TWI750590B - Emergency nursing information decision making and learning assistance system - Google Patents

Abstract

The present invention relates to an emergency nursing information decision making and learning assistance 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 Assisted Learning Decision System

The present invention relates to an emergency nursing information-assisted learning decision-making system that can immediately display patient symptoms in summary information and propose treatment countermeasures.

At present, the general emergency patients need to fill in the evaluation form before receiving emergency treatment. Since all the information is on paper, it is impossible to quickly classify and extract the key points. Therefore, it is difficult for medical personnel to quickly analyze the complex problems. Filtering out the required information, it is also impossible to directly know what symptoms the emergency patients may have, and how to deal with them initially, so the time for medical treatment will be delayed or the treatment cannot be given quickly.

Therefore, there is a patent case of Invention No. I514309 "Rescue System and Rescue Method" announced on December 21, 104 of the Republic of China, which discloses that the ambulance system is suitable for rescuing a patient, and the ambulance system includes: a cloud server, a Command ambulance module, at least one team-end module, at least one mobile ambulance module, at least one doctor guidance interface, and at least one hospital interface. The command and ambulance module is suitable for inputting an ambulance notification, and the command and ambulance module converts the ambulance notification into an ambulance information and uploads it to the cloud server. The detachment module receives the ambulance information from the command and ambulance module. The mobile ambulance module receives ambulance information from the team-end module, and the mobile ambulance module is adapted to input a patient information and transmit the patient information to a 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 pre-patent case did not provide very detailed classification information for patients, so the information that could be provided to medical staff was quite limited and could not provide the help needed in emergency.

Therefore, there is a patent case of Invention No. 201921376 "System and Method for Collecting and Analyzing Comprehensive Medical Information" published on June 1, 2019 of the Republic of China, which discloses: for collecting, analyzing and reporting information from one or more Information systems and methods for comprehensive medical information for individual users. 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 in communication with the data management system and is configured to analyze the stored medical information for use in creating at least one of personalized medical advice for the user and general scientific information about a medical condition. A display in communication 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 including electronic health records (EHR), patient reported results (PRO), biological samples, wearable devices, sensors, medical devices, and dynamic questionnaires to create a digital representation of the user.

The previous case of the patent 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 required by medical staff in emergency situations in a short period of time. Therefore, in the use of It has its shortcomings.

In view of this, the current emergency information establishment has the above-mentioned shortcomings. Therefore, the present invention provides an emergency nursing information aided learning and decision-making system, comprising: a server host for connecting at least one user-end electronic device, the server host generates an operation interface, and the operation interface is established on the user On the screen of the terminal electronic device, an emergency nursing information is displayed for the user terminal electronic device to click and input according to the symptoms of a patient; a menu module is built in the server host, and the menu module is The signal is connected to the operation interface for displaying a menu screen on the operation interface, and the menu content displayed on the menu screen includes a primary assessment, a primary assessment and treatment, Primary assessment, primary assessment and management, head-to-toe assessment and management, psychosocial assessment and management, medical management guidelines, and nursing management decision-making or any combination of primary options; Built in the server host, the operation unit is signal-connected to the menu module for receiving the main options selected by the electronic device on the client side, and outputs a summary information and an evaluation result information after operation processing , a coma index information and an imaged wound information, the content displayed by the summary information is based on the symptoms selected by the client electronic device for the patient, and the displayed content of the evaluation result information is based on the user. For the symptoms selected by the patient, the terminal electronic device proposes a suggested treatment strategy, and the suggested treatment strategy includes the most likely symptoms, the procedures to be initiated, the department of the physician to be notified, the inspection items to be carried out, and the follow-up evaluation. One or any combination thereof, the content displayed by the coma index information is calculated to determine the score of the patient's coma index according to the different responses of the client electronic device to the click of the patient, and the imaged wound information contains The displayed content is based on the wound type selected by the client electronic device for the patient, and the wound type is correspondingly displayed on the front and back of a human body image; a summary module is built in In the server host, the summary module is connected to the computing unit for receiving the summary information and displayed on the operation interface; an evaluation result module is built in the server host, and the evaluation result model A group signal is connected to the operation 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 signal of the coma index module is connected to the operation interface a unit for receiving the coma index information and displaying it on the operation interface; a graphic module is built in the server host, and the graphic module is connected to the operation unit for receiving signals The imaged wound information is displayed on the operation interface.

The main options of the above-mentioned primary assessment are to display the main complaint or the reason for seeking consultation on behalf of the patient. The primary options of the primary assessment further include one of basic information, respiratory, cardiovascular, digestive, neurological, musculoskeletal, urinary, skin, general and others, and trauma. or any combination of minor 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, arrival method, triage, vital signs, religious belief, education Degree, marital status, height, weight, body mass index (BMI), ideal weight value (IBW), one of the sources or any combination of fine options, the sub-options of the breathing further include abnormal breathing, respiratory arrest, cough, Hyperventilation, foreign body in respiratory tract, allergic reaction, chest pain, fever, one of or any combination of other complaints Changes in blood pressure, abnormal breathing, decreased urine output, pitting edema, abnormal limbs, general symptoms, one of or any combination of other complaints , abdominal pain and discomfort, nausea, vomiting, abnormally colored stools, jaundice, hiccups, ingestion of foreign bodies, poor appetite, dysphagia, abdominal distention, weakness, other complaints, one or any combination of these, sub-options for this nerve Further includes altered consciousness/unconsciousness, acute confusion, vertigo (circumstances), dizziness, headache, convulsions, limb weakness, unsteady gait, tremor, abnormality or loss of perception/sensation, altered communication patterns, altered vision, altered hearing , change in urine pattern, general symptoms, FAST symptoms of stroke, one of or any combination of other complaints, the sub-option of this musculoskeletal further includes limb pain, joint swelling, muscle pain, other complaints. One or any combination of options, the urinary sub-option further includes the details of change in urination pattern, pain and discomfort, fever, chills, abnormal genital secretions, other complaints or any combination of them, the skin Sub-options further include sub-options for blood/fluid exposure, itching, rash, lump, cyanosis, spontaneous petechiae, presence of foreign body, general symptoms, other complaints, or any combination thereof, the general and other sub-options Further includes exposure to infectious disease (asymptomatic), fever, chills, hyperglycemia, hypoglycemia, abnormal values of other blood tests, abnormal examinations, referral, imaging tests, medical device problems, request for a medical certificate, request Prescribing medication, pallor or anemia, one of or any combination of other complaints, sub-options for this trauma further include blunt trauma, puncture wound, trauma-confirmed major injury, head trauma 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 Fine options for one or a combination of them.

The main options of the above primary assessment and treatment show the rapid assessment and treatment of emergency ABCD (airway, breathing, heartbeat, consciousness). The main options of the primary assessment and treatment further include respiratory tract, cervical spine, breathing, spontaneous heartbeat, bleeding, consciousness Sub-options of one or any combination of them.

The sub-options of the above-mentioned respiratory tract further include fine options of one or a combination of assessment and treatment, the sub-option of the cervical spine further includes a sub-option of one or a combination of assessment and treatment, and the sub-option of breathing further includes assessment, treatment. one or a combination of these options, the spontaneous heartbeat sub-option further includes assessment, treatment or a combination of options, the bleeding sub-option further includes assessment, bleeding site, blood source, treatment One or any combination of options, the awareness sub-option further includes assessment of consciousness, type, current coma index score, pupil size and presence or absence of light reflex, treatment of one or any combination of these options.

The main options of the above sub-assessment are to display the current and past medical history evaluation. The main options of this sub-assessment further include sub-options of medical history, pain discomfort, abdominal pain or gynecological diseases, trauma, travel history, poisoning or any combination of them. .

