ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
论著

一站式创伤复苏单元整合5G技术的建设及应用研究

  • 王钰炜 ,
  • 周帅帅 ,
  • 王飒 ,
  • 李雨林 ,
  • 葛芳民 ,
  • 陈冬 ,
  • 周骁钰 ,
  • 方珏 ,
  • 林高兴 ,
  • 闫丹萍 ,
  • 陈晨 ,
  • 詹芬芳 ,
  • 李强 ,
  • 赵小纲 ,
  • 封秀琴 ,
  • 张茂
展开
  • 310009 杭州市 浙江大学医学院附属第二医院急诊医学科(王钰炜,周帅帅,王飒,李雨林,周骁钰,方珏,林高兴,闫丹萍,陈晨,詹芬芳,李强,赵小纲,张茂),网络医学中心(葛芳民,陈冬),护理部(封秀琴)
王钰炜:女,硕士,副主任护师,E-mail:zrwyw@zju.edu.cn

收稿日期: 2022-03-21

  网络出版日期: 2022-07-07

基金资助

2022年浙江省卫生健康科技计划临床研究应用项目(2022KY175),2020年浙江省卫生健康重大科技计划重点项目(WKJ-ZJ-2123)

The construction and practice of a“one-stop” trauma resuscitation unit integrating with 5G technology

  • WANG Yuwei ,
  • ZHOU Shuaishuai ,
  • WANG Sa ,
  • LI Yulin ,
  • GE Fangmin ,
  • CHEN Dong ,
  • ZHOU Xiaoyu ,
  • FANG Jue ,
  • LIN Gaoxing ,
  • YAN Danping ,
  • CHEN Chen ,
  • ZHAN Fenfang ,
  • LI Qiang ,
  • ZHAO Xiaogang ,
  • FENG Xiuqin ,
  • ZHANG Mao
Expand
  • Emergency Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang, 310009, China

Received date: 2022-03-21

  Online published: 2022-07-07

摘要

目的 整合5G技术建设一站式创伤复苏单元,进一步提高严重创伤患者的救治水平。方法 组织医疗、护理、5G技术、人工智能等多学科、跨专业团队合作,建设整合5G技术的一站式创伤复苏单元。比较改进前后救治创伤患者例数、创伤患者滞留时间、患者满意度情况。结果 整合5G技术的一站式创伤复苏单元,包括院前—院内闭环信息联动平台,集中和优化配置创伤复苏单元的设备与资源,多端口远程信息高效互动,实现远程监护、远程会诊、远程指挥、家属远程访视、远程急诊创伤教学共享及培训。一站式创伤复苏单元建设后,救治患者例数较前期增加27%,患者满意度提高至96.87%,创伤患者滞留时间缩短至95(60,160) min。结论 整合5G技术的一站式创伤复苏单元,可为实现严重创伤患者的高质量急救提供良好的硬件条件,有助于提升创伤救治效率和患者满意度。

本文引用格式

王钰炜 , 周帅帅 , 王飒 , 李雨林 , 葛芳民 , 陈冬 , 周骁钰 , 方珏 , 林高兴 , 闫丹萍 , 陈晨 , 詹芬芳 , 李强 , 赵小纲 , 封秀琴 , 张茂 . 一站式创伤复苏单元整合5G技术的建设及应用研究[J]. 中华急危重症护理杂志, 2022 , 3(4) : 300 -304 . DOI: 10.3761/j.issn.2096-7446.2022.04.002

Abstract

Objective To explore the construction of a “one-stop” trauma resuscitation unit based on 5G technology,providing a new example for further improving the rescue level of severe trauma patients. Methods The Second Affiliated Hospital of Zhejiang University School of Medicine built a “one-stop” emergency trauma resuscitation unit integrating 5G technology based on a multidisciplinary team including medical,nursing,5G technology,artificial intelligence,and etc. The number of trauma patients treated,average retention time of trauma patients and patient satisfaction were compared before and after the establishment of trauma resuscitation unit integrated with 5G technology. Results A “one-stop” trauma resuscitation unit integrated with 5G technology has been successfully built,including a pre-hospital - intra-hospital closed-loop information linkage platform,centralized and optimized allocation of equipment and resources for trauma resuscitation units,multi-port remote information efficient interaction,to achieve remote monitoring,remote consultation,remote command,family remote visit,remote emergency trauma teaching sharing and training. After the trauma resuscitation unit was constructed, the number of rescued patients increased by 27% compared with the previous period, the patient satisfaction increased to 96.87%, and the median duration of the length of stay in emergency room of trauma patients was shortened to 95(60,160) minutes. Conclusion The one-stop trauma resuscitation unit integrated with 5G technology provides a good hardware condition for accomplishing high-quality emergency treatment of severe trauma,and improves trauma care efficiency and patient satisfaction.

