TWM651509U - Medical guidance information system - Google Patents

Medical guidance information system Download PDF

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TWM651509U
TWM651509U TW112209658U TW112209658U TWM651509U TW M651509 U TWM651509 U TW M651509U TW 112209658 U TW112209658 U TW 112209658U TW 112209658 U TW112209658 U TW 112209658U TW M651509 U TWM651509 U TW M651509U
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Taiwan
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module
button
aid
information system
guidance information
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TW112209658U
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Chinese (zh)
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鍾惠君
賴佩芳
陳品守
張惠英
周英芳
張雅雯
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佛教慈濟醫療財團法人
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Abstract

The disclosure provides a medical guidance information system, comprising a mobile device and a remote computer device. The mobile device includes: a first aid process module for displaying prompts of first aid progress or providing a plurality of first aid action buttons; a timing module for displaying time-consuming or remaining time of the first aid progress; a recording module for recording an operating history of the first aid process module; and a geographic location module for providing a geographic location information of corresponding time points of the operating history. The remote computer device connects with the mobile device and includes: a monitoring module for displaying an ambulance and personnel information, a current geographic location of the ambulance and the operating history.

Description

醫療指導資訊系統 Medical guidance information system

本創作涉及一種醫療指導資訊系統,尤指一種應用於到院前ACLS之醫療指導資訊系統。 This creation relates to a medical guidance information system, especially a medical guidance information system applied to pre-hospital ACLS.

在進行進階心肺復甦術或高級心臟救命術(Advanced Cardiac Life Support,ACLS)的急救過程中可能會發生各種失誤,例如延誤CPR的開始或停止、錯誤的復律頻次、錯誤的藥物、錯誤的給藥時機、錯誤的給藥量、操作失誤引發的混亂、缺乏有效的團隊協作等等。一般救護車上僅配置一至二位救護員,在ACLS的急救過程中,除了空間狹隘搖晃增加救護執行難度之外,必須依據心電圖的表現而有不同急救流程,同時還要進行計時、打針、給藥、電擊、壓胸等動作並紀錄時間點,這對救護員而言實為困難。 Various errors may occur during the first aid of advanced cardiopulmonary resuscitation or advanced cardiac life support (ACLS), such as delays in starting or stopping CPR, wrong frequency of cardioversion, wrong drugs, wrong Dosing timing, wrong dosing amount, confusion caused by operational errors, lack of effective teamwork, etc. Generally, ambulances are equipped with only one or two ambulancemen. During the ACLS first aid process, in addition to the narrow and shaking space making rescue execution more difficult, different first aid procedures must be based on the performance of the electrocardiogram. At the same time, timing, injection, and administration must be carried out. It is really difficult for rescuers to perform actions such as drugs, electric shocks, and chest compressions and record the time points.

因此,有需要提供一種醫療指導資訊系統以克服上述課題之一。 Therefore, there is a need to provide a medical guidance information system to overcome one of the above problems.

本創作提供一種醫療指導資訊系統,包括:行動裝置,包含:登入模組,用以輸入救護車及人員資料,並能選擇救護員層級;急救流程模組,包含複數頁籤及各該複數頁籤所對應之急救進度提示或複數急救動作按鈕,並能自 動在該複數頁籤之間切換,其中,該複數急救動作按鈕根據該救護員層級予以顯示或隱藏;計時模組,用以顯示該複數頁籤所對應之急救進度之耗時或剩餘時間;紀錄模組,用以紀錄該急救流程模組之操作歷程;及地理位置模組,用以提供該操作歷程之對應時間點之地理位置資訊;以及遠端電腦裝置,與該行動裝置連接,並包含:監控模組,用以顯示該救護車及人員資料、當前救護車之地理位置及該操作歷程;推播模組,用以在該行動裝置開始急救時進行推播通知;及輸出模組,用以輸出該救護車及人員資料及該操作歷程。 This creation provides a medical guidance information system, including: a mobile device, including: a login module, which is used to input ambulance and personnel information, and can select the ambulance level; an emergency process module, including a plurality of tabs and a plurality of pages. First aid progress prompt or multiple first aid action buttons corresponding to the sign, and can automatically Automatically switch between the plurality of tabs, wherein the plurality of first aid action buttons are displayed or hidden according to the level of the rescuer; the timing module is used to display the elapsed time or remaining time of the first aid progress corresponding to the plurality of tabs; The recording module is used to record the operation process of the first aid process module; and the geographical location module is used to provide the geographical location information corresponding to the time point of the operation process; and the remote computer device is connected to the mobile device, and It includes: a monitoring module, used to display the ambulance and personnel information, the current geographical location of the ambulance and the operation process; a push module, used to push notifications when the mobile device starts first aid; and an output module , used to output the ambulance and personnel information and the operation process.

