, possible causes, and treatment One or any combination of the detailed options can be selected by the user according to the patient's symptoms.

The sub-options of the abdominal cavity and pelvic cavity further include assessing the appearance of the navel, overall appearance, bowel movement rate, abdominal tapping sound, touch pressure, defecation pattern, urination pattern, pelvic weight qualitative, and whether there is straddling injury. Straddle injury], perineum condition, anus appearance, digital anus examination, other related assessments, possible causes, treatments, or any combination of these options for the user to select according to the patient’s symptoms.

The sub-options of the limbs further include evaluation of appearance, perception, skin color of the affected limb, presence or absence of edema, activity, pain of movement, peripheral pulse intensity, presence of Babinski's reflex, muscle strength detection (Muscle power) Scale], other related assessments, possible causes, and treatment options, or any combination thereof, for the user to select according to the patient’s symptoms.

The sub-options of the back further include detailed options of assessing appearance, presence or absence of tenderness, other related assessments, possible causes, treatment, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options of this common test further include complete blood count (CBC), inflammation-related tests, diabetes test, blood fat test (Blood lipid), liver function test (LFT), kidney function test (RFT), pancreatic function test, Electrolyte test (Electrolytes), myocardial biochemical markers (cardiac biomarker), routine urine examination (U/A), routine stool examination (S/R) or any combination of the detailed options, for the user to follow the Click on the patient's symptoms.

As shown in Figure 11, the main options of the psychosocial assessment and treatment further include sub-options of one or a combination of psychological needs assessment and socioeconomic needs assessment for the user to select according to the patient's symptoms.

As shown in the twelfth figure, the sub-options of the psychological needs assessment further include the methods used to deal with health problems in the past, whether this emergency visit caused stress, emotional state, cognition of the disease, and expectations for this disease , The ability to solve problems or difficulties, the situation of seeking resources when you need assistance, whether you are a special high-risk group, whether there is chaotic behavior, emotion or thinking, whether there is a problem of self-harm/suicide, whether there is a problem of hurting others, whether there is escape One of the hazards or any combination of detailed options for the user to select according to the patient's symptoms.

The sub-options of the socio-economic needs assessment further include detailed options such as economic status, family interaction status, nursing manpower status, possible causes, treatment, or any combination thereof, for the user to select according to the patient’s symptoms .

As shown in Figure 11, the main options of the medical treatment guidelines further include medical advice (drugs), respiratory system, nervous system, cardiovascular system, digestive system, hepatobiliary and pancreatic system, urinary system, endocrine system, skin system, electrolytes Imbalance, musculoskeletal system, infectious disease, poison or poisoning, one of the other or any combination of sub-options for the user to select according to the patient’s symptoms.

As shown in Figure 13, the sub-options of the medical order [medicine] further include one or any combination of intravenous, emergency medication, and commonly used injections, for the user to select according to the patient's symptoms.

The sub-options of the respiratory system further include rib fractures and sill chest, hemothorax, pneumothorax, pleural effusion, empyema, asthma, chronic obstructive pulmonary disease, acute respiratory failure, pneumonia, or lung abscess, or any combination thereof. Options for the user to select according to the patient’s symptoms.

The sub-options of the nervous system further include one of head trauma, cerebrovascular accident, epilepsy, spinal injury, meningitis, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options of the cardiovascular system further include one of hypertension or malignant hypertension, congestive heart failure and pulmonary edema, arrhythmia, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options of the digestive system further include one or any combination of upper gastrointestinal bleeding, lower gastrointestinal bleeding, peptic ulcer, acute gastritis or acute enteritis, appendicitis, peritonitis, intestinal obstruction, or any combination thereof, for the user Click according to the patient’s symptoms.

The sub-options of the hepatobiliary and pancreatic system further include one or any combination of acute hepatitis, hepatic cerebral coma, ascites, or spontaneous bacterial peritonitis, for the user to select according to the patient's symptoms.

The urinary system sub-options further include acute renal failure, urinary tract infection, acute pyelonephritis, acute glomerulonephritis, urinary calculi, or any combination thereof, so that the user can select according to the patient’s symptoms. select.

The sub-options of the endocrine system further include one of hypoglycemia, diabetic ketoacidosis, hyperglycemia and hyperosmotic state or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options of the skin system further include one or a combination of cellulitis, burns and scalds, for the user to select according to the patient's symptoms.

The electrolyte imbalance sub-option further includes one of hyponatremia, hyperkalemia, hypokalemia, and hypocalcemia, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options of the musculoskeletal system further include the evaluation of the affected limb neurovascular function, important diagnostic indicators, other, treatment and control of pain, control or prevention of comorbidities and injuries, one of the other or any combination of detailed options, for The user clicks according to the patient's symptoms.

