Pre-hospital emergency remote medical rescue system

文档序号:170954 发布日期:2021-10-29 浏览:39次 中文

阅读说明:本技术 一种院前急救远程医疗救护系统 (Pre-hospital emergency remote medical rescue system ) 是由 杨晓萍 于 2021-06-18 设计创作,主要内容包括:本发明属于应急救护技术领域,公开了一种院前急救远程医疗救护系统,包括急救车辆、医院、急救调度指挥中心和医疗交互云端,急救车、医院和急救调度指挥中心通过医疗交互云端连接,急救车辆内对病人进行医疗检测、记录建档和医疗救护,急救车辆连接有固定摄像头和移动摄像头,固定摄像头内置有拾音器,医院包括存档挂号、在线协助救护和医疗准备,急救调度指挥中心用于调度急救车辆,急救调度指挥中心还为急救车辆规划行驶计划;本发明解决了现有技术医院和急救车辆的信息无法同步共享和医院无法时刻知晓急救车辆行驶信息的问题,适用于院前急救。(The invention belongs to the technical field of emergency rescue, and discloses a remote medical rescue system for pre-hospital emergency, which comprises an emergency vehicle, a hospital, an emergency dispatching command center and a medical interactive cloud, wherein the emergency vehicle, the hospital and the emergency dispatching command center are connected through the medical interactive cloud; the invention solves the problems that the information of the hospital and the emergency vehicle can not be synchronously shared and the hospital can not know the running information of the emergency vehicle all the time in the prior art, and is suitable for pre-hospital emergency treatment.)

1. A pre-hospital emergency remote medical rescue system is characterized in that: the emergency vehicle comprises an emergency vehicle, a hospital, an emergency dispatching command center and a medical interaction cloud end, wherein the emergency vehicle comprises an emergency vehicle networking medical cloud end, the hospital comprises a hospital emergency networking medical cloud end, the emergency dispatching command center comprises an emergency dispatching command center cloud end, the emergency vehicle networking medical cloud end, the hospital emergency networking medical cloud end and the emergency dispatching command center cloud end are connected through the medical interaction cloud end, the emergency vehicle comprises medical detection, record filing and medical rescue, the emergency vehicle is connected with a fixed camera, a sound pickup is arranged in the fixed camera, the fixed camera is used for collecting images and sounds in the emergency vehicle, the record filing and the medical rescue are carried out according to the detection result of the medical detection, and the record filing is synchronously uploaded to the medical interaction cloud end, the hospital comprises a filing registration, an online assisted rescue and a medical preparation, the filing registration records the detection of the filing of the record in the relevant department registration of the hospital through the medical interaction cloud, meanwhile, the relevant medical history of the patient is consulted according to the rescue files recorded and filed, and is synchronously uploaded to the medical interactive cloud, the online assisted rescue is used for carrying out the medical rescue through the medical interactive cloud remote assistance according to the medical detection and the related medical history of the patient, the emergency dispatching command center is used for dispatching the emergency vehicles and planning driving routes for the emergency vehicles, the emergency dispatching command center uploads the running information of the emergency vehicle to the medical interaction cloud, the hospital can know the driving information of the emergency vehicle at all times through the medical rescue cloud, and the medical preparation can be preoperatively prepared according to the driving information.

2. The system of claim 1, wherein the first aid remote medical rescue system comprises: the emergency vehicle is connected with a mobile camera which is used for collecting local images of an affected part of a patient.

3. The system of claim 1, wherein the first aid remote medical rescue system comprises: the medical examination includes one or more of wound examination, respiration examination, electrocardiographic examination, blood pressure examination, and blood sample saturation examination.

4. The system of claim 1, wherein the first aid remote medical rescue system comprises: the medical aid comprises one or more of trauma hemostasis bandaging, hydrops suction, arteriovenous blood transfusion, cardiac pacing, defibrillation and respiration assistance.

5. The system of claim 1, wherein the first aid remote medical rescue system comprises: the medical preparation comprises the steps of reserving a sickbed, preparing surgical articles and arranging surgical medical staff.

Technical Field

The invention relates to the technical field of emergency rescue, in particular to a pre-hospital emergency remote medical rescue system.