如前述之醫療指導資訊系統中,該複數頁籤包含心肺循環頁籤、呼吸插管頁籤、AED頁籤及藥物處置頁籤,且該急救進度提示為壓胸及吹氣之進度提示,且其中,該複數急救動作按鈕包含對應心肺循環頁籤之已恢復按鈕、未恢復按鈕、安裝LUCAS按鈕及LUCAS啟動按鈕;對應呼吸插管頁籤之OPA口咽呼吸道按鈕、NPA鼻咽呼吸道按鈕、LMA喉罩呼吸道按鈕、iGel喉罩呼吸道按鈕及ETT氣管內管按鈕;對應AED頁籤之AED電擊按鈕、AED不電擊按鈕及複數EKG按鈕;以及對應藥物處置頁籤之靜脈導管按鈕、骨針導管按鈕、注射按鈕及複數藥物劑量按鈕。 For example, in the aforementioned medical guidance information system, the plurality of tabs include a cardiopulmonary circulation tab, a respiratory intubation tab, an AED tab, and a drug disposal tab, and the first aid progress prompt is a chest compression and insufflation progress prompt, and Among them, the plurality of first aid action buttons include the restored button, the unrestored button, the LUCAS installation button and the LUCAS start button corresponding to the cardiopulmonary circulation tab; the OPA oropharyngeal airway button, NPA nasopharyngeal airway button, and LMA corresponding to the respiratory intubation page. Laryngeal mask respiratory button, iGel laryngeal mask respiratory button and ETT endotracheal tube button; AED shock button, AED non-shock button and multiple EKG buttons corresponding to the AED tab; and intravenous catheter buttons and bone needle catheter buttons corresponding to the drug disposal tab , injection button and multiple drug dose buttons.

如前述之醫療指導資訊系統中,該急救流程模組在完成一重建循環之壓胸及吹氣之進度後,顯示暫停壓胸檢查心律之提示,並在未按壓該已恢復按鈕之情況下進入下一重建循環之壓胸及吹氣之進度提示,且令該紀錄模組紀錄該下一重建循環之開始時間點。 For example, in the aforementioned medical guidance information system, after completing the chest compression and insufflation progress of a reconstruction cycle, the first aid process module displays a prompt to pause chest compression and check heart rhythm, and enters without pressing the resume button. The progress of chest compression and insufflation in the next reconstruction cycle is prompted, and the recording module is made to record the start time point of the next reconstruction cycle.

如前述之醫療指導資訊系統中,在按壓該已恢復按鈕後,出現停止當前重建循環之壓胸及吹氣之進度提示,並出現自主循環與呼吸的確認提示,在確認後令該紀錄模組紀錄自主循環與呼吸之時間點。 For example, in the aforementioned medical guidance information system, after pressing the recovered button, a progress prompt for stopping the chest compression and insufflation of the current re-established cycle appears, and a confirmation prompt for spontaneous circulation and breathing appears. After confirmation, the recording module Record the time points of spontaneous circulation and breathing.

如前述之醫療指導資訊系統中,該急救流程模組更包含已到院按鈕,當該已到院按鈕被按壓時,令該紀錄模組紀錄已到院之時間點並停止紀錄。 For example, in the aforementioned medical guidance information system, the first aid process module further includes a hospital arrival button. When the hospital arrival button is pressed, the recording module records the time point of arrival at the hospital and stops recording.

如前述之醫療指導資訊系統中,該行動裝置更包含警示模組,用以提供該急救進度即將屆時或逾時之語音、聲音、文字、顏色或振動提示。 As in the aforementioned medical guidance information system, the mobile device further includes a warning module to provide voice, sound, text, color or vibration reminders that the first aid progress is about to expire or has expired.

如前述之醫療指導資訊系統中,該行動裝置更包含傳輸模組,用以與該遠端電腦裝置連接,並定時向該遠端電腦裝置傳輸該救護車及人員資料、當前救護車之地理位置及該操作歷程。 For example, in the aforementioned medical guidance information system, the mobile device further includes a transmission module for connecting to the remote computer device, and regularly transmits the ambulance and personnel information, and the current geographical location of the ambulance to the remote computer device. and the operation process.

如前述之醫療指導資訊系統中,該行動裝置及該遠端電腦裝置分別更包含遠端語音與視訊溝通模組,用以相互即時進行溝通。 For example, in the aforementioned medical guidance information system, the mobile device and the remote computer device further include remote voice and video communication modules for real-time communication with each other.

如前述之醫療指導資訊系統中,該行動裝置為智慧型手機或平板電腦,該遠端電腦裝置為桌上型電腦、智慧型手機或平板電腦。 For example, in the aforementioned medical guidance information system, the mobile device is a smart phone or tablet computer, and the remote computer device is a desktop computer, smart phone or tablet computer.

如前述之醫療指導資訊系統中,更包含伺服器,用以分別連接該行動裝置及該遠端電腦裝置,並能儲存該登入模組、該急救流程模組、該計時模組、該紀錄模組、該監控模組及該推播模組,其中,該行動裝置透過一操作界面載入該登入模組、該急救流程模組、該計時模組及該紀錄模組,該遠端電腦裝置透過一監控界面載入該監控模組及該推播模組,且該操作界面及該監控界面為瀏覽器。 For example, the aforementioned medical guidance information system further includes a server for connecting the mobile device and the remote computer device respectively, and can store the login module, the first aid process module, the timing module, and the recording module. The group, the monitoring module and the push module, wherein the mobile device loads the login module, the first aid process module, the timing module and the recording module through an operation interface, and the remote computer device The monitoring module and the push module are loaded through a monitoring interface, and the operation interface and the monitoring interface are browsers.