The sub-options of the infectious disease further include one or any combination of dengue fever, influenza, human immunodeficiency virus, for the user to select according to the patient's symptoms.

The poison or poisoning sub-item further includes one of carbon monoxide poisoning, snake bite, organophosphorus poisoning, paraguay poisoning, or any combination thereof, for the user to select according to the patient's symptoms.

The other sub-options further include one of other 1, other 2, other 3, or any combination thereof, for the user to select according to the patient's symptoms.

As shown in Figure 11, the main options of the care treatment decision further include ventilation, stimulation, body fluids and electrolytes, pain, skin integrity, mobility, nutrition, communication, psychosocial, other one or any combination thereof For the user to select according to the patient’s symptoms.

As shown in Figure 14, the sub-options for ventilation further include one or any combination of gas exchange disorders, inefficient breathing patterns, airway clearance failure, potentially dangerous lung inhalation, or any combination thereof. The user clicks according to the patient's symptoms.

The sub-options of the stimulus further include one of or any combination of decreased intracranial adaptability and sensory perception changes (vision, hearing, orientation, taste, touch, smell (specificity)) for the user Click according to the patient’s symptoms.

The fluid and electrolyte sub-options further include excess fluid volume, lack of fluid volume, changes in tissue perfusion (brain, heart, lung, gastrointestinal, kidney, peripheral (specific)), reduced cardiac output, potentially dangerous poisoning, and potentially dangerous infection , Urinary disorder, urine retention, diarrhea, stool loops, hyperthermia, hypothermia, or any combination of fine options for the user to select according to the patient’s symptoms.

The pain sub-options further include acute or chronic pain, patient complaints, objective data (assessment), related factors, nursing treatments, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-item of skin integrity further includes one or a combination of items of impaired skin integrity and tissue integrity, for the user to select according to the patient's symptoms.

The sub-item of the activity ability further includes one or a combination of physical motor dysfunction, activity intolerance, for the user to select according to the patient's symptoms.

The nutritional sub-options further include one or a combination of detailed options including imbalanced nutritional status, patient complaints, objective data (assessment), related factors, and nursing care for the user to select according to the patient's symptoms.

The communication sub-options further include one or a combination of acute confusion, ineffective response ability, non-adherence, and lack of knowledge, for the user to select according to the patient's symptoms.

The psychosocial sub-options further include one or a combination of anxiety, fear, hopelessness, self-mutilation, social isolation, social interaction disorder, and complicated family operation process, for the user to select according to the patient’s symptoms. select.

The other sub-options further include rape trauma syndrome, post-traumatic syndrome, parental dysfunction, other 1, other 2, other 3, or a combination of detailed options, for the user to select according to the patient’s symptoms .

The arithmetic unit (4) is built in the server host (1), and the arithmetic unit (4) is connected to the menu module (3) with signals for receiving the client electronic device (A) The user selects the menu items of the main options, sub-options, and sub-options selected according to the patient’s symptoms, and then outputs a summary information (41) (as shown in the fifteenth figure), a Assessment result information (42) (as shown in figure 16), a coma index information (43) (as shown in figure 17) and a graphical wound information (44) (as shown in figure 18) ].

The summary module (5) is built in the server host (1), and the summary module (5) is connected to the arithmetic unit (4) by signal to receive the summary information (41) and display it In the operation interface (2). As shown in Figure 15, the content displayed in the summary information (41), for example, based on the patient’s symptoms, the user clicks the primary option of the primary assessment, then clicks the cardiovascular sub-option, and then After clicking the heartbeat stop sub-option, the computing unit (4) will display the symptom in the summary information (41) according to the duration of the selected heartbeat stop sub-option (for example, 30 minutes). This allows the user of the client electronic device (A) to clearly understand various symptoms of the patient.

The evaluation result module (6) is built in the server host (1), and the evaluation result module (6) is signally connected to the computing unit (4) for receiving the evaluation result information (42) , And immediately displayed on the operation interface (2). As shown in Figure 16, the content displayed in the assessment result information (42) is based on the symptoms that require special attention and emergency treatment, and a recommended treatment strategy is proposed. The recommended treatment strategy includes the most likely disease and the one that should be activated. One of the process, the department of the physician, the inspection items that should be performed, and the follow-up evaluation, or any combination thereof. For example, after the user clicks on the primary option of the primary assessment based on the patient’s symptoms, then clicks on the secondary option of the nerve, and then clicks on the detailed option of limb weakness, the computing unit (4) is based on the limb weakness. The importance of different parts (such as the left hand and left foot) selected by the detailed options, and the calculation determines that the patient’s symptoms are suspected of stroke, the assessment result information of the suspected stroke will be output (42), and appropriate Suggested treatment measures, such as indicating that the stroke care process should be initiated, the neurologist should be consulted, and the brain CT examination should be arranged, and if the embolic stroke is diagnosed, it is evaluated whether it is in line with the injection of thrombolytic agents. This allows the user of the client electronic device (A) to pay special attention to the patient’s emergency situation during an emergency, and immediately perform emergency treatment according to the suggested treatment measures displayed by it to avoid delays in seeking treatment. opportunity.

