基于5G技术的体外膜肺氧合患者救护车转运管理实践

doi:10.3761/j.issn.2096-7446.2023.06.004

摘要/Abstract

摘要： 总结5G救护车成功转运体外膜肺氧合支持危重患者的管理经验。通过基于5G技术的转运基础工作、转运前准备、转运过程管理,4例体外膜肺氧合支持危重患者顺利转运至上级医院,得到成功救治。

Abstract: To summarize the management experience of 5G ambulance successfully transporting critically ill patients with extracorporeal membrane oxygenation support. Through the basic work of transfer,preparation before transfer,and management of the transfer process based on 5G technology,4 cases of critically ill patients with extracorporeal membrane oxygenation were successfully transferred to a higher-level hospital,and were successfully treated.

Key words: 5G Technology, Extracorporeal Membrane Oxygenation, Ambulance Diversion, Critical Care Nursing

洪慧, 张瑞, 王钰炜, 曹巧丹, 王丽竹. 基于5G技术的体外膜肺氧合患者救护车转运管理实践[J]. 中华急危重症护理杂志, 2023, 4(6): 502-506.

HONG Hui, ZHANG Rui, WANG Yuwei, CAO Qiaodan, WANG Lizhu. Management practice of ambulance transport for patients with extracorporeal membrane oxygenation based on 5G technology[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(6): 502-506.