綜上所述,本創作之醫療指導資訊系統能夠輔助救護員進行ACLS急救流程並留下紀錄,降低救護員犯錯機率並提昇傷患生存率,且紀錄能無時差地傳入醫院端或醫療指導醫師,使醫院端或醫療指導醫師能提早做出因應,並能完備病歷紀錄,做好急救品質管理,減少後續家屬的誤解。另外,本創作之醫療指導資訊系統能針對救護員層級提供不同的急救流程,並能與醫療指導醫師或 醫院端協作、即時溝通或接受醫療指導。又,本創作之醫療指導資訊系統能提供實時的指導與紀錄,並能於後續進行檢討追蹤與教育訓練。 To sum up, the medical guidance information system created by this invention can assist ambulancemen in performing ACLS first aid procedures and leave records, reducing the chance of ambulancemen making mistakes and improving the survival rate of injured patients, and the records can be transmitted to the hospital or medical guidance without time lag. Physicians can enable the hospital or medical guidance physicians to respond in advance, complete medical records, manage first aid quality, and reduce subsequent misunderstandings by family members. In addition, the medical guidance information system created by this creation can provide different first aid procedures for the ambulance level, and can communicate with the medical guidance physician or Collaborate on the hospital side, communicate instantly or receive medical guidance. In addition, the medical guidance information system created by this invention can provide real-time guidance and records, and can conduct subsequent review, tracking and education training.

1:行動裝置 1:Mobile device

11,31:登入模組 11,31: Login module

12,32:急救流程模組 12,32: First aid process module

13,33:計時模組 13,33: Timing module

14,34:紀錄模組 14,34:Record module

15:地理位置模組 15:Geographical location module

16:警示模組 16:Alert module

17:傳輸模組 17:Transmission module

18,24:遠端語音與視訊溝通模組 18,24: Remote voice and video communication module

19:操作界面 19: Operation interface

2:遠端電腦裝置 2: Remote computer device

21,35:監控模組 21,35:Monitoring module

22,36:推播模組 22,36: Push module

23:輸出模組 23:Output module

25:監控界面 25:Monitoring interface

3:伺服器 3:Server

4:頁籤 4:Tab

5:急救進度提示 5: First aid progress reminder

6:急救動作按鈕 6: First aid action button

7:操作歷程 7: Operation process

8:救護車及人員資料 8: Ambulance and personnel information

9:地理位置 9:Geographical location

圖1為本創作醫療指導資訊系統之一系統架構圖。 Figure 1 is a system architecture diagram of the medical guidance information system of this creation.

圖2為本創作醫療指導資訊系統之另一系統架構圖。 Figure 2 is another system architecture diagram of the medical guidance information system of this creation.

圖3為本創作醫療指導資訊系統中心肺循環頁籤之頁面示意圖。 Figure 3 is a schematic diagram of the cardiopulmonary circulation tab of this creative medical guidance information system.

圖4為本創作醫療指導資訊系統中呼吸插管頁籤之頁面示意圖。 Figure 4 is a schematic diagram of the page of the respiratory intubation tab in the medical guidance information system of this creation.

圖5為本創作醫療指導資訊系統中AED頁籤之頁面示意圖。 Figure 5 is a schematic diagram of the AED tab in this creative medical guidance information system.

圖6為本創作醫療指導資訊系統中藥物處置頁籤之頁面示意圖。 Figure 6 is a schematic diagram of the drug disposal tab in the medical guidance information system of this creation.

圖7為本創作醫療指導資訊系統中紀錄模組所紀錄之操作歷程之示意圖。 Figure 7 is a schematic diagram of the operation process recorded by the recording module in the creative medical guidance information system.

圖8為本創作醫療指導資訊系統中遠端電腦裝置顯示之畫面示意圖。 Figure 8 is a schematic diagram of the screen displayed by the remote computer device in the medical guidance information system of this invention.

以下藉由特定之具體實施例加以說明本創作之實施方式,而熟悉此技術之人士可由本說明書所揭示之內容輕易地瞭解本創作之其他優點和功效,亦可藉由其他不同的具體實施例加以施行或應用。 The following describes the implementation of the present invention through specific embodiments, and those familiar with this technology can easily understand other advantages and effects of the present invention from the content disclosed in this specification, and can also use other different specific embodiments. carry out or apply.

請參閱圖1,本創作醫療指導資訊系統包括行動裝置1及遠端電腦裝置2,行動裝置1可透過網路與遠端電腦裝置2連接,其中,行動裝置1可以是智 慧型手機或平板電腦,遠端電腦裝置2可以是桌上型電腦、智慧型手機或平板電腦。 Please refer to Figure 1. The creative medical guidance information system includes a mobile device 1 and a remote computer device 2. The mobile device 1 can be connected to the remote computer device 2 through the network. The mobile device 1 can be a smart phone. A smart phone or a tablet computer, the remote computer device 2 can be a desktop computer, a smart phone or a tablet computer.

行動裝置1包含登入模組11、急救流程模組12、計時模組13、紀錄模組14、地理位置模組15、警示模組16、傳輸模組17及遠端語音與視訊溝通模組18。登入模組11用以供使用者輸入救護車及人員資料(例如救護車車號、救護機構、駕駛姓名、救護員姓名等),並能選擇救護員層級(例如EMT 2、EMT P),之後即令急救流程模組12提供急救進度提示5(如圖3所示)或複數急救動作按鈕6(如圖3至圖7所示)供使用者操作。 The mobile device 1 includes a login module 11, a first aid process module 12, a timing module 13, a recording module 14, a geographical location module 15, an alert module 16, a transmission module 17 and a remote voice and video communication module 18 . The login module 11 is used for users to input ambulance and personnel information (such as ambulance number, ambulance organization, driver's name, ambulance name, etc.), and can select the ambulance level (such as EMT 2, EMT P), and then That is, the first aid process module 12 provides a first aid progress prompt 5 (as shown in Figure 3) or a plurality of first aid action buttons 6 (as shown in Figures 3 to 7) for the user to operate.