For another example, the user clicks the primary option of the primary assessment based on the patient’s symptoms, then clicks the cardiovascular sub-option, and then clicks the chest pain/chest distress sub-option, the computing unit (4) According to the detailed options of chest pain/chest tightness, there are metastatic pain, location (such as neck and shoulder), and how long it has occurred. When the calculation determines that the patient’s symptoms are suspected of myocardial infarction, the output of suspected myocardial infarction will be output. The evaluation result information (42), and provide appropriate recommended treatment measures, for example, please perform an electrocardiogram (EKG) examination within 10 minutes of admission. If the ECG is STEMI, the emergency physician will initiate the acute myocardial infarction care process and urgently consult the cardiac catheterization team Or a cardiologist, and go directly to the cardiac catheterization laboratory for coronary artery balloon dilatation (PTCA) within 20 minutes of admission.

For another example, after the user clicks the primary option of the secondary assessment based on the patient’s symptoms, then clicks the secondary option of the trauma, and then clicks the detailed option of the accident type, the computing unit (4) according to When the selected cause of the accident type is judged by the calculation to be a high-risk trauma, the evaluation result information of the high-risk trauma will be output (42), and appropriate recommended treatment countermeasures will be provided.

The coma index module (7) is built in the server host (1), and the coma index module (7) is connected to the computing unit (4) with a signal for receiving the coma index information (43) , And immediately displayed on the operation interface (2). As shown in Figure 17, the content displayed by the coma index information (43), for example, the user clicks the primary option of the primary assessment and treatment based on the patient’s symptoms, and then clicks the secondary option of the consciousness. Then click on the detailed option of the current coma index [Glasgow Coma Scale] score, and the calculation unit (4) will respond according to the different selected options of the current coma index [Glasgow Coma Scale] score (such as opening eyes) The importance of response, optimal upper limb movement response, language response], and calculate the score of the patient’s coma index, and output the coma index information (43) for the user of the client electronic device (A) The coma status of the patient can be immediately known, so that the coma status of the patient can be grasped.

For another example, the user clicks on the primary option of the primary assessment based on the patient’s symptoms, then clicks on the secondary option of the basic data, and then clicks on the height and body mass index [BMI] or the ideal weight value [IBW]. After fine selection, the computing unit (4) calculates and judges the obesity index score of the patient according to the selected fine option, and outputs the body position index information for the user of the client electronic device (A) You can know the patient's posture immediately.

For another example, the user clicks the primary option of the secondary assessment based on the patient’s symptoms, then clicks the secondary option of the trauma, and then clicks the modified trauma index [RTS] or the current trauma severity score [ISS After the detailed options of ], the computing unit (4) calculates and judges the score of the patient’s trauma index according to the selected detail, and outputs the trauma index information for the client electronic device (A) The user can immediately know the trauma status of the patient.

For another example, the user clicks the main option of head-to-toe assessment and treatment based on the patient's symptoms, then clicks the sub-option of the limbs, and then clicks the detailed option of the muscle strength detection, the computing unit ( 4) According to the selected item, calculate and judge the score of the patient’s muscle strength index, and output the muscle strength index information so that the user of the client electronic device (A) can immediately know the patient’s Muscle strength status.

In this way, with the emergency care information decision-making system of the present invention, all users (including emergency medical staff, medical staff, students, etc.) can quickly understand the symptoms and conditions of patients, and can provide suggestions for treatment measures. Treatment, in order to achieve the purpose of improving the efficiency of emergency department. Especially when it is suitable for medical staff to handover shifts, they can understand in the shortest time and can grasp the condition of the patient.

Furthermore, the present invention can construct an image case of a standard emergency patient clinical situation in the menu module (3), and display it on the menu screen (31) for the user to watch and learn after clicking. This imaging case includes important cases commonly seen in emergency departments, such as acute myocardial infarction (AMI), cerebrovascular accident (CVA), asthma (Asthma), diabetic ketoacidosis (DKA), trauma (trauma), and acute cholecystitis (Acute cholecystitis) Six major imaging cases, which are the complete process of emergency medical procedures from injury inspection to treatment room, etc., so that users can click and watch to familiarize themselves with the emergency care status, and through image evaluation exercises, they can be familiar with The overall architecture content of the present invention.