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, whether there is any history in the past Smoking history, history of drinking in the past, or any combination of these options, the sub-options of pain and discomfort further include the factors that cause pain, the source of pain, the factors that make pain worse, the factors that reduce pain, and the nature of pain , The first part of the pain, the current pain site, 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 lasts, whether the pain persists, and whether the pain is accompanied by any of the other symptoms. One or any combination of the sub-options, the sub-options for abdominal pain or gynecological diseases further It contains the details of one or any combination of the date of the last menstrual period, flow, number of days, pregnancy and production history, and the sub-option of the trauma further includes whether there are other injured persons in the same accident, the time of the accident, the type of accident, Accident location, trauma-related objects, modified trauma index, current trauma severity score or any combination of detailed options, the travel history sub-option further includes whether the patient has a record of going abroad, whether the patient has a domestic travel record, family members Whether there is any record of going abroad, whether family members have domestic travel records, whether they have been in contact with special people and things during travel, whether relatives, friends and colleagues living with the same family have contracted infectious diseases, and whether they have pets or any combination of them. The options further include the cause of the poison, the name of the poison, the dose of the poison, the time of exposure, how long it has been since the current consultation, the route of poisoning, whether other substances were used at the same time, whether emergency treatment was given due to exposure to the poison, or any combination thereof. fine options.

The main option of the above secondary assessment and treatment shows the in-depth assessment and treatment of the first aid ABCD (airway, breathing, circulation), and the main option of the sub-assessment and treatment further includes one or any combination of airway, breathing, and circulation. secondary option.

The sub-options of the above airway further include detailed options for assessing whether there is a foreign body, whether the tongue is tilted back, whether there is a lateral influence factor, whether there is a disease influencing factor, whether there is a medical circuit obstruction or slippage, and one or any combination of these options. The sub-options further include assessing whether there is an open wound in the chest, respiration rate, respiration depth, respiration rhythm, respiration volume, respiration quality, appearance of the lip mucosa, use of respiratory accessory muscles, mouth breathing, and the need to raise the head of the bed to maintain Respiration, blood values of arterial gas before and after oxygen use, blood oxygen concentration values of pulse oximetry before and after use of oxygen, treatment of one or any combination of fine options, the sub-options of this cycle further include evaluation of heart rate, heart rate Rhythm, pulse pressure, blood pressure, microvascular filling time, jugular venous pressure, skin and mucous membrane pattern, peripheral tissue perfusion, urine output, treatment of one or any combination of fine options.

The above-mentioned main options of head-to-toe assessment and treatment show the in-depth assessment and treatment of the patient's whole body. Ear, nose, throat and neck, chest, abdomen and pelvis, limbs, back, sub-options of one of the common tests or any combination of them.

The sub-options of the above-mentioned whole body skin further include detailed options for assessing color, integrity, wound type, moisture, skin lesions, other relevant assessments, possible causes, treatment, or any combination thereof, and the sub-options for the head and face further include Evaluation of head, face and cheeks, appearance of lip mucosa, jaw, presence or absence of tenderness, other related evaluations, possible causes, treatment of one or any combination of fine options, the sub-options of this eye further include evaluation of appearance, visual field evaluation , visual acuity, possible cause, treatment of one or any combination of these options, the sub-options for this ear further include assessment of appearance, presence or absence of abnormal secretions, presence or absence of tinnitus, presence or absence of Bartel's signs, other relevant assessments, possible causes, Options for treating one or any combination of these, the sub-options for the nose further include options for assessing appearance, presence or absence of abnormal discharge, nose hair, other relevant assessments, possible causes, treating one or any combination thereof, the The sub-options of the laryngeal neck further include detailed options for assessing appearance, activity, presence or absence of carotid bruits, lymph nodes, presence or absence of tender sites, other relevant assessments, probable causes, treatment of one or any combination of these, the thoracic cavity. The sub-options further include assessment of thoracic appearance, symmetry of chest rise and fall, bilateral breath volume, breath quality, heart sounds, lung percussion sounds, palpation, tactile tremor, presence or absence of tender sites, other relevant assessments, possible causes, and treatment of one of these One or any combination of fine options, the sub-options of the abdominal cavity and pelvic cavity further include assessment of navel appearance, overall appearance, bowel movement rate, abdominal percussion sound, touch pressure, defecation pattern, urination pattern, pelvic cavity scale Qualitative, whether there is a straddle injury, perineal condition, anal appearance, digital rectal examination, other related assessments, possible causes, treatment of one or any combination of these options, the sub-options of this limb further include assessment of appearance, Perception, skin color of affected limb, presence or absence of edema, degree of activity, pain in motion, peripheral pulse strength, presence of Babinski reflex, muscle strength test, other related assessments, possible causes, treatment of one or any combination of them The sub-options of the back further include the assessment of appearance, the presence or absence of tender sites, other related assessments, possible causes, and treatment of one or any combination of these options. The sub-options of this common test further include full One or any combination of blood count, inflammation-related tests, diabetes test, blood fat test, liver function test, kidney function test, pancreatic function test, electrolyte test, myocardial biochemical markers, routine urine test, and routine stool test fine 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 sub-options of the above psychological needs assessment further include the way of dealing with health problems that was more commonly used in the past, whether the emergency visit caused stress, emotional state, perception of the disease, expectations for the disease, ability to solve problems or difficulties, Seeking resources when assistance is needed, being in a special high-risk group, having disorganized behaviors, emotions, or thinking, having problems with self-harm/suicide, having problems with harming others, having escaped danger, either or any combination of these The sub-options of the socioeconomic needs assessment further include the detailed options of economic status, family interaction status, care manpower status, possible causes, and treatment, or any combination of them.

The main options of the above medical treatment guidelines further include medical orders (drugs), respiratory system, nervous system, cardiovascular system, digestive system, hepatobiliary and pancreatic system, urinary system, endocrine system, skin system, electrolyte imbalance, musculoskeletal system, infection Subsequences of disease, poison or poisoning, one of the others, or any combination of them.

The sub-options of the above-mentioned doctor's order (drugs) further include the fine options of one or any combination of intravenous drip, emergency medication, and commonly used injections, and the sub-options of the respiratory system further include rib fractures and flail chest, hemothorax, pneumothorax, and pleural effusion. , Empyema, Asthma, Chronic Obstructive Pulmonary Disease, Acute Respiratory Failure, Pneumonia, or Lung Abscess, or any combination thereof, and this neurological sub-option further includes Head Trauma, Cerebrovascular Accident, Epilepsy, Spinal Injury , Meningitis or any combination of options, the cardiovascular system sub-option further includes hypertension or malignant hypertension, congestive heart failure and pulmonary edema, Arrhythmia or any combination of options , 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, or any combination thereof, the sub-option of the hepatobiliary pancreas system further includes one of acute hepatitis, hepatic coma, ascites or spontaneous bacterial peritonitis or The fine options of any combination thereof, the sub-options of the urinary system further include the fine options of acute renal failure, urinary tract infection, acute pyelonephritis, acute glomerulonephritis, urinary tract calculi, or any combination thereof, and the sub-options of the endocrine system The sub-option further includes sub-options of one of hypoglycemia, diabetic ketoacidosis, hyperglycemic hyperosmolar state, or any combination thereof, and the sub-option of the skin system further includes one of cellulitis, burns, or a combination thereof The sub-option of electrolyte imbalance further includes the sub-option of hyponatremia, hyperkalemia, hypokalemia, hypocalcemia or any combination thereof, and the sub-option of the musculoskeletal system further includes the assessment of Affected limb neurovascular function, important diagnostic indicators, others, treatment and control of pain, control or prevention of comorbidities and injuries, one of the other or any combination of fine options, the sub-options of this infectious disease further include dengue fever, influenza , one of or any combination of human immunodeficiency virus options, the poison or poisoning sub-option further includes carbon monoxide poisoning, venomous snake bite, organophosphorus poisoning, Baragar poisoning or any combination of them, The other sub-options further include detailed options of one of the other 1, the other 2, the other 3, or any combination thereof.

The primary options for the care management decision described above further include sub-options of ventilation, stimulation, fluids and electrolytes, pain, skin integrity, mobility, nutrition, communication, psychosocial, one of the others, or any combination thereof.