Background

The pre-hospital emergency refers to emergency treatment of critically ill patients outside the hospital, and refers to emergency rescue of patients on site by medical staff or witnessers during morbidity, because the current infrastructure of China and the medical rescue knowledge of the people are immature, the pre-hospital emergency generally refers to a professional emergency treatment organization comprising communication equipment, transportation tools and medical basic elements, and the medical activities of on-site rescue and on-way monitoring carried out before the patients arrive at the hospital are generally rescue measures carried out on the patients on emergency vehicles after 120 emergency vehicles are butted to the emergency treatment; although medical informatization is widely applied to diagnosis and treatment in hospitals, emergency command centers and 120 emergency vehicles independently, diagnosis and treatment systems, emergency dispatching command centers and 120 emergency vehicles in hospitals are still independent from each other, and are not well connected, so that information of pre-hospital first aid and in-hospital first aid cannot be shared synchronously, most of pre-hospital first aid work stays in a state of 'only transport and no help', medical staff in hospitals often wait for the arrival of 120 emergency vehicles for a long time, and the 120 emergency vehicles are often blocked on half way, so that the working efficiency of the medical staff is low, and the gold treatment time for patients is delayed or even missed.

In order to solve the problems, Chinese patent (patent publication No. CN212624811U) discloses a pre-hospital emergency remote medical rescue system, which comprises vital sign monitoring equipment, an audio and video information acquisition device, a display device, an internet-of-vehicle terminal, a first communication module, a cloud server, a second communication module and a remote rescue end, wherein the vital sign monitoring equipment, the audio and video information acquisition device and the display device are respectively connected with the internet-of-vehicle terminal, the internet-of-vehicle terminal is connected with the cloud server through the first communication module, and the remote rescue end is connected with the cloud server through the second communication module; the system comprises a life sign monitoring device, an audio and video information acquisition device and a display device, wherein the life sign monitoring device, the audio and video information acquisition device and the display device are all arranged in a medical cabin of an ambulance, a car networking terminal is installed on the ambulance, the life sign monitoring device is used for acquiring life sign information of a patient, the audio and video information acquisition device is used for acquiring image information and audio information in the medical cabin of the ambulance, and the display device is used for displaying rescue expert guidance information acquired by a remote rescue terminal.

According to the scheme, the ambulance is connected with the rescue end of the hospital through the cloud server, the life body characteristic information of the patient and the audio and video information in the medical cabin of the ambulance are sent to the hospital of the remote rescue end through the method, and a doctor of the hospital guides medical staff on the ambulance to carry out emergency rescue on the patient; however, the system can not synchronously share the information of the patient and the information of the hospital in the ambulance, can not know the medical history of the patient, can not realize targeted treatment, and has high misdiagnosis risk; the hospital can not accurately know the running information of the ambulance, the working efficiency of medical staff is low, and gold treatment time is delayed or even missed, so that the hospital emergency treatment remote medical rescue system is needed, wherein the emergency vehicle and the hospital can synchronously share the information of the patient, and the hospital can know the running information of the emergency vehicle all the time.

Disclosure of Invention

The invention aims to provide a remote medical rescue system for pre-hospital emergency treatment, which solves the problems that the information of a hospital and an emergency vehicle can not be synchronously shared and the hospital can not know the running information of the emergency vehicle all the time in the prior art.

In order to achieve the above purpose, the invention provides the following technical scheme:

the basic technical scheme provided by the invention is as follows: a remote medical rescue system for pre-hospital emergency comprises an emergency vehicle, a hospital, an emergency dispatching command center and a medical interactive cloud end, wherein the emergency vehicle comprises an emergency vehicle networking medical cloud end, the hospital comprises an emergency networking medical cloud end, the emergency dispatching command center comprises an emergency dispatching command center cloud end, the emergency vehicle networking medical cloud end, the hospital emergency networking medical cloud end and the emergency dispatching command center cloud end are connected through the medical interactive cloud end, the emergency vehicle comprises medical detection, record filing and medical rescue, the emergency vehicle is connected with a fixed camera, a sound pick-up is arranged in the fixed camera, the fixed camera is used for collecting images and sounds in the emergency vehicle, the record filing and the medical rescue are carried out according to the detection result of the medical detection, the record filing is synchronously uploaded to the medical interaction cloud end, the hospital comprises a filing registration, an online assisted rescue and a medical preparation, the filing registration records the detection of the record filing in a relevant department of the hospital through the medical interaction cloud end, meanwhile, the relevant medical history of a patient is consulted according to the archive of the record filing, the filing registration is synchronously uploaded to the medical interaction cloud end, the online assisted rescue carries out the medical rescue through the medical interaction cloud end remote assistance according to the medical detection and the relevant medical history of the patient, the emergency dispatching command center is used for dispatching the emergency vehicle, the emergency dispatching command center also plans a running route for the emergency vehicle, the emergency dispatching command center uploads the running information of the emergency vehicle to the medical interaction cloud end, and the hospital knows the running information of the emergency vehicle through the medical assistance cloud end at any moment, and the medical preparation is preoperatively prepared according to the driving information.