Based on the description of the above embodiments, when the operation and use of the present invention and the effects of the present invention can be fully understood, the above embodiments are only the preferred embodiments of the present invention, and the implementation of the present invention cannot be limited by this. The scope, that is, simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the content of the description of the invention, are all within the scope of the present invention.

1: Server host 2: Operation interface 3: Menu module 31: Menu screen 4: Operation unit 5: Summary module 6: Evaluation result module 7: Coma Index Module 8: Graphical module 41: Summary information 42: Evaluation result information 43: Coma Index Information 44: Graphical wound information A: Client electronic device

[The first figure] is a system configuration diagram of an embodiment of the present invention.

[The second figure] is a schematic diagram of a screen of emergency care information according to an embodiment of the present invention.

[Third Figure] is a schematic diagram of the main options of primary evaluation, primary evaluation, and disposal according to an embodiment of the present invention.

[Fourth figure] is a schematic diagram of a screen of the content of the sub-options of the basic data of the embodiment of the present invention.

[Fifth Figure] is a schematic diagram of the content of the sub-options of breathing according to the embodiment of the present invention.

[Figure 6] is a schematic diagram of the content of the sub-options of the respiratory tract according to the embodiment of the present invention.

[Figure 7] is a schematic diagram of the main options of secondary evaluation, secondary evaluation and treatment, and head-to-toe evaluation and treatment according to the embodiment of the present invention.

[Figure 8] is a schematic diagram of the content of the sub-options of the medical history [AMPLE] in the embodiment of the present invention.

[Figure 9] is a schematic diagram of the content of the sub-options of the respiratory tract according to the embodiment of the present invention.

[Figure 10] is a schematic diagram of the sub-option content of the whole body skin according to the embodiment of the present invention.

[Figure 11] is a schematic diagram of the main options of psychosocial assessment and treatment, medical treatment guidelines, and nursing treatment decision-making in an embodiment of the present invention.

[Figure 12] is a schematic diagram of the content of the sub-options of the psychological needs assessment of the embodiment of the present invention.

[Figure 13] is a schematic diagram of the content of the sub-options of the medical order [medicine] according to the embodiment of the present invention.

[Figure 14] is a schematic diagram of the content of the sub-options for ventilation according to the embodiment of the present invention.

[Figure 15] is a schematic diagram of the content of the summary information according to an embodiment of the present invention.

[Figure 16] is a schematic diagram of the content of the summary information according to an embodiment of the present invention.

[Figure 17] is a schematic diagram of the content of the coma index information according to an embodiment of the present invention.

[Figure 18] is a schematic diagram of the content of the graphical wound information according to an embodiment of the present invention.

[Figure 19] is a block diagram of the main options and sub-options of the system according to the embodiment of the present invention.

1: Server host

2: Operation interface

3: Menu module

4: Operation unit

5: Summary module

6: Evaluation result module

7: Coma Index Module

8: Graphical module

A: Client electronic device

Claims (10)