参考文献

[1] 中国研究型医院协会卫生应急学专业委员会,中国中西医结合学会灾害医学专业委员会. 救护车院外转运服务专家共识[C]//第三届中国中西医结合学会灾害医学专业委员会2019年学术年会暨灾害急危重症中西医救治高端论坛会议资料集. 2019:125.
Health Emergency Response Committee of China Research Hospital Association,Disaster Medicine Professional Committee of China Association of Integrative Traditional and Western Medicine. Expert consensus on ambulance out-of-hospital transport service[C]//Proceedings of the 3rd Disaster Medicine Professional Committee of the Chinese Association of Integrative and Western Medicine 2019 Academic Annual Meeting and High-end Forum on Traditional Chinese and Western Medicine Treatment of Acute and Critical Illness. 2019:125.
[2] 谢梦洁,贾斯曼.世界互联网大会“黑科技”来袭,千年古镇再添新智能[EB/OL]. (2019-09-15)[2022-08-11]. http://tech.cnr.cn/techgd/20181107/t20181107_524408457.shtml.
Xie MJ,Jia ST. The World Internet Conference "Black Technology" is coming,and the millennium,ancient town has added new inlligence[EB/OL]. (2019-09-15)[2022-08-11]. http://tech.cnr.cn/techgd/20181107/t20181107_524408457.shtml.
[3] 吴楠,翁迪凯. 浙医二院与浙江移动联合打造全国首个“5G远程绿色急救通道”[EB/OL].(2019-09-15)[2022-08-11].http://zj.people.com.cn/n2/2019/0223/c186327-32674478.html.
Wu N,Weng DK. The Second Hospital of Zhejiang Medical College and Zhejiang Mobile jointly created the country's first "5G remote green emergency channel"[EB/OL].(2019-09-15）[2022-08-11].http://zj.people.com.cn/n2/2019/0223/c186327-32674478.html.
[4] 王磊. 5G+急危重抢救！这是一个可移动的智能手术室[EB/OL]. (2019-09-15)[2022-08-11]. https://www.sohu.com/a/325239031_354877?spm=smpc.author.fdd.346.1568565205509UYt8bOg.
Wang L. 5G+emergency rescue!It's a mobile smart operating room[EB/OL]. (2019-09-15)[2022-08-11]. https://www.sohu.com/a/325239031_354877?spm=smpc.author.fdd.346.1568565205509UYt8bOg.
[5] 朱艳娟,洪小杨,赵喆,等. 危重症患儿体外膜肺氧合支持下长途转运的护理[J]. 中华护理杂志,2021,56(4):581-584.
Zhu YJ,Hong XY,Zhao Z,et al.The nursing care of domestic long-distance transport in critically ill children supported by ECMO[J]. Chin J Nurs,2021,56(4):581-584.
[6] Hackmann AE,Wiggins LM,Grimes GP,et al.The utility of nurse-managed extracorporeal life support in an adult cardiac intensive care unit[J]. Ann Thorac Surg,2017,104(2):510-514.
[7] Ericsson A,Frenckner B,Broman LM.Adverse events during inter-hospital transports on extracorporeal membrane oxygenation[J]. Prehosp Emerg Care,2017,21(4):448-455.
[8] 周兴梅,方芳,张瑶,等. 成人体外膜氧合支持下转运不良事件研究进展[J]. 护理研究,2018,32(22):3487-3491.
Zhou XM,Fang F,Zhang Y,et al.Research progress on adverse events of transport under support of extracorporeal membrane oxygenation in adults[J]. Nurs Res China,2018,32(22):3487-3491.
[9] 葛芳民,李强,林高兴,等. 基于5G技术院前-院内急诊医疗服务平台建设的研究[J]. 中华急诊医学杂志,2019(10):1223-1227.
Ge FM,Li Q,Lin GX,et al.Construction of pre-hospital and in-hospital emergency medical service system based on 5G communication technology[J]. Chin J Emerg Med,2019(10):1223-1227.
[10] 高洁,梁影,黑飞龙. 体外膜肺氧合转运网络建设及转运工作开展的现状与前景[J]. 中国急救医学,2020,40(10):1016-1019.
Gao J,Liang Y,Hei FL.Current status and prospects of ECMO transport network construction and transport network[J]. Chin J Crit Care Med,2020,40(10):1016-1019.
[11] 王淑芹,孙兵,张春艳,等. 体外膜肺氧合支持危重患者进行转运的不良事件的分析[J]. 中国实用护理杂志,2020,36(27):2124-2128.
Wang SQ,Sun B,Zhang CY,et al.Analysis of adverse events of transport in critical patients with extracorporeal membrane oxygenation[J]. Chin J Pract Nurs,2020,36(27):2124-2128.
[12] 成人体外膜肺氧合患者院内转运护理共识专家组. 成人体外膜肺氧合患者院内转运护理专家共识[J]. 中国临床医学,2021,28(4):716-723.
Consensus Group on Intrahospital Transfer for Adult Patients with Extracorporeal Membrane Oxygenation. Nursing consensus of intra-hospital transfer for adult patients with extracorporeal membrane oxygenation[J]. Chin J Clin Med,2021,28(4):716-723.
[13] 郑军,张文中. 5G技术在院前急救系统中的应用探索[J]. 医疗装备,2022,35(12):7-9.
Zheng J,Zhang WZ.Application of 5G technology in pre-hospital emergency systems[J]. Med Equip,2022,35(12):7-9.
[14] 张旻海,王旭,王理,等. 5G技术在急诊医学领域应用的研究进展[J]. 中华急诊医学杂志,2019,28(10):1329-1331.
Zhang MH,Wang X,Wang L,et al.Research progress on the application of 5G technology in the field of emergency medicine[J]. Chin J Emerg Med,2019,28(10):1329-1331.
[15] 瞿良琴,黄洁微,苏燕华,等. 同质化管理在非内分泌科住院糖尿病患者足部高危因素筛查中的应用[J]. 护理学报,2018,25(2):10-14.
Qu LQ,Huang JW,Su YH,et al.Homogeneity management in screening high risk factors of diabetic foot in hospitalized diabetic patients in non-endocrine departments[J]. J Nurs China,2018,25(2):10-14.
[16] Kue R,Brown P,Ness C,et al.Adverse clinical events during intrahospital transport by a specialized team:a preliminary report[J]. Am J Crit Care,2011,20(2):153-161.
[17] 潘旗开,刘延锦,柴宇霞,等. 重症体外膜肺氧合患者院际转运风险管理[J]. 中国急救复苏与灾害医学杂志,2020,15(1):20-25.
Pan QK,Liu YJ,Chai YX,et al.Risk management of interhospital transport in patients with severe extracorporeal membrane oxygenation[J]. Chin J Emerg Resus Dis Med,2020,15(1):20-25.