参考文献

[1] 肖仁举,曾灵,章桂喜. 美国创伤中心的核心要素及其借鉴价值[J]. 中华创伤杂志,2021,37(4):356-358.
Xiao RJ,Zeng L,Zhang GX.The core elements of American trauma centers and their reference value[J]. Chin J Traumatol,2021,37(4):356-358.
[2] 创伤中心创伤复苏单元内医师站位及分工规范:T/CADERM 3033-2020[S]. 2020.
Physician position and division of labor in trauma resuscitation unit of traumacenter:T/CADERM 3033-2020[S]. 2020.
[3] 国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发国家创伤医学中心及国家创伤区域医疗中心设置标准的通知[EB/OL].(2019-08-27)[2021-02-01]. http://www.nhc.gov.cn/yzygj/s3594q/201909/ff3e059560614d18b041c34a6cbfe156.shtml.
General Office of National Health Committee. Circular of the General Office of the NHC on printing and distributing the establishment standards of national trauma medical center and national trauma regional medical center[EB/OL].(2019-08-27)[2021-02-01]. http://www.nhc.gov.cn/yzygj/s3594q/201909/ff3e05-9560614d18b041c34a6cbfe156.shtml.
[4] 陈瑛,刘强,朱丽芳,等. 5G背景下健康管理应急反应闭环运作模式探讨[J]. 中华急诊医学杂志,2021,30(1):112-114.
Chen Y,Liu Q,Zhu LF,et al.Closed-loop operation mode of health management emergency response under 5G background[J]. Chin J Emerg Med,2021,30(1):112-114.
[5] Lacy AM,Bravo R,Otero-Piñeiro AM,et al.5G-assisted telementored surgery[J]. Br J Surg,2019,106(12):1576-1579.
[6] Kumar A,Albreem MA,Gupta M,et al.Future 5G network based smart hospitals:hybrid detection technique for latency improvement[J]. IEEE Access,2020,8:153240-153249.
[7] 张茂,李强,张旻海,等. 积极拥抱5G时代,助力急诊学科发展[J]. 中华急诊医学杂志,2019,28(10):1179-1182.
Zhang M,Li Q,Zhang MH,et al.Actively embrace the 5G era and promote the development of emergency medicine[J]. Chin J Emerg Med,2019,28(10):1179-1182.
[8] 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,2019,28(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,2019,28(10):1223-1227.
[9] 钱安瑜,张茂. 积极参与创伤中心建设,加速急诊学科发展[J]. 中华急诊医学杂志,2019,28(5):550-552.
Qian AY,Zhang M.Actively participating in the construction of trauma center and accelerating the development of emergency department[J]. Chin J Emerg Med,2019,28(5):550-552.
[10] 黄晓霞,李瑶,陈昊天,等. 结合5G和人工智能技术构建新一代智慧化ICU单元的探索[J]. 中华急诊医学杂志,2021,30(10):1269-1273.
Huang XX,Li Y,Chen HT,et al.Exploration and construction of the new generation of intelligent ICU unit based on 5G and artificial intelligence technology[J]. Chin J Emerg Med,2021,30(10):1269-1273.
[11] 金静芬,姚梅琪. 模拟急救在心肺脑复苏培训中的应用与研究[J]. 中华护理杂志,2001,36(9):713-715.
Jin JF,Yao MQ.Application and research of simulated first aid in cardiopulmonary resuscitation training[J]. Chin J Nurs,2001,36(9):713-715.
[12] 王飒,陈水红. 创伤护士三维一体岗位的设置及实践[J]. 中华急危重症护理杂志,2020,1(3):262-265.
Wang S,Chen SH.The establish and practice of trinity post mode of trauma specialized nurses[J]. Chin J Emerg Crit Care Nurs,2020,1(3):262-265.
文章导航

/