An emergency nursing information decision-making system, including: A server-side host is used to connect at least one client electronic device. The server-side host generates an operating interface, which is built on the screen of the client electronic device and displays emergency care information for The user terminal electronic device performs click input according to a patient's symptoms; A menu module is built in the server host. The menu module is a signal connected to the operation interface for displaying a menu screen on the operation interface. The menu content displayed on the menu screen contains a primary Assessment, a primary assessment and treatment, a primary assessment and treatment, a head-to-toe assessment and treatment, a psychosocial assessment and treatment, a medical treatment guide, a nursing treatment decision or any combination thereof Main option An arithmetic unit is built in the server host, the arithmetic unit is signal connected to the menu module for receiving the main options selected by the electronic device on the client side, and outputting a summary information after arithmetic processing , An assessment result information, a coma index information and a graphical wound information, the content displayed in the summary information is based on the symptoms selected by the client electronic device for the patient, and the content displayed in the assessment result information , Based on the symptoms selected by the user-side electronic device for the patient, propose a recommended treatment strategy, the recommended treatment strategy includes the most likely disease, the process that should be started, the department of the physician, the examination items that should be performed, In the subsequent evaluations, one or any combination thereof, the content displayed by the coma index information is calculated to determine the patient’s coma index score based on the different responses of the client electronic device to the patient’s clicks, the figure The content displayed in the visualized wound information is based on the wound type selected by the client electronic device for the patient, and the wound type is correspondingly displayed on a human body image on the front and back sides; A summary module is built in the server host, and the summary module is signal-connected to the arithmetic unit for receiving the summary information and displaying it on the operating interface; An evaluation result module is built in the server host, and the evaluation result module is signally connected to the arithmetic unit for receiving the evaluation result information and displaying it on the operation interface; A coma index module is built in the server host, and the coma index module is a signal connected to the arithmetic unit for receiving the coma index information and displaying it on the operating interface; An imaging module is built in the server host, and the imaging module is signally connected to the arithmetic unit for receiving the imaging wound information and displaying it on the operating interface. The emergency care information decision-making system according to claim 1, wherein the main option of the primary assessment is to display the main complaint or the reason for requesting a doctor, and the main option of the primary assessment further includes basic information, respiration, cardiovascular, digestion, nerve, and bone A secondary option of one of muscle, urinary, skin, general and other, trauma, or any combination thereof. The primary option of the primary assessment and treatment is to display the rapid assessment and treatment of emergency ABCD (airway, breathing, heartbeat, consciousness). The main options for primary assessment and treatment further include sub-options of one of respiratory tract, cervical spine, respiration, spontaneous heartbeat, hemorrhage, consciousness, or any combination thereof. The main options of the second-level assessment further include medical history, pain and discomfort, abdominal pain or gynecological diseases, trauma, travel history, poisoning, or any combination thereof. Respiration, circulation] in-depth assessment and treatment, the main options of this secondary assessment and treatment further include one or any combination of sub-options of respiratory tract, respiration, and circulation. The main option of head-to-toe assessment and treatment is to display the In-depth assessment and treatment of the patient's whole body. The main options of this head-to-toe assessment and treatment further include whole body skin, head and face, eyes, ears, nose, throat and neck, chest, abdomen and pelvis, limbs, back, and one of the common tests Or any combination of sub-options. The main option of psychosocial assessment and treatment further includes one or a combination of sub-options of psychological needs assessment and socio-economic needs assessment. The main option of the medical treatment guidelines further includes a medical order (drug) , Respiratory system, nervous system, cardiovascular system, digestive system, hepatobiliary and pancreatic system, urinary system, endocrine system, skin system, electrolyte imbalance, skeletal and muscular system, infectious disease, poison or poisoning, other one or any of them Combined sub-options, the main options of the care treatment decision further include sub-options of ventilation, stimulation, body fluids and electrolytes, pain, skin integrity, mobility, nutrition, communication, psychosocial, one of the other or any combination thereof . Such as the emergency care information decision-making system of claim 2, wherein the sub-options of the basic data further include medical record number, name, age, gender, identity, date and time of arrival, department, emergency diagnosis, emergency bed number, arrival Hospital method, classification of injuries, vital signs, religious beliefs, education level, marital status, height, weight, height and body mass index (BMI), ideal weight value (IBW), one of the sources or any combination of detailed options, the The breathing sub-option further includes one of abnormal breathing, respiratory arrest, coughing, hyperventilation, foreign body in the respiratory tract, allergic reaction, chest pain, fever, other complaints or any combination thereof. The cardiovascular sub-option further Including cardiac arrest, chest pain/chest tightness, palpitations/irregular heartbeat, changes in blood pressure, abnormal breathing, decreased urine output, pitting edema, limb abnormalities, general symptoms, other complaints, or any combination of detailed options, the digestion The sub-options further include stool loops, diarrhea, foreign body in the rectum, abdominal pain and discomfort, nausea, vomiting, abnormal