如圖3至圖7所示,急救流程模組12是關於進階心肺復甦術或高級心臟救命術(Advanced Cardiac Life Support,ACLS)的應用,包含複數頁籤4及各複數頁籤4所對應之急救進度提示5或複數急救動作按鈕6,並能自動在複數頁籤4之間切換。在本實施例中,複數頁籤4包含心肺循環頁籤、呼吸插管頁籤、AED頁籤及藥物處置頁籤。如圖3所示,在心肺循環頁籤的頁面可以呈現急救進度提示5並包含複數急救動作按鈕6。該急救進度提示5可以是ACLS所指引的壓胸及吹氣之進度提示,以提示救護員壓胸時機、吹氣時機與循環次數(例如按壓30下後吹2口氣)。在此複數急救動作按鈕6包含已恢復按鈕、未恢復按鈕、安裝LUCAS按鈕及LUCAS啟動按鈕,救護員可選擇手動按壓或是使用LUCAS胸外按壓系統,在外接至LUCAS胸外按壓系統時,救護員就依序按壓安裝LUCAS按鈕及LUCAS啟動按鈕,此時在心肺循環頁籤的頁面就不會顯示急救進度提示5。 As shown in Figures 3 to 7, the first aid process module 12 is an application related to advanced cardiopulmonary resuscitation or advanced cardiac life support (ACLS), including plural tabs 4 and corresponding plural tabs 4. First aid progress prompt 5 or multiple first aid action buttons 6, and can automatically switch between multiple tabs 4. In this embodiment, the plurality of tabs 4 includes a cardiopulmonary circulation tab, a respiratory intubation tab, an AED tab, and a drug disposal tab. As shown in Figure 3, the page of the cardiopulmonary circulation tab may present a first aid progress prompt 5 and include a plurality of first aid action buttons 6. The first aid progress prompt 5 can be a progress prompt of chest compression and insufflation guided by ACLS to prompt the rescuer with the timing of chest compression, the timing of insufflation and the number of cycles (for example, blowing 2 breaths after 30 compressions). The plurality of first aid action buttons 6 here include a restored button, an unrestored button, a LUCAS installation button and a LUCAS start button. The rescuer can choose to press manually or use the LUCAS chest compression system. When externally connected to the LUCAS chest compression system, the rescuer The operator presses the LUCAS installation button and LUCAS start button in sequence. At this time, the first aid progress prompt 5 will be displayed on the cardiopulmonary circulation tab.

於一實施例中,急救流程模組12在完成一重建循環之壓胸及吹氣之進度後(例如循環5次為一重建循環),顯示暫停壓胸檢查心律之提示,在經過一定時間,救護員未按壓已恢復按鈕之情況下,自動進入下一重建循環之壓胸 及吹氣之進度提示。若救護員在此時按壓已恢復按鈕,則出現自主循環與呼吸的確認提示。另外,若救護員在重建循環之壓胸及吹氣之進度中,直接按壓已恢復按鈕時,會出現停止當前重建循環之壓胸及吹氣之進度提示,並出現自主循環與呼吸的確認提示。又,當救護員在重建循環之壓胸及吹氣之進度中,切換至非心肺循環頁籤的其他頁籤的頁面進行操作時,急救流程模組12在完成一重建循環之壓胸及吹氣之進度後,會自動跳回心肺循環頁籤的頁面來提示使用者進行心律檢查。 In one embodiment, the first aid process module 12 displays a prompt to pause the chest compression and check the heart rhythm after completing a reconstruction cycle of chest compression and insufflation (for example, 5 cycles are a reconstruction cycle). After a certain period of time, If the rescuer does not press the recovery button, it will automatically enter the chest compression of the next reconstruction cycle. And the progress prompt of blowing. If the rescuer presses the recovery button at this time, a confirmation prompt for spontaneous circulation and breathing will appear. In addition, if the rescuer directly presses the recovery button during the chest compression and insufflation process of re-establishing the cycle, a prompt will appear to stop the progress of the chest compression and insufflation of the current re-establishment cycle, and a confirmation prompt for spontaneous circulation and breathing will appear. . In addition, when the rescuer switches to a page of other tabs other than the cardiopulmonary circulation tab during the progress of chest compression and insufflation in reestablishing the cycle, the first aid process module 12 completes the chest compression and insufflation in the reestablishment cycle. After the Qi progress is completed, it will automatically jump back to the cardiopulmonary circulation tab page to prompt the user to perform a heart rhythm check.

如圖4所示,在呼吸插管頁籤之頁面可包含複數急救動作按鈕6,在此複數急救動作按鈕6包含OPA口咽呼吸道按鈕、NPA鼻咽呼吸道按鈕、LMA喉罩呼吸道按鈕、iGel喉罩呼吸道按鈕及ETT氣管內管按鈕。於一實施例中,ETT氣管內管按鈕可根據救護員層級予以顯示或隱藏,例如在EMT 2之救護員層級為隱藏,在EMT P之救護員層級為顯示。 As shown in Figure 4, the page of the respiratory intubation tab may include a plurality of first aid action buttons 6. Here, the plurality of first aid action buttons 6 include an OPA oropharyngeal airway button, an NPA nasopharyngeal airway button, an LMA laryngeal mask airway button, and an iGel laryngeal airway button. Airway mask button and ETT endotracheal tube button. In one embodiment, the ETT endotracheal tube button can be displayed or hidden according to the rescuer level, for example, it is hidden at the rescuer level of EMT 2 and displayed at the rescuer level of EMT P.