The above-mentioned sub-options of ventilation further include detailed options of gas exchange disorder, inefficient breathing pattern, failure of airway clearance, potentially dangerous pulmonary inhalation, or any combination thereof, and the sub-options of stimulation further include intracranial conditioning Decreased ability, altered sensory perception [vision, hearing, orientation, taste, touch, smell] or any combination of fine options, the sub-options of body fluids and electrolytes further include fluid volume excess, fluid volume loss, tissue perfusion Alterations (brain, cardiopulmonary, gastrointestinal, renal, peripheral), decreased cardiac output, potentially dangerous poisoning, potentially dangerous infection, excretion Urinary pattern disorder, urinary retention, diarrhea, constipation, hyperthermia, hypothermia, or any combination of the fine options, the pain sub-option further includes acute or chronic pain, patient complaints, objective data, related The sub-options of one or any combination of factors, care treatments, the sub-option of skin integrity further include sub-options of one of impaired skin integrity, impaired tissue integrity, or a combination thereof, the sub-option of this activity The options further include detailed options for one or a combination of physical motor dysfunction, activity intolerance, and the sub-options for nutrition further include one or a combination of nutritional imbalances, patient complaints, objective data, related factors, and nursing care. The sub-option of communication further includes the sub-options of acute confusion, ineffective coping ability, non-conformity, lack of knowledge, or a combination thereof, and the sub-option of psychosocial further includes anxiety, fear, hopelessness, Sub-options of one or a combination of self-harm, social isolation, social interaction disorder, and complex family functioning process, the other sub-options further include rape trauma syndrome, post-traumatic syndrome, parental dysfunction, other 1, other 2, Fine options for one of the other 3 or a combination.

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

After clicking the main option of the above-mentioned primary assessment, and then clicking the sub-option of the nerve, and then clicking the detailed option of limb weakness, the computing unit determines the importance of the different parts selected by the detailed option of the limb weakness, and then selects it. If the operation determines that the patient's symptoms are suspected stroke, the evaluation result information of the suspected stroke will be output, and the appropriate suggested treatment measures will be provided.

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

After clicking the main option of the above sub-assessment, and then clicking the sub-option of the trauma, and then clicking the detailed option of the accident type, the computing unit determines the cause of the accident type according to the selected accident type. When the operation determines that the patient's symptoms are high-risk trauma, it will output the evaluation result information of the high-risk trauma, and provide appropriate recommended treatment measures.

Click the main option of the above primary assessment and treatment, then click the sub-option of the consciousness, and then click the detailed option of the current coma index score. The importance of the different responses is calculated, and the score of the coma index of the patient is determined by calculation, and the coma index information is output.

After clicking the main option of the above primary assessment, then click the sub-option of the basic information, and then click the fine option of the body mass index (BMI) or the ideal weight value (IBW), the operation unit will be based on the selected option. , and the operation judges the score of the body body index of the patient, and outputs the body body index information.

After clicking the main option of the above sub-assessment, click the sub-option of the trauma, and then click the refined option of the modified trauma index (RTS) or the current trauma severity score (ISS), the operation unit Click on the fine option, and calculate the score of the patient's trauma index, and output the trauma index information.

Click on the above main option of head-to-toe assessment and treatment, then click on the sub-option of the limb, and then click on the fine option of muscle strength detection, the computing unit will calculate and determine the 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 fine option of the wound type, the computing unit selects the selected item according to the detailed option of the wound type. For 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, the client electronic device is a personal computer, a smart phone or a tablet computer, and the client electronic device needs to establish an account and password before connecting.

The image case of the clinical situation of emergency standard patients is further constructed in the above menu module, and displayed on the menu screen. The image case includes acute myocardial infarction, cerebrovascular accident, asthma, diabetic ketoacidosis, trauma and acute gallbladder common in emergency department. The case of images of inflammation.

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, and can check at any time and confirm whether the content is wrong, so that the medical staff can clearly understand the various symptoms of the patient. .

2. Medical personnel can directly filter the information they need, and when they click on the symptoms that require special attention and emergency treatment, the system will automatically generate an evaluation result information. The countermeasures include the most likely symptoms, the procedures to be initiated, the department of the physician to be notified, the examination items to be performed, and the follow-up evaluation, or any combination thereof. So that medical personnel can pay special attention to the emergency situation of the patient, and immediately carry out emergency treatment according to the suggested treatment measures displayed, so as to avoid delaying the golden opportunity for seeking treatment.

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

4. And by displaying a front and back human body image, and correspondingly display the patient's wound type, position and size on the human body image, so that medical personnel can know the patient's wound condition more intuitively and immediately , and take the necessary action.

5. The established emergency nursing information-assisted learning and decision-making system can be used as a complete evaluation tool for emergency medical personnel and medical staff to quickly understand the symptoms and status of patients, and can provide suggestions for treatment strategies. In order to achieve the purpose of improving the efficiency of emergency care, it is beneficial to the guidance and quality improvement of patient care.

6. Especially when it is suitable for medical personnel to change shifts, it can be understood in the shortest time, and the condition of the patient can be grasped immediately.

7. It can be further extended to the teaching and training of nursing students and new nurses, so that they can conduct self-learning, training and evaluation through user-end electronic devices during class, practice or after-school, or guide nurses to write case reports. Guidance tool, through the collected information, can analyze the problems of emergency learners, and carry out research or improvement of instructional design.

1: Server host

2: Operation interface

3: Menu module

31: Menu screen

4: Operation unit

5: Summary Module

6: Evaluation Results 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

[Figure 1] is a system configuration diagram of an embodiment of the present invention.

[Figure 2] is a schematic diagram of a screen of emergency nursing information according to an embodiment of the present invention.

[Figure 3] is a schematic screen view of the main options of primary assessment, primary assessment and treatment according to an embodiment of the present invention.

[FIG. 4] is a schematic diagram of the screen of the sub-option content of the basic data according to the embodiment of the present invention.

[FIG. 5] is a schematic diagram of the content of sub-options of breathing according to an embodiment of the present invention.

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

[Fig. 7] is a schematic screen view of the main options of secondary assessment, secondary assessment and treatment, and head-to-toe assessment and treatment according to an embodiment of the present invention.

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

[Figure 9] is a schematic diagram of the sub-option content 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.

[Fig. 11] is a schematic diagram of the main options of psychosocial assessment and treatment, medical treatment guidance, and nursing treatment decision-making according to an embodiment of the present invention.

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

[Figure 13] is a schematic diagram of the sub-option content of a doctor's order [drug] according to an embodiment of the present invention.

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

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

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

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

[Fig. 18] is a schematic diagram of the content of the imaged wound information according to the embodiment of the present invention.

[Figure 19] is a block diagram of the main option and the secondary option of the system according to the embodiment of the present invention.

Please refer to the first figure and the nineteenth figure, 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 personal computer, smart phone or tablet computer of a user. The client electronic device needs to establish an account and a password before connecting. The server host (1) includes an operation interface (2), a menu module (3), an operation unit (4), a summary module (5), an evaluation result module (6), a coma The index module (7) and an image module (8), wherein: an operation interface (2), which is established on the screen of the electronic device (A) of the client, for displaying an emergency nursing information (such as As shown in the second figure], it is available for the user of the client electronic device (A) to click and input according to the symptoms of a patient to be emergency.

A menu module (3), which is built in the server host (1), the menu module (3) is connected to the operation interface (2) with a signal for displaying a message on the operation interface (2) Menu screen (31). As shown in Figure 3, Figure 7 and Figure 11, the menu contents displayed on the menu screen (31) include primary assessment, primary assessment and treatment, secondary assessment, secondary assessment and treatment, Foot assessment and management, psychosocial The main options for one or any combination of assessment and treatment, medical treatment guidelines, and nursing treatment decisions for the user to select based on the patient's symptoms.

As shown in the third figure, the main options of the primary assessment are to display the reasons for the chief complaint or consultation on behalf of the patient. The primary options of the primary assessment further include basic information, respiratory, cardiovascular, digestive, neurological, musculoskeletal, urinary, skin, general and other, one or any combination of trauma sub-options 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, hospital arrival method, triage classification, Vital signs, religious beliefs, education, marital status, height, weight, body mass index (BMI), ideal weight value (IBW), source of one or any combination of these options for the user to choose according to the patient Symptoms click.