The principle of the basic technical scheme is as follows: the emergency vehicle is provided with an emergency vehicle networking medical cloud end, the hospital is provided with a hospital emergency networking medical cloud end, the emergency dispatching command center is provided with an emergency dispatching command center cloud end, the emergency vehicle, the hospital and the emergency dispatching command center are simultaneously connected with a medical interactive cloud end through respective cloud ends, so that the emergency vehicle, the hospital and the emergency dispatching command center can share information synchronously, the emergency dispatching command center plans an optimal running route for the emergency vehicle, the time of the emergency vehicle on the road is reduced, medical staff timely checks and builds files for patients in the emergency vehicle and uploads the check result records to the medical interactive cloud end, the fixed camera collects images and sounds of the patients in the emergency vehicle and synchronously uploads the images and the sounds to the medical cloud end, and the medical staff in the hospital registers at corresponding departments of the hospital according to the rescue files and the detection results of the patients, The medical service system is characterized in that whether a patient has a corresponding medical history or not is consulted, a doctor of a hospital determines a rescue scheme according to a detection result, the current situation of the patient and the medical history situation of the patient, the rescue scheme is uploaded to a medical interaction remote end, medical staff on an emergency vehicle specifically implements the rescue scheme to rescue the patient, and in the process of rescue, the hospital knows the running information of the emergency vehicle through a first-aid dispatching command center and timely prepares for receiving the information related to the rescue of the patient.

The beneficial effects of the basic technical scheme are as follows: the emergency vehicle, the hospital and the emergency dispatching command center are interconnected through the medical interactive cloud, the hospital can implement and master the condition of the patient on the emergency vehicle, the emergency vehicle can also quickly know the information of the patient through a database of the hospital, namely, the emergency vehicle and the hospital synchronously share the information of the patient, the medical personnel in the hospital rescue the patient together with the medical personnel on the emergency vehicle in an online guidance and assistance mode, the reliability of the remote rescue of the pre-hospital emergency is ensured, the state that the pre-hospital emergency work is in 'only transport without rescue' is changed, and the pre-hospital emergency work is changed into 'both transport and rescue'; meanwhile, the emergency dispatching and commanding center plans an optimal running route according to specific traffic conditions, reduces the running time of emergency vehicles, sends patients to hospital to see medical treatment as soon as possible, and correspondingly arranges and determines relevant matters of the hospital before receiving the rescued patients according to the running information of the emergency vehicles, so that the patients can be rescued timely, and the working efficiency of medical staff is improved.

Preferably, a mobile camera is connected to the emergency vehicle and used for collecting local images of an affected part of a patient.

Through the arrangement, the fixed camera collects the image information of the patient, the movable camera is utilized, the image collection is flexibly and conveniently carried out on the dead zone of the fixed camera, the definition of collected images can be improved, the medical staff in the hospital can accurately judge the actual state of an illness of the patient, and the rescue scheme can be timely and efficiently determined.

Preferably, the medical examination includes one or more of a wound examination, a breath examination, an electrocardiogram examination, a blood pressure examination, and a blood sample saturation examination.

Through the arrangement, the medical detection items are selected according to the specific conditions of the patient, so that the medical examination of the patient is comprehensive and accurate, and the medical care personnel can master the illness state of the patient as soon as possible.

Preferably, the medical aid comprises one or more of trauma haemostatic bandaging, fluid collection, arteriovenous transfusion, cardiac pacing, defibrillation, assisted breathing.

Through the arrangement, a medical rescue scheme is selected according to the specific condition of the patient, and the pre-hospital first aid effect is ensured.

Preferably, the medical preparation comprises reserving a hospital bed, preparing surgical articles, arranging surgical staff.

Through the arrangement, the patient is timely prepared for medical care in a hospital before being transported to the hospital by the emergency vehicle, so that the patient can be timely rescued after being transported to the hospital, the pre-hospital emergency and the emergency in the hospital are in smooth transition, and the rescue effect on the patient is ensured.