如圖5所示,在AED頁籤之頁面可包含複數急救動作按鈕6,在此複數急救動作按鈕6包含AED電擊按鈕、AED不電擊按鈕及複數EKG按鈕。於一實施例中,複數EKG按鈕可以分別對應無脈性心電氣活動(PEA)、心跳停止(Asystole)、心室纖維顫動(VF)及無脈性心室頻脈(pVT),但並不以此為限。於另一實施例中,複數EKG按鈕可根據救護員層級予以顯示或隱藏,例如在EMT 2之救護員層級為隱藏,在EMT P之救護員層級為顯示。 As shown in Figure 5, the AED tab page may include multiple first aid action buttons 6, where the plurality of first aid action buttons 6 include an AED shock button, an AED non-shock button, and multiple EKG buttons. In one embodiment, the plurality of EKG buttons can respectively correspond to pulseless electrical activity (PEA), asystole (Asystole), ventricular fibrillation (VF), and pulseless ventricular tachycardia (pVT), but this is not the case. is limited. In another embodiment, multiple EKG buttons can be displayed or hidden according to the ambulance level, for example, hidden at the ambulance level of EMT 2 and displayed at the ambulance level of EMT P.

如圖6所示,在藥物處置頁籤之頁面可包含複數急救動作按鈕6,在此複數急救動作按鈕6包含靜脈導管按鈕(IV)、骨針導管按鈕(IO)、注射按鈕(Bosmin)及複數藥物劑量按鈕。於一實施例中,複數藥物劑量按鈕可分別對應Amiodarone 300mg、Amiodarone 150mg、Lidocaine等,但並不以此為限。在按 壓注射按鈕之後,可顯示計時碼表供救護員參考。於另一實施例中,注射按鈕(Bosmin)及複數藥物劑量按鈕可根據救護員層級予以顯示或隱藏,例如在EMT 2之救護員層級為隱藏,在EMT P之救護員層級為顯示。 As shown in Figure 6, the drug disposal tab page may include a plurality of first aid action buttons 6. Here, the plurality of first aid action buttons 6 include an intravenous catheter button (IV), a needle catheter button (IO), an injection button (Bosmin) and Multiple drug dosage buttons. In one embodiment, multiple drug dose buttons may respectively correspond to Amiodarone 300mg, Amiodarone 150mg, Lidocaine, etc., but are not limited to this. pressing After pressing the injection button, a chronograph can be displayed for the rescuer's reference. In another embodiment, the injection button (Bosmin) and multiple drug dose buttons can be displayed or hidden according to the ambulance level. For example, the ambulance level of EMT 2 is hidden, and the ambulance level of EMT P is displayed.

計時模組13用以顯示複數頁籤4所對應之急救進度之耗時或剩餘時間,例如已開始進行心肺復甦的總耗時、已注射藥劑後之計時等。紀錄模組14用以紀錄急救流程模組12之操作歷程,如圖7所示,經由登入模組11登入後,紀錄模組14即會紀錄開始急救之時間點,接著會紀錄急救流程模組12之整個操作流程中各步驟之時間點,例如紀錄按壓急救動作按鈕6之時間點以及對應按鈕的名稱,也可以紀錄心肺循環中下一重建循環之開始時間點、確認自主循環與呼吸之時間點等等。於一實施例中,急救流程模組12更包含已到院按鈕,當已到院按鈕被救護員按壓時,紀錄模組14就會紀錄已到院之時間點並停止紀錄。於一實施例中,在按壓已到院按鈕後,還可出現傷患資料登錄的視窗,供救護員輸入例如收治院所、院所病歷號、傷患姓名、傷患證號等資訊,登錄完成後就開放上傳功能,即利用傳輸模組17來進行上傳。另外,急救流程模組12還可包含EMT P切換按鈕,此按鈕於EMT 2的層級才會出現,而按壓此按鈕之後,就會切換到EMT P的層級並出現對應的急救流程。 The timing module 13 is used to display the elapsed time or remaining time of the first aid progress corresponding to the plurality of tabs 4, such as the total elapsed time for cardiopulmonary resuscitation, the time after the medicine has been injected, etc. The recording module 14 is used to record the operation process of the first aid process module 12. As shown in Figure 7, after logging in through the login module 11, the recording module 14 will record the time point when first aid is started, and then record the first aid process module. 12. The time points of each step in the entire operation process, such as recording the time point when emergency action button 6 is pressed and the name of the corresponding button. It can also record the start time point of the next reconstruction cycle in cardiopulmonary circulation and the time to confirm spontaneous circulation and breathing. Wait. In one embodiment, the first aid process module 12 further includes an arrival button. When the arrival button is pressed by the ambulanceman, the recording module 14 will record the time point of arrival and stop recording. In one embodiment, after pressing the hospital-arriving button, a window for logging in patient information may also appear, allowing the ambulance crew to input information such as the hospital where they are admitted, the hospital's medical record number, the patient's name, the patient's ID card number, etc., and log in. After completion, the upload function is enabled, that is, the transmission module 17 is used to upload. In addition, the first aid process module 12 may also include an EMT P switching button. This button will only appear at the EMT 2 level. After pressing this button, it will switch to the EMT P level and the corresponding first aid process will appear.