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

The cardiovascular sub-option further includes cardiac arrest, chest pain/tightness, palpitations/irregular heartbeat, blood pressure changes, abnormal breathing, decreased urine output, pitting edema, abnormal limbs, general symptoms, one or any of other complaints Combination of fine options for the user to select according to the patient's symptoms.

This digestive sub-option further includes constipation, diarrhea, foreign body in rectum, abdominal pain and discomfort, nausea, vomiting, abnormal stool color, jaundice, hiccups, foreign body swallowing, poor appetite, dysphagia, abdominal bloating, weakness, other complaints One or any combination of fine options for the user to select according to the patient's symptoms.

Sub-options for this nerve further include altered consciousness/unconsciousness, acute confusion, vertigo (dizziness), dizziness, headache, convulsions, limb weakness, unsteady gait, tremor, paresthesias/paresthesia, or Loss, change in communication pattern, change in vision, change in hearing, change in bowel and bladder pattern, general symptoms, presence of stroke FAST symptoms, one of or any combination of Symptoms click.

The sub-options of the skeletal muscle further include detailed options of limb pain, joint swelling, muscle pain, other main complaints or any combination thereof, for the user to select according to the symptoms of the patient.

The urinary sub-options further include detailed options for 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-option further contains the sub-options for blood/body fluid exposure, itching, rash, lump, cyanosis, spontaneous petechiae, foreign body, general symptoms, other complaints, or any combination thereof, for this use Select according to the patient's symptoms.

The general and other sub-options further include exposure to infectious disease (asymptomatic), fever, chills, hyperglycemia, hypoglycemia, abnormal blood test values, abnormal examination, referral, imaging tests, medical device problems, Detailed options for requesting a medical certificate, requesting a drug, pallor or anemia, one of the other main complaints, or any combination thereof, for the user to select according to the patient's symptoms.

Sub-options for this trauma further include blunt trauma, puncture wound, major trauma confirmed 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, genital trauma, limb muscle trauma, skin trauma, general trauma, or a combination of fine options for the user to select according to the patient's symptoms.

As shown in the third figure, the main option of the primary assessment and treatment shows the rapid assessment and treatment of emergency ABCD (airway, breathing, heartbeat, awareness), and the main option of the primary assessment and treatment is further Sub-options including respiratory tract, cervical spine, respiration, spontaneous heartbeat, bleeding, consciousness or any combination thereof are included for the user to select according to the symptoms of the patient.

As shown in the sixth figure, the sub-option of the respiratory tract further includes detailed options of one or a combination of assessment and treatment for the user to select according to the symptoms of the patient.

The sub-option of the cervical vertebra further includes fine options of one or a combination of assessment and treatment for the user to select according to the symptoms of the patient.

The breath sub-option further includes one or a combination of assessment and treatment options for the user to select according to the patient's symptoms.

The sub-option of the spontaneous heartbeat further includes detailed options of one or a combination of assessment and treatment for the user to select according to the patient's symptoms.

The bleeding sub-option further includes fine options of assessment, bleeding site, blood source, treatment, or any combination thereof, for the user to select according to the patient's symptoms.

The consciousness sub-option further includes sub-options for assessing consciousness, type, present Glasgow Coma Scale score, pupil size and presence or absence of light reflex, treatment of one or any combination thereof for the user to assess according to the patient Symptoms click.

As shown in Figure 7, the main options of this sub-assessment show current and past medical history evaluation, and the main options of this sub-assessment further include medical history [AMPLE], pain discomfort, abdominal pain or gynecological diseases, trauma, travel history, poisoning One or any combination of sub-options for the user to select according to the patient's symptoms.

As shown in Figure 8, the sub-options of the medical history [AMPLE] further include whether there is a history of drug allergy, whether there is currently taking other drugs, whether there is a history of chronic medical and surgical diseases in the past, emergency surgery or need for immediate NPO examination, before the accident 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 of them, is for the user to select according to the symptoms of the patient.

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

The sub-options of abdominal pain or gynecological diseases further include detailed options of the date of the last menstrual period, flow, number of days, pregnancy and production history, or any combination thereof, for the user to select according to the symptoms of the patient.

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 objects related to the injury, one of the modified injury index (RTS), the current injury severity score (ISS) or any combination thereof for the user to select according to the patient's symptoms.

The sub-option of the travel history further includes whether the patient has a record of going abroad, whether the patient has a record of domestic travel, whether the family member has a record of going abroad, whether the family member has a record of domestic travel, whether he has been in contact with special people and things during travel, and whether relatives, friends and colleagues living with the same family are infected with infectious diseases. The detailed options of one of the diseases, the existence of pets or any combination thereof are for the user to select according to the symptoms of the patient.

The sub-options of the poisoning further include the cause of the poison, the name of the poison, the dose of the poison, the time of exposure, the time since the current consultation, the route of poisoning, whether other substances are used at the same time, and whether emergency treatment has been done due to exposure to poison. or any combination thereof for the user to select according to the patient's symptoms.

As shown in Figure 7, the main options of the secondary assessment and treatment show the in-depth assessment and treatment of the first aid ABCD (airway, breathing, circulation), and the main options of the secondary assessment and treatment further include airway, breathing, circulation among them 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-option of the airway further includes evaluating whether there is a foreign body, whether there is a tongue back, whether there is a lateral influence factor, whether there is a disease influencing factor, whether there is a medical circuit obstruction or slippage, and one or any of them. Combination of fine options for the user to select according to the patient's symptoms.

The breathing sub-option further includes assessing whether there is an open wound in the chest, breathing rate, breathing depth, breathing rhythm, breathing volume, breathing quality, appearance of the lip mucosa, use of respiratory accessory muscles, mouth breathing, and need to raise the head of the bed. To maintain breathing, blood draw values of arterial gas [AMG] before and after oxygen use, blood oxygen concentration [SpO2] values of pulse oximetry [Pulse oximetry] before and after oxygen use, treatment of one or any combination of these options, for the user to select according to the patient's symptoms.

Sub-options of the cycle further include assessing heart rate, heart rhythm, pulse pressure, blood pressure, microvascular filling time, jugular venous pressure, mucocutaneous pattern, peripheral tissue perfusion, urine output, treatment of one or any combination of these Detailed options for the user to select according to the patient's symptoms.

As shown in Figure 7, the main options of the head-to-toe assessment and treatment show the in-depth assessment and treatment of the whole body of the patient, and the main options of the head-to-toe assessment and treatment further include whole body skin, head and face, eyes, ears, nose , throat and neck, thoracic cavity, abdominal cavity and pelvic cavity, limbs, back, one of the common tests or any combination of sub-options for the user to select according to the symptoms of the patient.

As shown in Figure 10, the sub-options of the whole body skin further include detailed options for assessing color, integrity, wound type, moisture, skin lesions, other relevant assessments, possible causes, treatment, or any combination thereof, for the user to select according to the patient's symptoms.

The head and face sub-options further include detailed options for assessing the head, face and cheeks, appearance of the lip mucosa, jaw, presence or absence of tenderness, other relevant assessments, possible causes, treatment, or any combination thereof, for the user Select based on the patient's symptoms.

The sub-options of the eye further include detailed options for assessing appearance, visual field assessment, visual acuity, possible causes, treatment, or any combination thereof, for the user to select according to the patient's symptoms.

The sub-options for this ear further include sub-options for assessing appearance, presence or absence of abnormal discharge, presence or absence of tinnitus, presence or absence of Battle's sign, other relevant assessments, possible causes, treatment of one or any combination of these, for the The user selects according to the symptoms of the patient.

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

This sub-option of the laryngeal neck further includes sub-options for assessing appearance, activity status, presence or absence of carotid bruits, lymph nodes, presence or absence of tender sites, other relevant assessments, possible causes, treatment of one or any combination thereof, to For the user to select according to the symptoms of the patient.