Drawings

FIG. 1 is a schematic diagram of a pre-hospital emergency telemedicine rescue system of the present invention;

Detailed Description

The invention is described in further detail below with reference to the following figures and embodiments:

as shown in figure 1, a remote medical rescue system for pre-hospital emergency treatment comprises an emergency vehicle, a hospital, an emergency dispatching command center and a medical interactive cloud end, wherein the emergency vehicle is connected with the emergency vehicle networked medical cloud end, the hospital is connected with the hospital emergency networked medical cloud end, the emergency dispatching command center is connected with the emergency dispatching command center cloud end, the emergency vehicle networked medical cloud end, the hospital emergency networked medical cloud end and the emergency dispatching command center cloud end are connected through the medical interactive cloud end, medical detection, record and filing and medical rescue are carried out on patients in the emergency vehicle, the medical detection comprises one or more of wound inspection, respiration inspection, electrocardio inspection, blood pressure inspection and blood sample saturation inspection, the state of the patients is recorded according to the detection result of the medical detection, and personal rescue files are established, and the recorded filing information is synchronously uploaded to the medical interactive cloud end, the emergency vehicle is connected with a fixed camera and a movable camera, the fixed camera is internally provided with a sound pickup, the fixed camera is used for collecting images and sound in the emergency vehicle, the movable camera is used for collecting local images of an affected part of a patient, the images and the sound collected by the fixed camera and the movable camera are also synchronously uploaded to the medical interaction cloud, the hospital comprises a filing registration, an online assisted rescue and a medical preparation, the hospital reads the illness state and rescue files of the patient by using the medical interaction cloud, registers in a relevant department according to the detection result of the medical detection, looks up the relevant medical history condition of the patient according to the rescue files recorded in the filing and transmits the relevant medical history condition back to the medical interaction cloud, medical staff in the emergency vehicle reads the medical history condition of the patient to perform corresponding medical rescue on the patient, and meanwhile, the medical staff in the hospital assists the medical staff in the vehicle to perform medical rescue on the patient on line, the medical rescue includes one or more in traumatism hemostasis bandaging, hydrops attraction, artery and vein blood transfusion, cardiac pacing, the cardiac is defibrillated, help breathing, first aid dispatch command center is used for dispatching emergency vehicles, first aid dispatch command center still plans the plan of traveling for emergency vehicles, first aid dispatch command center uploads emergency vehicles's travel information to the interactive high in the clouds of medical treatment, the hospital knows the real-time information of traveling of emergency vehicles through the medical rescue high in the clouds, the hospital does the medical preparation before the art according to the information of traveling of vehicle, the medical preparation is including reserving the sick bed, prepare the operation article, arrange operation medical staff.

The specific implementation process is as follows:

after receiving a telephone needing rescue, the emergency dispatching command center arranges an emergency vehicle to reach the location of a patient and simultaneously connects the emergency vehicle, a hospital and the emergency dispatching command center through a medical interactive cloud terminal, the emergency vehicle is provided with a driver, a nurse, a stretcher and an emergency doctor, after the driver drives the emergency vehicle to reach the location of the patient, the driver assists the stretcher to lift the patient into the emergency vehicle, then the driver drives the emergency vehicle to go to the hospital, the emergency dispatching command center plans an optimal driving route for the driver, the stretcher starts a fixed camera in the vehicle to synchronously upload images and sound in the emergency vehicle to the medical interactive cloud terminal, the nurse carries out medical detection according to the specific condition of the patient, the emergency doctor carries out simple medical rescue, and the mobile camera is used for collecting local images of the patient according to the specific condition, then, a stretcher is needed to assist nurses to establish rescue files and record medical detection results for patients, the detection results and the rescue files are uploaded to a medical rescue cloud, medical staff in a hospital obtain the detection results and the rescue files of the patients from the medical rescue cloud and register in corresponding departments respectively, the patients can conveniently see the medical treatment in time after being sent to the hospital, whether the patients have related medical histories is determined by referring to a database of the hospital, the results are synchronously uploaded to a medical interactive cloud, emergency physicians can rescue the patients in a targeted manner according to the information, a plurality of doctors in the hospital further determine rescue schemes according to the detection results, the current situations of the patients and the medical history situations of the patients, then the emergency physicians are assisted in a remote manner to rescue the patients through the medical interactive cloud, the hospital obtains the driving information of the emergency vehicles in real time, and reserves sickbeds, hospital beds and the like are reserved according to the driving information, The medical treatment before preparing surgical articles, arranging surgical medical staff and the like ensures that patients can be rescued in time, and simultaneously improves the working efficiency of the medical staff.

The above description is only an example of the present invention, and the common general knowledge of the technical solutions or characteristics known in the solutions is not described herein too much. It should be noted that, for those skilled in the art, without departing from the technical solution of the present invention, several variations and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

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