stool color, jaundice, hiccups, swallowing foreign bodies, poor appetite, dysphagia, abdominal bloating, weakness, and other complaints among them One or any combination of sub-options, the sub-options of the nerve further include changes in consciousness/unconsciousness, acute confusion, dizziness (turn around), dizziness, headache, convulsions, weakness, gait instability, tremor, perception/feeling Abnormal or loss, changes in communication style, changes in vision, changes in hearing, changes in urinary and urinary patterns, general symptoms, FAST symptoms of stroke, other complaints, or any combination of the detailed options, the skeletal and muscle sub-options are further Sub-options including limb pain, joint swelling, muscle pain, and other complaints or any combination thereof. The urinary sub-options further include changes in urination pattern, pain and discomfort, fever, chills, abnormal genital secretions, and other complaints One or any combination of the sub-options, the sub-option of the skin further includes one of blood/body fluid exposure, itching, rash, lumps, cyanosis, spontaneous ecchymosis, foreign body, general symptoms, other main complaints, or Any combination of detailed options. The general and other sub-options further include exposure to infectious diseases (asymptomatic), fever, chills, hyperglycemia, hypoglycemia, other abnormal blood test values, abnormal examinations, referral, and conduct Image examination, medical device problems, request to issue a medical certificate, request to prescribe medication, paleness or anemia, other main complaints, or any combination of them. The secondary options of the trauma further include blunt trauma and puncture trauma. , Major injuries confirmed by trauma, head trauma, facial trauma, eye trauma, nose trauma, ear trauma, neck trauma, chest trauma, abdominal trauma, pelvic trauma, lumbar trauma, back trauma, perineal trauma, genitals One or a combination of trauma, limb muscle trauma, skin trauma, and general trauma. The respiratory tract sub-option further includes one or a combination of evaluation and treatment options. The cervical spine sub-option further includes evaluation, Dispose of one or a combination of them The sub-option of the breathing further includes one or a combination of evaluation and treatment options, the sub-option of the spontaneous heartbeat further includes one or a combination of evaluation, treatment options, the bleeding time The options further include detailed options of assessment, bleeding site, blood source, treatment, or any combination thereof. The sub-options of this consciousness further include assessment of consciousness, type, current coma index score, pupil size and presence or absence of light reflection, and treatment. One or any combination of detailed options. The sub-options of the medical history further include whether there is a history of drug allergy, whether you are currently taking other drugs, whether there is a history of chronic internal medicine and surgery in the past, emergency surgery or the need for immediate NPO examination, and before the accident There are other special events or abnormalities, whether there is a history of smoking in the past, whether there is a history of drinking in the past, or any combination thereof. The sub-options for pain and discomfort further include factors that cause pain, sources of pain, and factors that aggravate pain , The factors that reduce the pain, the nature of the pain, the part of the first pain, the location of the current pain, whether there is a source of pain rebound or retraction pain, whether the pain is transferred to other parts, the degree of pain, the degree of pain, how long the pain is, whether the pain is Continuous, pain is accompanied by one of the other symptoms or any combination of detailed options, the sub-options of the abdominal pain or gynecological disease further include the date of the most recent menstrual period, the flow rate, the number of days, pregnancy and birth history or one of them Any combination of detailed options. The trauma sub-options further include whether there are other injured persons in the same accident, the time of the accident, the type of the accident, the location of the accident, the objects related to the trauma, the improved trauma index, and one of the current trauma severity scores. Or any combination of the detailed options. The sub-options of the travel history further include whether the patient has a history of going abroad, whether the patient has a domestic travel record, whether the family has a travel record abroad, whether the family has a domestic travel record, whether they have been in contact with special people and things during travel, and live together. A detailed selection of whether your relatives, friends, or colleagues suffer from infectious diseases, whether you have pets, or any combination of them. The poisoning sub-options further include the cause of the poison, the name of the poison, the dose of the poison, the time of contact with the poison, and the distance to the doctor. How long is the time, the route of poisoning, whether other substances are used at the same time, whether one or any combination of them has been urgently dealt with due to exposure to poisons, the sub-options of the respiratory tract further include assessing whether there are foreign bodies, whether the tongue is receded, and whether there is outside Influencing factors, whether there is disease influencing factors, whether there is medical blockage or slippage, treatment one or any combination of them, the sub-option of breathing further includes evaluating whether there is an open wound in the chest, breathing rate, breathing depth , Respiratory rhythm, breathing volume, breathing sound quality, appearance of lip mucosa, whether to use respiratory auxiliary muscles, whether to breathe with mouth open, whether to raise the head of the bed to maintain breathing, blood draw value of arterial gas before and after oxygen, pulse blood oxygen before and after oxygen Saturation blood oxygen concentration value, treatment of one or any combination of the fine options, the cycle's sub-options further include evaluation of heart rate, heart rhythm, pulse The sub-options of one or any combination of pressure, blood pressure, capillary filling time, jugular venous pressure, skin and mucous membrane pattern, peripheral tissue perfusion, urine output, treatment, and any combination thereof. The sub-options of the whole body skin further include evaluating color and integrity , Wound type, humidity, skin lesions, other related assessments, possible causes, treatments, or any combination of the fine options. The sub-options of the head and