This thoracic sub-option further includes assessment of thoracic appearance, symmetry of chest rise and fall, bilateral breath volume, breath quality, heart sounds, lung percussion sounds, palpation, tactile tremor, presence or absence of tender sites, other relevant assessments, possible causes, and treatment One or any combination of fine options for the user to select according to the patient's symptoms.

The abdominal and pelvic sub-options further include assessment of navel appearance, overall appearance, bowel peristalsis rate, abdominal percussion sound, touch pressure, defecation pattern, urination pattern, pelvic weighing qualitative, whether there is any straddle injury [ Straddle injury], perineal condition, anal appearance, digital rectal examination, other related assessments, possible causes, treatment of one or any combination of fine options for the user to select according to the patient's symptoms.

The sub-options of the limb further include assessment of appearance, perception, skin color of the affected limb, presence or absence of edema, range of motion, pain with movement, peripheral pulse strength, presence of Babinski's reflex, muscle strength test (Muscle power) scale], other relevant assessments, possible causes, and detailed options for one or any combination of them, for the user to select according to the patient's symptoms.

The sub-option on the back further includes fine options for assessing appearance, presence or absence of tender sites, other relevant 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), tests related to inflammation, diabetes test, blood lipid test (Blood lipid), liver function test (LFT), kidney function test (RFT), pancreatic function test, Electrolyte test (Electrolytes), myocardial biochemical markers (cardiac biomarker), urine routine test (U/A), stool routine test (S/R) or any combination of the detailed options for the user according to the Patient's symptoms click.

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

As shown in Figure 12, the sub-options of the psychological needs assessment further include the way of dealing with health problems that was more commonly used in the past, whether this emergency visit caused stress, emotional state, cognition of the disease, and expectations for the disease , problem-solving or difficulty, seeking resources when needed, being in a special high-risk group, disordered behavior, emotions or thinking, self-harm/suicidal problems, harming others, escape A fine selection of one or any combination of risks for the user to select based on the patient's symptoms.

The sub-options of the socioeconomic needs assessment further include detailed options of economic status, family interaction status, care manpower status, possible causes, treatment, or any combination of them, for the user to select according to the patient's symptoms .

As shown in Figure 11, the main options of the medical treatment guide further include medical orders (drugs), respiratory system, nervous system, cardiovascular system, digestive system, hepatobiliary system, urinary system, endocrine system, skin system, electrolytes Sub-options of imbalance, musculoskeletal system, infectious disease, poison or poisoning, one of the others, or any combination thereof, for the user to select according to the symptoms of the patient.

As shown in the thirteenth figure, the sub-options of the doctor's order (drugs) further include fine options of one of drips, emergency medicines, common injections, or any combination thereof, for the user to select according to the symptoms of the patient.

The respiratory sub-option further includes rib fractures and details of one or any combination of flail chest, hemothorax, pneumothorax, hydropleural effusion, empyema, asthma, chronic obstructive pulmonary disease, acute respiratory failure, pneumonia or lung abscess options for the user to select according to the patient's symptoms.

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

The sub-options of the cardiovascular system further include fine options of 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 symptoms of the patient.

The sub-option of the digestive system further includes fine options of one 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 Select based on the patient's symptoms.

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

The sub-options of the urinary system further include fine options of acute renal failure, urinary tract infection acute pyelonephritis, acute glomerulonephritis, urinary tract stones or any combination thereof, for the user to point according to the symptoms of the patient select.

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

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

The sub-options of electrolyte imbalance further include fine options of one of hyponatremia, hyperkalemia, hypokalemia, hypocalcemia or any combination thereof, for the user to select according to the symptoms of the patient.

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

The sub-option of the infectious disease further includes detailed options of one of dengue fever, influenza, and human immunodeficiency virus or any combination thereof, for the user to select according to the symptoms of the patient.

The sub-options of the poison or poisoning further include detailed options of carbon monoxide poisoning, poisonous snake bite, organophosphorus poisoning, barracay poisoning, or any combination thereof, for the user to select according to the symptoms of the patient.

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

As shown in Figure 11, the primary options for the nursing treatment decision further include ventilation, stimulation, fluids and electrolytes, pain, skin integrity, mobility, nutrition, communication, psychosocial, one or any combination of the others sub-option for the user to select according to the patient's symptoms.

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

The sub-options of the stimulus further include fine options for one or any combination of reduced intracranial accommodation, altered sensory perception (visual, auditory, orientation, taste, touch, smell (specificity)) for the user Select based on the patient's symptoms.

This sub-option of fluids and electrolytes further includes fluid volume excess, fluid volume loss, tissue perfusion changes (brain, cardiopulmonary, gastrointestinal, renal, peripheral (specific)), reduced cardiac output, potentially dangerous poisoning, and potentially dangerous infection , urination pattern disorder, urine retention, diarrhea, constipation, hyperthermia, hypothermia, or any combination of fine options for the user to select according to the patient's symptoms.

The pain sub-option further includes acute or chronic pain, patient complaints, objective data (assessment), related factors, nursing treatment or any combination of them, for the user to select according to the patient's symptoms.

The sub-option of skin integrity further includes fine options of one of damaged skin integrity, damaged tissue integrity, or a combination thereof, for the user to select according to the symptoms of the patient.

The sub-option of activity further includes fine options of one of physical motor dysfunction, activity intolerance or a combination thereof, for the user to select according to the symptoms of the patient.

The sub-options of nutrition further include detailed options of unbalanced nutritional status, patient complaints, objective data (assessment), related factors, nursing treatment or a combination of them, for the user to select according to the patient's symptoms.

The sub-options of the communication further include detailed options of acute confusion, ineffective coping ability, non-compliance, lack of knowledge, or a combination thereof, for the user to select according to the symptoms of the patient.

The psychosocial sub-options further include detailed options for one or a combination of anxiety, fear, hopelessness, self-harm, social isolation, social interaction disorder, and family dysfunction, for the user to use according to the patient's symptom point select.

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 of them, for the user to select according to the symptoms of the patient .

an operation unit (4), which is built in the server host (1), the operation unit (4) is signal-connected to the menu module (3) for receiving the user terminal electronic device (A) The menu items selected by the main options, sub-options and detailed options selected by the user according to the symptoms of the patient are processed and output a summary information (41) (as shown in Figure 15), a Assessment result information (42) (as shown in Figure 16), a coma index information (43) (as shown in Figure 17), and a pictured wound information (44) (as shown in Figure 18) ].

A summary module (5) is built in the server host (1), and the summary module (5) is signal-connected to the operation unit (4) for receiving the summary information (41) and displaying in the operation interface (2). As shown in Figure 15, the content displayed in the summary information (41), for example, according to the symptoms of the patient, the user clicks the main option of the primary assessment, then clicks the sub-option of the cardiovascular, and then clicks again After clicking the fine option of cardiac arrest, the operation unit (4) will display the symptom in the summary information (41) according to the duration (for example, 30 minutes) selected by the fine option of the cardiac arrest, So that the user of the client electronic device (A) can clearly understand various symptoms of the patient.

An evaluation result module (6), which is built in the server host (1), and the evaluation result module (6) is signal-connected to the operation unit (4) for receiving the evaluation result information (42) , and is immediately displayed on the operation interface (2). As shown in Figure 16, the content displayed in the evaluation result information (42) is based on the symptoms that require special attention and emergency treatment, and a suggested treatment strategy is proposed. The suggested treatment strategy includes the most probable symptoms and the One or any combination of the procedures, the physician's department, the examination items to be performed, and the follow-up evaluation. For example, according to the symptoms of the patient, the user clicks the main option of the primary assessment, then clicks the sub-option of the nerve, and then clicks the fine option of the limb weakness, the computing unit (4) according to the limb weakness The importance of the different parts (such as the left hand and the left foot) selected by the fine option, and when the operation determines that the patient's symptoms are suspected of stroke, it will output the evaluation result information of the suspected stroke (42), and provide suitable Proposed treatment countermeasures, for example, please start the stroke care process, inform the neurologist, and arrange brain CT examination. If embolic stroke is diagnosed, evaluate whether it is in line with injection thrombolysis solution. Thereby, the user of the client electronic device (A) can pay special attention to the emergency situation of the patient in emergency, and immediately carry out emergency treatment according to the suggested treatment measures displayed on it, so as to avoid delays in seeking treatment. opportunity.