地理位置模組15用以獲取當前救護車之地理位置資訊(例如GPS),以對應作為急救流程模組12之操作歷程之對應時間點之地理位置資訊,而此地理位置資訊也可以即時動態地顯示在地圖上。警示模組16用以提供急救進度即將屆時或逾時之語音、聲音、文字、顏色或振動提示,以提示救護員應進行即時的處置。傳輸模組17用以與遠端電腦裝置2連接(例如透過4G、5G、6G或WI-FI無線網路來連接),並可定時(例如每30秒)向遠端電腦裝置2傳輸救護車 及人員資料、當前救護車之地理位置及操作歷程。遠端語音與視訊溝通模組18為常見的視訊軟體或語音軟體(如Line、Zoom、Teams等等)。 The geographical location module 15 is used to obtain the geographical location information (such as GPS) of the current ambulance to correspond to the geographical location information at the corresponding time point in the operation process of the first aid process module 12, and this geographical location information can also be dynamically processed in real time. Show on the map. The warning module 16 is used to provide a voice, sound, text, color or vibration reminder that the first aid progress is about to expire or has expired, so as to remind the ambulance crew to carry out immediate treatment. The transmission module 17 is used to connect to the remote computer device 2 (for example, through 4G, 5G, 6G or WI-FI wireless network), and can transmit the ambulance to the remote computer device 2 regularly (for example, every 30 seconds). and personnel information, current ambulance location and operation history. The remote voice and video communication module 18 is common video software or voice software (such as Line, Zoom, Teams, etc.).

遠端電腦裝置2包含監控模組21、推播模組22、輸出模組23及遠端語音與視訊溝通模組24。如圖8所示,監控模組21用以顯示救護車及人員資料8、當前救護車之地理位置9及操作歷程7,並能即時更新。救護車及人員資料8是由登入模組11所提供,當前救護車之地理位置9是由地理位置模組15所提供,操作歷程7則由紀錄模組14所提供,如此一來,使用遠端電腦裝置2之醫院端或醫療指導醫師可即時得知急救狀況,便於即時醫療指導。推播模組22用以在行動裝置1開始急救時(也就是完成登入模組11之操作後)進行推播通知。輸出模組23用以輸出救護車及人員資料及操作歷程,例如直接列印成紙本或是形成PDF檔。遠端語音與視訊溝通模組24為常見的視訊軟體或語音軟體(如Line、Zoom、Teams等等),可與行動裝置1之遠端語音與視訊溝通模組18相互對應,用以相互即時進行溝通。為了進行權限控管,遠端電腦裝置2也可包含登入帳號及密碼驗證之功能,但本創作並不以此為限。 The remote computer device 2 includes a monitoring module 21 , a push module 22 , an output module 23 and a remote voice and video communication module 24 . As shown in Figure 8, the monitoring module 21 is used to display ambulance and personnel information 8, current ambulance location 9 and operation history 7, and can be updated in real time. The ambulance and personnel information 8 is provided by the login module 11, the current geographical location of the ambulance 9 is provided by the geographical location module 15, and the operation history 7 is provided by the record module 14. In this way, using remote The hospital or medical guidance physician of the terminal computer device 2 can know the emergency situation in real time, which facilitates real-time medical guidance. The push module 22 is used to provide a push notification when the mobile device 1 starts first aid (that is, after completing the operation of logging in to the module 11). The output module 23 is used to output ambulance and personnel data and operation history, for example, directly printing it into paper or forming a PDF file. The remote voice and video communication module 24 is a common video software or voice software (such as Line, Zoom, Teams, etc.), which can correspond to the remote voice and video communication module 18 of the mobile device 1 for real-time communication with each other. Communicate. In order to perform authority control, the remote computer device 2 may also include the function of login account and password verification, but the invention is not limited to this.

請參閱圖2,本創作醫療指導資訊系統可包括行動裝置1、遠端電腦裝置2及伺服器3。以下將說明本實施例與前述實施例之相異處,相同技術內容於此不再贅述。在本實施例中,伺服器3分別連接行動裝置1及遠端電腦裝置2,並能儲存登入模組31、急救流程模組32、計時模組33、紀錄模組34、監控模組35及推播模組36,登入模組31、急救流程模組32、計時模組33、紀錄模組34、監控模組35及推播模組36與前述之登入模組11、急救流程模組12、計時模組13、紀錄模組14、監控模組21及推播模組22之功能相同,於此不再贅述。行動裝置1更包含一操作界面19,操作界面19能載入登入模組31、急救流程模組32、計時模組33及 紀錄模組34,以供救護員進行操作。遠端電腦裝置2更包含一監控界面25,監控界面25能載入監控模組35及推播模組36,以供醫院端或醫療指導醫師使用。於一實施例中,操作界面19及監控界面25為瀏覽器,而登入模組31、急救流程模組32、計時模組33、紀錄模組34、監控模組35及推播模組36為網頁設計程式語言所設計之互動式網頁形式。如此一來,只要有瀏覽器的行動裝置1或遠端電腦裝置2,就可以連線至伺服器3來使用本創作之醫療指導資訊系統。 Please refer to Figure 2. The creative medical guidance information system may include a mobile device 1, a remote computer device 2 and a server 3. The differences between this embodiment and the previous embodiments will be described below, and the same technical content will not be repeated here. In this embodiment, the server 3 is connected to the mobile device 1 and the remote computer device 2 respectively, and can store the login module 31, the first aid process module 32, the timing module 33, the recording module 34, the monitoring module 35 and Push module 36, login module 31, first aid process module 32, timing module 33, record module 34, monitoring module 35 and push module 36 and the aforementioned login module 11, first aid process module 12 , the functions of the timing module 13, the recording module 14, the monitoring module 21 and the push module 22 are the same and will not be described again here. The mobile device 1 further includes an operation interface 19. The operation interface 19 can load a login module 31, a first aid process module 32, a timing module 33 and Recording module 34 for operation by ambulance personnel. The remote computer device 2 further includes a monitoring interface 25. The monitoring interface 25 can load the monitoring module 35 and the push module 36 for use by the hospital or the medical guidance physician. In one embodiment, the operation interface 19 and the monitoring interface 25 are browsers, and the login module 31, the first aid process module 32, the timing module 33, the recording module 34, the monitoring module 35 and the push module 36 are An interactive web page designed in a web design programming language. In this way, as long as the mobile device 1 or the remote computer device 2 has a browser, it can connect to the server 3 to use the medical guidance information system of this creation.