face further include the evaluation of the head, face and cheeks, the appearance of the lip mucosa, and the jaw , The presence or absence of tenderness, other related assessments, possible causes, treatment of one or any combination of detailed options, the eye's sub-options further include assessment of appearance, visual field assessment, visual acuity, possible causes, treatment or one of them Any combination of detailed options. The sub-options of this ear further include the detailed options of assessing appearance, presence or absence of abnormal secretions, presence or absence of tinnitus, presence or absence of Bartel’s sign, other related assessments, possible causes, treatment of one or any combination thereof, the The sub-options of the nose further include the detailed options of assessing appearance, presence or absence of abnormal discharge, nose hair, other related assessments, possible causes, treatment, or any combination thereof. The sub-options of the throat and neck further include assessing appearance, activity status, The presence or absence of carotid artery noise (bruits), lymph nodes, tenderness or not, other related assessments, possible causes, treatment of one or any combination of them, the sub-options of the chest cavity further include the evaluation of the appearance of the chest, the symmetry of the chest ups and downs , Bilateral breathing volume, breathing sound quality, heart sounds, lung percussion sounds, palpation, tactile tremor, tenderness, other related assessments, possible causes, treatment of one or any combination of detailed options, the abdominal cavity and bone The sub-options of the pelvic cavity further include evaluating the appearance of the navel, overall appearance, bowel movement rate, abdominal percussion diagnosis, touch pressure, defecation pattern, urination pattern, pelvic scale qualitative, whether there is straddle injury, perineal condition, Anal appearance, digital anus examination, other related assessments, possible causes, treatments, or any combination of them. The sub-options of the limbs further include assessment of appearance, perception, skin color of the affected limb, presence or absence of edema, mobility, and whether Activity pain, peripheral pulse intensity, whether there is a Babinski reflex, muscle strength testing, other related assessments, possible causes, treatment of one or any combination of detailed options, the back option further includes assessing appearance , The presence or absence of tenderness, other related assessments, possible causes, treatment of one of them, or any combination of detailed options. The sub-options of this common test further include complete blood count, inflammation-related tests, diabetes tests, blood fat tests, liver Functional examination, renal function examination, pancreatic function examination, electrolyte examination, myocardial biochemical markers, routine urine examination, routine stool examination, or any combination of detailed options. The sub-options of the psychological needs assessment further include those commonly used in the past The way to deal with health problems, whether the emergency visit caused stress, emotional state, cognition of the disease, expectations of the disease, the ability to solve problems or difficulties, the situation of seeking resources when assistance is needed, whether it is a special high risk Ethnic group, whether there are chaotic behaviors, emotions Thread or thinking, whether there is a problem of self-injury/suicide, whether there is a problem of harming others, whether there is a danger of escape, or any combination of the detailed options. The sub-options of the socio-economic needs assessment further include economic status, family The detailed options of one of interaction status, nursing manpower status, possible cause, treatment, or any combination thereof. The sub-options of the medical order (medicine) further include one of intravenous, emergency medication, and commonly used injections, or any combination thereof. , The sub-options of the respiratory system further include one of rib fractures and flail chest, hemothorax, pneumothorax, pleural effusion, empyema, asthma, chronic obstructive pulmonary disease, acute respiratory failure, pneumonia, or lung abscess, or any combination thereof The sub-option of the nervous system further includes one of head trauma, cerebrovascular accident, epilepsy, spinal injury, meningitis, or any combination thereof. The sub-option of the cardiovascular system further includes hypertension or malignancy Sub-options of one or any combination of hypertension, congestive heart failure and pulmonary edema, arrhythmia, the sub-options of the digestive system further include upper gastrointestinal bleeding, lower gastrointestinal bleeding, peptic ulcer, acute gastritis or acute Enteritis, appendicitis, peritonitis, intestinal obstruction, one or any combination of sub-options, the sub-options of the hepatobiliary pancreatic system further include acute hepatitis, hepatic cerebral coma, ascites or spontaneous bacterial peritonitis or any one of them The sub-options of the combination, the sub-options of the urinary system further include one of acute renal failure, urinary tract infection, acute pyelonephritis, acute glomerulonephritis, urinary tract stones, or any combination thereof, sub-options of the endocrine system It further includes one of hypoglycemia, diabetic ketoacidosis, hyperglycemia and hyperosmotic state, or any combination thereof, and the sub-option of the skin system further includes one or a combination of cellulitis, burns and scalds. Option, the electrolyte imbalance sub-option further includes one of hyponatremia, hyperkalemia, hypokalemia, and hypocalcemia, or any combination thereof, the sub-option of the musculoskeletal system further includes evaluating the nerves of the affected limb Affected vascular function, important diagnostic indicators, other, treatment and control of pain, control or prevention of comorbidities and injuries, one of the other or any combination of detailed options, the sub-options of this infectious disease further include dengue fever, influenza, humans The sub-options of one of the immunodeficiency viruses or any combination thereof, the sub-options of the poison or poisoning further include one of carbon monoxide poisoning, snake bite, organophosphorus poisoning, paraguay poisoning, or any combination thereof, the other The sub-option of further includes one of other 1, other 2, other 3, or any combination thereof. The sub-option of ventilation further includes gas exchange disorder, inefficient breathing pattern, failure of airway clearance, and potential danger The sub-options of one or any combination of