For another example, according to the symptoms of the patient, the user clicks the main option of the primary assessment, then clicks the sub-option of the cardiovascular, and then clicks the fine option of the chest pain/chest tightness, the operation unit (4) According to the detailed options of chest pain/chest tightness, the selected items include transfer pain, location (such as neck and shoulder), and how long it has occurred. When the operation determines that the patient's symptoms are suspected myocardial infarction, the output of suspected myocardial infarction will be output. The evaluation result information (42), and provide appropriate recommended treatment countermeasures, such as electrocardiogram (EKG) examination within 10 minutes of admission, if the ECG is STEMI, the emergency physician will start the acute myocardial infarction care process, and urgently inform the cardiac catheterization team. Or a cardiologist, and go directly to the cardiac catheterization laboratory for coronary balloon dilation (PTCA) within 20 minutes of admission.

Another example is that the user clicks the main option of the secondary assessment according to the symptoms of the patient, and then clicks the sub-option of the trauma, and then clicks the detailed option of the accident type. When the reason of the selected accident type is selected, and the operation determines that the patient's symptoms are high-risk trauma, the evaluation result information (42) of the high-risk trauma will be output, and appropriate suggested treatment measures will be provided.

A coma index module (7), which is built in the server host (1), and the coma index module (7) is signal-connected to the operation unit (4) for receiving the coma index information (43) , and is 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 main option of the primary assessment and treatment according to the symptoms of the patient, and then clicks the sub-option of the consciousness, Then, after clicking the fine option of the current coma index (Glasgow Coma Scale) score, the operation unit (4) will respond according to the different clicked options of the present coma index (Glasgow Coma Scale) score (such as opening eyes) response, the best upper limb motor response, language response], 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 comatose state of the patient can be immediately known, so that the comatose state of the patient can be grasped.

For another example, according to the symptoms of the patient, the user clicks the main option of the primary assessment, then clicks the sub-option of the basic information, and then clicks the BMI or the ideal weight value (IBW). After selecting the detailed option, the operation unit (4) calculates and judges the obesity index score of the patient according to the selected detailed option, and outputs the body mass index information for the user of the client electronic device (A) The position of the patient can be known immediately.

Another example is that the user clicks the main option of the secondary assessment according to the symptoms of the patient, then clicks the secondary option of the trauma, and then clicks the modified trauma index (RTS) or the current trauma severity score (ISS). [ The user can immediately know the trauma status of the patient.

For another example, according to the symptoms of the patient, the user clicks the main option of the head-to-toe assessment and treatment, then clicks the sub-option of the limbs, and then clicks the fine option of the muscle strength detection, the computing unit ( 4) Calculate the score of the muscle strength index of the patient according to the selected fine option, 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 index. Muscle strength status.

In this way, with the emergency nursing information aided learning decision-making system of the present invention, all users (including emergency medical personnel, medical staff, students, etc.) can quickly understand the symptoms and states of patients, and can provide suggestions for treatment Countermeasures to deal with, in order to achieve the purpose of improving the efficiency of emergency. Especially when it is suitable for medical personnel to change shifts, it can be understood in the shortest time, and the condition of the patient can be grasped.

Furthermore, the present invention can construct an image case of a clinical situation of an emergency standard patient in the menu module (3), and display it on the menu screen (31) for the user to click and watch and learn. The imaging cases include important cases commonly seen in the emergency department, such as acute myocardial infarction (AMI), cerebrovascular accident (CVA), asthma (Asthma), diabetic ketoacidosis (DKA), trauma (trauma), and acute cholecystitis (Acute). Cholecystitis] and other six major imaging cases, which are the complete process of the emergency practice process from the inspection to the treatment room, so that users can click and watch to familiarize themselves with the emergency care status, and through the evaluation of images, One can be familiar with the overall architectural content of the present invention.

Based on the descriptions of the above embodiments, one can fully understand the operation, use and effects of the present invention, but the above-mentioned embodiments are only preferred embodiments of the present invention, which should not limit the implementation of the present invention. Scope, that is, simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the contents of the description of the invention, all fall within the scope of the present invention.

1: Server host

2: Operation interface

3: Menu module

4: Operation unit

5: Summary Module

6: Evaluation Results Module

7: Coma index module

8: Graphical module

A: Client electronic device

Claims (10)