綜上所述,本創作之醫療指導資訊系統能夠輔助救護員進行ACLS急救流程並留下紀錄,降低救護員犯錯機率並提昇傷患生存率,且紀錄能無時差地傳入醫院端或醫療指導醫師,使醫院端或醫療指導醫師能提早做出因應,並能完備病歷紀錄,做好急救品質管理,減少後續家屬的誤解。另外,本創作之醫療指導資訊系統能針對救護員層級提供不同的急救流程,並能與醫療指導醫師或醫院端協作、即時溝通或接受醫療指導。又,本創作之醫療指導資訊系統能提供實時的指導與紀錄,並能於後續進行檢討追蹤與教育訓練。 To sum up, the medical guidance information system created by this invention can assist ambulancemen in performing ACLS first aid procedures and leave records, reducing the chance of ambulancemen making mistakes and improving the survival rate of injured patients. The records can be transmitted to the hospital or medical guidance without time lag. Physicians enable the hospital or medical guidance physicians to respond in advance, complete medical records, and manage the quality of first aid to reduce subsequent misunderstandings by family members. In addition, the medical guidance information system created by this invention can provide different first aid procedures for the ambulance level, and can collaborate with medical guidance doctors or hospitals to communicate or receive medical guidance in real time. In addition, the medical guidance information system created by this invention can provide real-time guidance and records, and can conduct subsequent review, tracking and education training.

上述實施形態僅為例示性說明本創作之技術原理、特點及其功效,並非用以限制本創作之可實施範疇,任何熟習此技術之人士均可在不違背本創作之精神與範疇下,對上述實施形態進行修飾與改變。然任何運用本創作所教示內容而完成之等效修飾及改變,均仍應為下述之申請專利範圍所涵蓋。而本創作之權利保護範圍,應如下述之申請專利範圍所列。 The above implementation forms are only for illustrating the technical principles, characteristics and functions of this invention, and are not intended to limit the scope of implementation of this invention. Anyone familiar with this technology can implement the invention without violating the spirit and scope of this invention. Modifications and changes are made to the above embodiments. However, any equivalent modifications and changes accomplished by applying the teachings of this creation should still be covered by the following patent application scope. The scope of rights protection for this creation shall be as listed in the following patent application scope.

1:行動裝置 1:Mobile device

11:登入模組 11: Login module

12:急救流程模組 12:First aid process module

13:計時模組 13: Timing module

14:紀錄模組 14:Record module

15:地理位置模組 15:Geographical location module

16:警示模組 16:Alert module

17:傳輸模組 17:Transmission module

18,24:遠端語音與視訊溝通模組 18,24: Remote voice and video communication module

2:遠端電腦裝置 2: Remote computer device

21:監控模組 21:Monitoring module

22:推播模組 22:Push module

23:輸出模組 23:Output module

Claims (10)