sexual pulmonary inhalation. The sub-options of the stimulation further include one or any of decreased intracranial adjustment ability, sensory perception changes (vision, hearing, orientation, taste, touch, smell) The combination of fine options, the second choice of body fluids and electrolytes The items further include excess body fluid volume, loss of body fluid volume, changes in tissue perfusion (brain, heart, lung, gastrointestinal, kidney, peripheral), decreased cardiac output, potentially dangerous poisoning, potentially dangerous infection, urination disorder, urinary retention, diarrhea , Stool, hyperthermia, hypothermia, or any combination of the fine options, the pain sub-options further include acute or chronic pain, patient complaints, objective data, related factors, nursing treatment or one of them Any combination of fine options, the sub-options for skin integrity further include one or a combination of damaged skin integrity and tissue integrity, and the sub-options for mobility further include physical motor dysfunction, mobility The sub-options of one or a combination of impatience, the nutritional sub-options further include one or a combination of the nutritional imbalance, patient complaints, objective data, related factors, nursing treatment, and a combination of sub-options. The communication sub-options It further includes one or a combination of acute confusion, ineffectiveness coping ability, non-directiveness, lack of knowledge, or a combination thereof. The psychosocial sub-options further include anxiety, fear, hopelessness, self-mutilation, social isolation, social interaction disorder , One or a combination of detailed options of the complicated family operation process. The other sub-options further include rape trauma syndrome, post-traumatic syndrome, parental dysfunction, other 1, other 2, other 3, or a combination thereof The sub-options, according to the sub-options, one of the sub-options, or any combination thereof selected by the client electronic device for the patient, will display the symptom in the summary information. For example, the emergency care information decision-making system of claim 3, in which, after clicking the primary option of the primary assessment, then clicking the secondary option of the nerve, and then clicking the detailed option of limb weakness, the computing unit is based on the limb weakness. The importance of the different parts selected by the detailed options, and the calculation determines that the patient’s symptoms are suspected of stroke, the assessment result information of the suspected stroke will be output, and the recommended treatment countermeasures will be provided. Such as the emergency care information decision-making system of claim 3, wherein, after clicking the primary option of the primary assessment, then clicking the cardiovascular sub-option, and then clicking the detailed option of chest pain/chest tightness, the computing unit According to the detailed options of chest pain/chest tightness, there are metastatic pain, location, and how long it has occurred. When the calculation determines that the patient’s symptoms are suspected of myocardial infarction, the assessment result information of the suspected myocardial infarction will be output and provided Appropriate recommended disposal countermeasures. Such as the emergency care information decision-making system of claim 3, wherein, after clicking the primary option of the secondary assessment, then clicking the secondary option of the trauma, and then clicking the detailed option of the accident type, the computing unit is based on When the selected cause of the accident type, and the calculation determines that the patient's symptoms are high-risk trauma, the evaluation result information of the high-risk trauma will be output, and appropriate recommended treatment countermeasures will be provided. Such as the emergency care information decision-making system of claim 3, in which, after clicking the primary option of the primary assessment and treatment, then clicking the sub-option of the consciousness, and then clicking the detailed option of the current coma index score, the calculation The unit calculates the importance of the different responses selected by the current coma index score selection option, and calculates and judges the patient’s coma index score, and outputs the coma index information. Click the main option of the primary assessment, and then click After selecting the sub-options of the basic data, and then clicking the fine options of the height and body mass index [BMI] or the ideal weight value [IBW], the calculation unit calculates and judges the patient's body position according to the selected details The score of the index, and output the index information of the body position. The emergency care information decision-making system of claim 3, wherein, click the primary option of the secondary assessment, then click the secondary option of the trauma, and then click the modified trauma index or the current trauma severity score. After the selection, the calculation unit calculates and judges the score of the patient's trauma index according to the selected detailed option, and outputs the trauma index information. Such as the emergency care information decision-making system of claim 3, in which, after clicking the main option of head-to-toe assessment and treatment, then clicking the sub-option of the limbs, and then clicking the detailed option of the muscle strength detection, the The arithmetic unit calculates and judges the score of the patient’s muscle strength index according to the selected detailed option, and outputs the muscle strength index information. Click the main option of the head-to-toe assessment and treatment, and then click the whole body skin Then, after clicking the detailed option of wound type, the computing unit displays the wound type, position and size correspondingly on the human body image according to the different parts selected in the detailed option of wound type . The emergency care information decision-making system of claim 1, wherein the server host is a remote server computer, the client electronic device is a personal computer, a smart phone or a tablet computer, and the client The electronic device needs to establish an account and password before connecting, and further construct an image case of the standard emergency patient clinical situation in the menu module, and display it on the menu screen. The image case includes the common acute myocardial infarction and cerebrovascular in the emergency department. Imaging cases of accidents, asthma, diabetic ketoacidosis, trauma and acute cholecystitis.

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