An emergency nursing information aided learning decision-making system, comprising: a server host for at least one user-end electronic device to connect, the server-end host generates an operation interface, and the operation interface is established on the user-end electronic device. On the screen, an emergency nursing information is displayed for the user terminal 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 connected to the signal An operation interface for displaying a menu screen on the operation interface, the menu content displayed on the menu screen includes a primary assessment, a primary assessment and treatment, a primary assessment, a primary assessment and treatment, and a head-to-toe assessment and treatment, a psychosocial assessment and treatment, a medical treatment guideline, a nursing treatment decision-making one or any combination of the main options; a computing unit, built in the server host, the computing unit is connected to the signal The menu module is used to receive the main options selected by the electronic device of the client, and output a summary information, an assessment result information, a coma index information and an imaged wound information after operation processing. The content displayed in the information is based on the symptoms selected by the client electronic device for the patient, and the content displayed in the evaluation result information is based on the symptoms selected by the client electronic device for the patient to provide a suggestion Treatment measures, the proposed treatment measures include the most likely symptoms, the procedures to be initiated, the department of the physician to be notified, the inspection items to be carried out, the follow-up evaluation, or any combination of them, the content displayed by the coma index information, The score of the patient's coma index is calculated and judged according to the different responses of the client electronic device to the click of the patient. Click on the wound type, and display the wound type 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 computing unit for receiving the summary information and displaying it on the operation interface; An evaluation result module is built in the server host, and the evaluation result module is connected to the computing unit by signals for receiving the evaluation result information and immediately displaying it on the operation interface. The evaluation result information displayed The content of this document is based on the symptoms that require special attention and emergency treatment, and proposes a recommended treatment strategy. The recommended treatment strategy includes the most likely symptoms, the procedures to be initiated, the department of the physician to be notified, the inspection items to be carried out, and the follow-up evaluation. One of them or any combination thereof; a coma index module is built in the server host, and the coma index module is connected to the operation unit for receiving the coma index information and displayed on the operation interface ; An imaging module is built in the server host, and the imaging module is connected to the operation unit by signals for receiving the imaging wound information, displaying it on the operation interface, and then After clicking the fine option of the wound type, the computing unit displays the wound type, position and size on the human body image according to the different parts selected by the fine option of the wound type; further on the menu The module constructs the image cases of the clinical situation of emergency standard patients and displays them on the menu screen. The image cases include the common emergency cases of acute myocardial infarction, cerebrovascular accident, asthma, diabetic ketoacidosis, trauma and acute cholecystitis. . The emergency nursing information-assisted learning and 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 seeking consultation on behalf of the patient, and the primary option of the primary assessment further includes basic information, respiratory, cardiovascular, digestive, neurological , musculoskeletal, urinary, skin, general and other, trauma or any combination of the sub-options, the primary option of the primary assessment and management is to display the rapid assessment and management of the first aid ABCD (airway, breathing, heartbeat, consciousness) , the main options of the primary assessment and treatment further include sub-options of respiratory tract, cervical spine, respiration, spontaneous heartbeat, bleeding, consciousness or any combination of them, the main options of this sub-assessment are to display the current and past medical history assessment, The main options of this secondary assessment further include sub-options of medical history, pain discomfort, abdominal pain or gynecological diseases, trauma, travel history, poisoning, or any combination of them. In-depth assessment and management of airway, breathing, circulation], the main The options further include sub-options of one or any combination of airway, respiration, and circulation, the main option of head-to-toe assessment and treatment shows the in-depth assessment and treatment of the patient's whole body, the main option of head-to-toe assessment and treatment It further includes sub-options of whole body skin, head and face, eyes, ears, nose, throat and neck, thoracic cavity, abdominal cavity and pelvic cavity, limbs, back, one of or any combination of common tests, and the main option of psychosocial assessment and treatment is further Sub-options including one or a combination of psychological needs assessment, socioeconomic needs assessment, and the main options of this medical treatment guideline further include medical orders (drugs), respiratory system, nervous system, cardiovascular system, digestive system, hepatobiliary and pancreatic system , urinary system, endocrine system, skin system, electrolyte imbalance, musculoskeletal system, infectious disease, poison or poisoning, one of the other or any combination of sub-options, the primary option of this nursing treatment decision further includes ventilation, stimulation , Fluids and Electrolytes, Pain, Skin Integrity, Mobility, Nutrition, Communication, Psychosocial, Sub-options of one or any combination of others. The emergency nursing information-assisted learning decision-making system according to claim 2, wherein the sub-option of the basic information further includes medical record number, name, age, gender, identity, date and time of arrival, department, emergency diagnosis, emergency bed number , Arrival Mode, Triage Classification, Vital Signs, Religion, Education, Marital Status, Height, Weight, Body Mass Index (BMI), Ideal Weight Value (IBW), a fine selection of one or any combination of sources , the sub-options of the breathing further include the sub-options of abnormal breathing, respiratory arrest, cough, hyperventilation, foreign body in the respiratory tract, allergic reaction, chest pain, fever, one of or any combination of other complaints, the sub-option of the cardiovascular The options further include detailed options for cardiac arrest, chest pain/tightness, palpitations/irregular heartbeat, blood pressure changes, abnormal breathing, decreased urine output, pitting edema, limb abnormalities, general symptoms, other complaints, or any combination thereof, This digestive sub-option further includes constipation, diarrhea, foreign body in rectum, abdominal pain and discomfort, nausea, vomiting, abnormal stool color, jaundice, hiccups, swallowing foreign body, poor appetite, dysphagia, abdominal bloating, weakness, other complaints Sub-options for one or any combination of these, sub-options for this nerve further include altered consciousness/unconsciousness, acute confusion, vertigo (circumstances), dizziness, headache Pain, convulsions, limb weakness, unsteady gait, tremor, abnormality or loss of perception/paresthesia, changes in communication patterns, changes in vision, changes in hearing, changes in bowel and bladder patterns, general symptoms, FAST symptoms of stroke, other complaints among others One or any combination of sub-options, the skeletal muscle sub-option further includes limb pain, joint swelling, muscle pain, other complaints or any combination of the sub-options, the urinary sub-option further includes voiding patterns Changes, pain discomfort, fever, chills, abnormal genital discharge, one of or any combination of other complaints, sub-options for this skin further include blood/body fluid exposure, itching, rash, lumps, cyanosis, spontaneous ecchymosis, presence of foreign body, general symptoms, one of or any combination of other main complaints, the general and other sub-choices further include exposure to infectious disease (asymptomatic), fever, chills, hyperglycemia, Hypoglycemia, abnormal value of other blood test, abnormal examination, referral, imaging test, medical device problem, medical certificate request, medication request, pallor or anemia, one of or any combination of other complaints , the sub-options of the trauma further include blunt trauma, puncture wound, major trauma confirmed by trauma, head trauma, facial trauma, eye trauma, nose trauma, ear trauma, neck trauma, chest trauma, abdominal trauma Trauma, pelvic trauma, lumbar trauma, back trauma, perineal trauma, genital trauma, extremity muscle trauma, skin trauma, general trauma, one or a combination of fine options, the sub-option of the respiratory tract further includes assessment, treatment of them one or a combination of sub-options, the sub-option of the cervical spine further includes a sub-option of assessing and treating one or a combination thereof, the sub-option of breathing further includes a sub-option of evaluating and treating one or a combination thereof, the spontaneous The sub-option of sexual heartbeat further includes detailed options of one or a combination of assessment and treatment, and the sub-option of bleeding further includes detailed options of assessment, bleeding site, blood source, treatment, or any combination thereof. The sub-options further include detailed options for assessing consciousness, type, current coma index score, pupil size and presence or absence of light reflexes, treatment of one of them or any combination thereof. Medicines, history of chronic medical and surgical medical history, emergency surgery or NPO examinations, any other special events or abnormalities before the accident, past One or any combination of fine options of no smoking history, past drinking history or not, the sub-options of the pain discomfort further include the factors that cause pain, the source of the pain, the factors that make the pain worse, the factors that reduce the pain, and the cause of the pain. The nature of the pain, the first part of the pain, the location of the current pain, whether there is a source of pain rebound or retraction, whether the pain is transferred to other parts, the degree of pain, the degree of pain, how long the pain lasts, whether the pain persists, and whether the pain is accompanied by other symptoms. One or any combination of the detailed options, the sub-option of the abdominal pain or gynecological disease further includes the date of the last menstrual period, flow, number of days, pregnancy and production history or any combination of the detailed options, the trauma The sub-option further includes detailed options for 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 injury, the modified injury index, the current injury severity score, or any combination thereof. The sub-option of travel history further includes whether the patient has a record of going abroad, whether the patient has a record of domestic travel, whether the family member has a record of going abroad, whether the family member has a record of domestic travel, whether he has ever been in contact with special people and things during travel, and whether relatives, friends and colleagues who live with you have any infectious diseases. , There is a fine option for keeping one of the pets or any combination of them. The sub-option of this poisoning further includes the cause of the poison, the name of the poison, the dose of the poison, the time of the poison, how long it has been since the current consultation, the route of poisoning, and whether it is at the same time. Use of other substances, whether emergency treatment has been done due to exposure to poisons, or any combination of these options, the sub-options of the respiratory tract further include assessing whether there are foreign objects, whether there is a back of the tongue, whether there are lateral influence factors, whether there are disease influencing factors, whether there is Medical circuit blockage or slippage, treatment of one or any combination of fine options, this sub-option of breathing further includes assessing whether there is an open wound in the chest, breathing rate, breathing depth, breathing rhythm, breathing volume, breathing quality , Appearance of the lip mucosa, whether