一種醫療指導資訊系統,包括: A medical guidance information system, including: 行動裝置,包含: Mobile devices, including: 登入模組,用以輸入救護車及人員資料,並能選擇救護員層級; Log in to the module to enter ambulance and personnel information and select the ambulance level; 急救流程模組,包含複數頁籤及各該複數頁籤所對應之急救進度提示或複數急救動作按鈕,並能自動在該複數頁籤之間切換,其中,該複數急救動作按鈕根據該救護員層級予以顯示或隱藏; The first aid process module includes a plurality of tabs and a first aid progress prompt or a plurality of first aid action buttons corresponding to the plurality of tabs, and can automatically switch between the plurality of tabs, wherein the plurality of first aid action buttons are based on the first aid action button of the ambulanceman. Levels are shown or hidden; 計時模組,用以顯示該複數頁籤所對應之急救進度之耗時或剩餘時間; The timing module is used to display the elapsed time or remaining time of the first aid progress corresponding to the plurality of tabs; 紀錄模組,用以紀錄該急救流程模組之操作歷程;及 A recording module is used to record the operation process of the first aid process module; and 地理位置模組,用以提供該操作歷程之對應時間點之地理位置資訊;以及 The geographical location module is used to provide geographical location information corresponding to the time point of the operation process; and 遠端電腦裝置,與該行動裝置連接,並包含: The remote computer device is connected to the mobile device and includes: 監控模組,用以顯示該救護車及人員資料、當前救護車之地理位置及該操作歷程; The monitoring module is used to display the ambulance and personnel information, the current geographical location of the ambulance and the operation history; 推播模組,用以在該行動裝置開始急救時進行推播通知;及 A push module used to send push notifications when the mobile device initiates first aid; and 輸出模組,用以輸出該救護車及人員資料及該操作歷程。 The output module is used to output the ambulance and personnel information and the operation process. 如請求項1所述之醫療指導資訊系統,其中,該複數頁籤包含心肺循環頁籤、呼吸插管頁籤、AED頁籤及藥物處置頁籤,且該急救進度提示為壓胸及吹氣之進度提示,且其中,該複數急救動作按鈕包含對應心肺循環頁籤之已恢復按鈕、未恢復按鈕、安裝LUCAS按鈕及LUCAS啟動按鈕;對應呼吸插管頁籤之OPA口咽呼吸道按鈕、NPA鼻咽呼吸道按鈕、LMA喉罩呼吸道按鈕、iGel喉 罩呼吸道按鈕及ETT氣管內管按鈕;對應AED頁籤之AED電擊按鈕、AED不電擊按鈕及複數EKG按鈕;以及對應藥物處置頁籤之靜脈導管按鈕、骨針導管按鈕、注射按鈕及複數藥物劑量按鈕。 The medical guidance information system as described in request item 1, wherein the plurality of tabs include a cardiopulmonary circulation tab, a respiratory intubation tab, an AED tab and a drug disposal tab, and the first aid progress prompt is chest compression and insufflation Progress prompts, and among them, the plurality of first aid action buttons include the recovered button, unrecovered button, install LUCAS button and LUCAS start button corresponding to the cardiopulmonary circulation tab; the OPA oropharyngeal airway button, NPA nasal button corresponding to the respiratory intubation tab. Pharyngeal airway button, LMA laryngeal mask airway button, iGel laryngeal airway button Airway mask button and ETT endotracheal tube button; AED shock button, AED non-shock button and multiple EKG buttons corresponding to the AED tab; and intravenous catheter button, bone needle catheter button, injection button and multiple drug doses corresponding to the drug disposal tab button. 如請求項2所述之醫療指導資訊系統,其中,該急救流程模組在完成一重建循環之壓胸及吹氣之進度後,顯示暫停壓胸檢查心律之提示,並在未按壓該已恢復按鈕之情況下進入下一重建循環之壓胸及吹氣之進度提示,且令該紀錄模組紀錄該下一重建循環之開始時間點。 The medical guidance information system as described in request item 2, wherein the first aid process module displays a prompt to pause chest compression and check heart rhythm after completing the chest compression and insufflation progress of a reconstruction cycle, and displays a prompt to pause the chest compression to check the heart rhythm before the compression has resumed. Press the button to enter the chest compression and insufflation progress prompt of the next reconstruction cycle, and make the recording module record the start time point of the next reconstruction cycle. 如請求項2所述之醫療指導資訊系統,其中,在按壓該已恢復按鈕後,出現停止當前重建循環之壓胸及吹氣之進度提示,並出現自主循環與呼吸的確認提示,在確認後令該紀錄模組紀錄自主循環與呼吸之時間點。 The medical guidance information system as described in request item 2, wherein after pressing the recovered button, a progress prompt for stopping the chest compression and insufflation of the current re-established cycle appears, and a confirmation prompt for spontaneous circulation and breathing appears. After confirmation, Let the recording module record the time points of spontaneous circulation and breathing. 如請求項1所述之醫療指導資訊系統,其中,該急救流程模組更包含已到院按鈕,當該已到院按鈕被按壓時,令該紀錄模組紀錄已到院之時間點並停止紀錄。 The medical guidance information system as described in claim 1, wherein the first aid process module further includes a hospital arrival button. When the hospital arrival button is pressed, the recording module is caused to record the time point of arrival at the hospital and stop. record. 如請求項1所述之醫療指導資訊系統,其中,該行動裝置更包含警示模組,用以提供該急救進度即將屆時或逾時之語音、聲音、文字、顏色或振動提示。 The medical guidance information system described in claim 1, wherein the mobile device further includes a warning module to provide voice, sound, text, color or vibration reminders that the first aid progress is about to expire or has expired. 如請求項1所述之醫療指導資訊系統,其中,該行動裝置更包含傳輸模組,用以與該遠端電腦裝置連接,並定時向該遠端電腦裝置傳輸該救護車及人員資料、當前救護車之地理位置及該操作歷程。 The medical guidance information system as described in claim 1, wherein the mobile device further includes a transmission module for connecting to the remote computer device, and regularly transmits the ambulance and personnel information, current data, and current information to the remote computer device. The geographical location of the ambulance and its operation history. 如請求項1所述之醫療指導資訊系統,其中,該行動裝置及該遠端電腦裝置分別更包含遠端語音與視訊溝通模組,用以相互即時進行溝通。 The medical guidance information system as described in claim 1, wherein the mobile device and the remote computer device respectively further include remote voice and video communication modules for real-time communication with each other. 如請求項1所述之醫療指導資訊系統,其中,該行動裝置為智慧型手機或平板電腦,該遠端電腦裝置為桌上型電腦、智慧型手機或平板電腦。 The medical guidance information system as described in claim 1, wherein the mobile device is a smartphone or a tablet computer, and the remote computer device is a desktop computer, a smartphone or a tablet computer. 如請求項1所述之醫療指導資訊系統,更包含伺服器,用以分別連接該行動裝置及該遠端電腦裝置,並能儲存該登入模組、該急救流程模組、該計時模組、該紀錄模組、該監控模組及該推播模組,其中,該行動裝置透過一操作界面載入該登入模組、該急救流程模組、該計時模組及該紀錄模組,該遠端電腦裝置透過一監控界面載入該監控模組及該推播模組,且該操作界面及該監控界面為瀏覽器。 The medical guidance information system as described in claim 1 further includes a server for connecting the mobile device and the remote computer device respectively, and capable of storing the login module, the first aid process module, the timing module, The recording module, the monitoring module and the push module, wherein the mobile device loads the login module, the first aid process module, the timing module and the recording module through an operation interface, and the remote The terminal computer device loads the monitoring module and the push module through a monitoring interface, and the operation interface and the monitoring interface are browsers.
TW112209658U 2023-09-07 2023-09-07 Medical guidance information system TWM651509U (en)

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