to use respiratory accessory muscles, whether to use mouth breathing, whether to raise the head of the bed to maintain breathing, blood values of arterial gas before and after oxygen use, blood oxygen concentration values of pulse oximetry before and after oxygen use, and treatment One or any combination of fine options, the sub-options of this cycle further include assessment of heart rate, heart rhythm, pulse pressure, blood pressure, microvascular filling time, jugular vein pressure, skin and mucous membrane pattern, peripheral tissue perfusion, urine Amount, treatment of one or any combination of fine options, the sub-option of the whole body skin further Contains detailed options for assessing color, integrity, wound type, moisture, skin lesions, other relevant assessments, probable causes, treatment, or any combination of them. This sub-option for head and face further includes assessment of head, face, and cheeks. , appearance of the oral mucosa, jaw, tenderness, other related assessments, possible causes, treatment of one or any combination of fine options, the sub-options of the eye further include assessment of appearance, visual field assessment, visual acuity, possible causes, Sub-options for treatment of one or any combination of these, sub-options for this ear further include assessment of appearance, presence or absence of abnormal discharge, presence or absence of tinnitus, presence or absence of Bartle's signs, other relevant assessments, probable causes, treatment of one or any of them The sub-options of the combination, the sub-options of the nose further include the sub-options of assessing appearance, presence or absence of abnormal secretions, nose hair, other relevant assessments, possible causes, treatment or any combination of them, the sub-options of the throat and neck further include Evaluation of appearance, activity status, presence or absence of carotid bruits, lymph nodes, presence or absence of tender sites, other relevant assessments, probable causes, management of one or any combination of these options. Appearance, symmetry of chest rise and fall, bilateral breath volume, breath quality, heart sounds, lung percussion sounds, palpation, tactile tremor, presence or absence of tender sites, other relevant assessments, possible causes, treatment of one or any combination of these. options, the sub-options of the abdominal cavity and pelvic cavity further include assessment of navel appearance, overall appearance, bowel movement rate, abdominal percussion sound, touch pressure, defecation pattern, urination pattern, pelvic cavity weighing qualitative, whether there is a straddle type Injury, perineal condition, anal appearance, digital rectal examination, other relevant assessments, probable causes, treatment of one or any combination of fine options, the sub-options of the limb further include assessment of appearance, perception, skin color of the affected limb, presence or absence Edema, range of motion, pain with motion, peripheral pulse strength, presence of Babinski reflex, muscle strength test, other relevant assessments, possible causes, treatment of one or any combination of these options, the back The sub-options further include fine options for assessing appearance, presence or absence of tender sites, other relevant assessments, possible causes, treatment, or any combination of them. The sub-options for this common test further include complete blood counts, inflammation-related tests, and diabetes tests. , blood fat test, liver function test, kidney function test, pancreas function test, electrolyte test, myocardial biochemical markers, routine urine test, routine stool test or one of them Any combination of detailed options, 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, expectations for the disease, and solutions. Problem or difficulty ability, seeking resources when assistance is needed, specific high-risk group, disordered behavior, emotions or thinking, self-harm/suicidal problems, harming others, escape from danger One or any combination of the detailed options, the sub-option of the socioeconomic needs assessment further includes the detailed options of economic status, family interaction status, caregiver status, possible causes, treatment or any combination of them, the doctor's order The sub-options of [Drugs] further include the fine options of one or any combination of drip, emergency medication, and commonly used injections, and the sub-options of the respiratory system further include 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 neurological sub-option further includes head trauma, cerebrovascular accident, epilepsy, spinal injury, meninges One of or any combination of fine options of inflammation, the sub-option of the cardiovascular system further includes the fine option of one of hypertension or malignant hypertension, congestive heart failure and pulmonary edema, arrhythmia or any combination thereof, the The sub-options of the digestive system further include the sub-options of upper gastrointestinal bleeding, lower gastrointestinal bleeding, peptic ulcer, acute gastritis or acute enteritis, appendicitis, peritonitis, intestinal obstruction, or any combination thereof. The sub-option further includes the fine option of one or any combination of acute hepatitis, hepatic coma, ascites or spontaneous bacterial peritonitis, and the sub-option of the urinary system further includes acute renal failure, urinary tract infection, acute pyelonephritis, acute Sub-options of one of glomerulonephritis, urinary calculi, or any combination thereof, and the sub-option of the endocrine system further includes details of one of hypoglycemia, diabetic ketoacidosis, hyperglycemia and hyperosmolarity state, or any combination thereof. option, the sub-option of the skin system further includes the sub-option of cellulitis, burn or scald or a combination thereof, and the sub-option of electrolyte imbalance further includes hyponatremia, hyperkalemia, hypokalemia, hypokalemia Calcium One or any combination of fine options, the sub-option of the musculoskeletal system further includes assessment of affected limb neurovascular function, important diagnostic indicators, other, treatment control Pain, control or prevention of comorbidities and injuries, one of or any combination of the other options, the sub-option of this infectious disease further includes the options of dengue fever, influenza, human immunodeficiency virus or any combination of them , the poison or poisoning sub-option further includes carbon monoxide poisoning, venomous snake bite, organophosphorus poisoning, baragar poisoning or any combination of them, and the other sub-option further includes other 1, other 2, other 3 One or any combination of fine options, the ventilation sub-option further includes fine options of gas exchange disorder, inefficient breathing pattern, failure of airway clearance, potentially dangerous pulmonary inhalation, or any combination of them , the sub-option of the stimulation further includes the fine options of one or any combination of decreased intracranial accommodation, altered sensory perception (vision, hearing, orientation, taste, touch, smell), and the sub-option of body fluids and electrolytes further Includes fluid volume excess, fluid volume loss, altered tissue perfusion (brain, cardiopulmonary, gastrointestinal, renal, peripheral), reduced cardiac output, potentially dangerous poisoning, potentially dangerous infection, voiding pattern disturbances, urinary retention, diarrhea, stool Sub-options of one or any combination of pelvis, hyperthermia, and hypothermia, and sub-options of this pain further include one or any combination of acute or chronic pain, patient complaints, objective data, related factors, and nursing care The sub-option of skin integrity further includes the detailed options of one or a combination of impaired skin integrity and tissue integrity, and the sub-option of activity further includes physical motor dysfunction, activity intolerance One or a combination of these options, the nutrition sub-option further includes nutritional imbalance, patient complaints, objective data, related factors, nursing treatment or a combination of these options, the communication sub-option further includes Acute confusion, ineffective coping ability, non-conformity, lack of knowledge, one or a combination of sub-choices, this psychosocial sub-choice further includes anxiety, fear, hopelessness, self-harm, social isolation, social interaction disorder, family The detailed options of one or a combination of the complicated operation process, the other sub-options further include the detailed options of rape trauma syndrome, post-traumatic syndrome, parental dysfunction, one of the other 1, the other 2, the other 3, or a combination thereof , according to the selection of the client electronic device for the patient One or any combination of the sub-options, fine-options, and the symptom will be displayed in the summary information. The emergency nursing information-assisted learning and decision-making system according to claim 3, wherein after clicking the main option of the primary assessment, then clicking the sub-option of the nerve, and then clicking the fine option of limb weakness, the computing unit is based on the The importance of the different parts selected by the detailed options of limb weakness, and the operation determines that the patient's symptoms are suspected stroke, and the information of the evaluation result of the suspected stroke will be output, and the appropriate suggested treatment measures will be provided. The emergency nursing information-assisted learning decision-making system according to claim 3, wherein, after clicking the main option of the primary assessment, then clicking the sub-option of the cardiovascular, and then clicking the fine option of chest pain/chest tightness, the According to the detailed options of chest pain/chest tightness, the operation unit selects metastatic pain, location and how long it has occurred, and when the operation determines that the patient's symptoms are suspected myocardial infarction, it will output the evaluation result information of suspected myocardial infarction. And provide appropriate recommended treatment countermeasures. The emergency nursing information-assisted learning decision-making system according to claim 3, wherein after clicking the main option of the secondary assessment, clicking the secondary option of the trauma, and then clicking the detailed option of the accident type, the calculation According to the selected cause of the accident type, when the unit determines that the patient's symptoms are high-risk trauma, it will output the evaluation result information of the high-risk trauma, and provide appropriate recommended treatment measures. The emergency nursing information-assisted learning decision-making system according to claim 3, wherein, after clicking the main option of the primary assessment and treatment, then clicking the sub-option of consciousness, and then clicking the detailed option of the current coma index score, The computing unit calculates and judges the score of the patient's coma index according to the importance of the different responses selected by the detailed options of the current coma index score, and outputs the coma index information, and clicks the main option of the primary assessment, Then click the sub-option of the basic information, and then click the fine option of the body mass index (BMI) or the ideal weight value (IBW), the operation unit will be based on The selected fine option is calculated to determine the patient's body position index score, and output the body position index information. The emergency nursing information-assisted learning and decision-making system according to claim 3, wherein the primary option of the secondary assessment is clicked, the secondary option of the trauma is clicked, and then the modified trauma index or the current trauma severity score is clicked After selecting the fine option, the operation unit calculates and judges the score of the patient's trauma index according to the selected fine option, and outputs the trauma index information. The emergency nursing information-assisted learning decision-making system according to claim 3, wherein the main option of head-to-toe assessment and treatment is clicked, the secondary option of the limbs is clicked, and then the fine option of muscle strength detection is clicked. , the operation unit calculates and judges the muscle strength index score of the patient according to the selected fine option, and outputs the muscle strength index information, clicks the main option of head-to-toe assessment and treatment, and then clicks the whole body Secondary option for skins. The emergency nursing information-assisted learning decision-making system according to 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, the The client electronic device needs to establish an account and a password before connecting.

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