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CN-122000002-A - Portable multifunctional integrated transfer platform for pre-hospital first aid

CN122000002ACN 122000002 ACN122000002 ACN 122000002ACN-122000002-A

Abstract

The invention discloses a portable multifunctional integrated transfer platform for pre-hospital emergency, and relates to the technical field of medical treatment. According to the invention, a temporary diagnosis and treatment station is built through accurately matching task types and equipment lists of multidimensional analysis and diagnosis instructions, a ready checking and alternative recommending mechanism of equipment is matched, a pre-hospital service preparation process is simplified, service suitability and reliability are improved, hierarchical early warning abnormal data are accurately identified based on a differential vital sign threshold value and a multistage abnormal judging system, a standardized treatment scheme is synchronously pushed, high-priority data are directionally transmitted to a hospital and a dispatching center in advance, a medical staff is assisted to quickly respond, diagnosis and treatment decision time is shortened, emergency treatment timeliness is guaranteed, safety and continuity of diagnosis and treatment data transmission are guaranteed through data hierarchical transmission, double encryption and automatic switching of a main and standby link, a standardized report is generated and related to a patient hospital file, a complete medical information chain is constructed, a pre-hospital information barrier is broken, and diagnosis and treatment cooperativity and patient data privacy are improved.

Inventors

  • ZHANG YUENAN
  • ZUO JING

Assignees

  • 中国人民解放军总医院第二医学中心

Dates

Publication Date
20260508
Application Date
20260127

Claims (10)

  1. 1. The portable multifunctional integrated transfer platform for pre-hospital emergency is characterized by comprising a portable multifunctional main body, and an equipment screening module, a temporary diagnosis and treatment adaptation module, a patient data acquisition module, a touch terminal, a data transmission module and a report generation module which are integrated in the portable multifunctional main body; The device screening module is used for generating an adaptive device list according to the task types corresponding to the received first aid or diagnosis instruction association and carrying out matching screening on medical devices based on the device list; based on the screened medical equipment, a temporary diagnosis and treatment station is built through a temporary diagnosis and treatment adaptation module; the patient data acquisition module is used for acquiring vital sign data of a patient in real time through each medical device based on the constructed temporary diagnosis and treatment station and displaying the data in real time at the touch terminal; the report generation module is used for integrating the acquired vital sign data, the emergency treatment information and the medication list to generate a diagnosis summary report of the patient; the data transmission module is used for establishing a data transmission link with the hospital diagnosis and treatment system according to vital sign data, field treatment information, a medication list and a consultation summary report, and carrying out point-to-point directional encryption transmission based on the data transmission link.
  2. 2. The portable multifunctional integrated transfer platform for pre-hospital emergency according to claim 1, wherein the device screening module comprises in particular: The method comprises the steps of obtaining first-aid or diagnosis instruction signals, analyzing the first-aid or diagnosis instruction signals, extracting task emergency degree, patient basic condition information, diagnosis site environment types and estimated transfer duration in instructions, and generating a task characteristic data set; based on task feature data set matching preset task type classification rules, determining corresponding task types, and based on task weights of the task types, determining priorities of emergency tasks to be executed; triggering a device screening flow of a corresponding level based on the priority ordering result and the corresponding task type, and preferentially responding to the device matching requirement of the high-priority task; A preset adapting device database is called, a basic device set associated with the task type is extracted from the preset adapting device database, meanwhile, device carrying allowance data of a portable multifunctional main body and state data of current carried devices are obtained, and a device carrying evaluation model is built; evaluating and optimizing the basic equipment set based on the equipment carrying evaluation model, generating a candidate equipment list, performing association analysis on each equipment in the candidate equipment list, supplementing auxiliary equipment with high association with the target equipment, and forming a complete equipment list; and connecting each device in the complete device list to the touch terminal for display, simultaneously acquiring the real-time ready state of each device, and generating a device matching completion signal based on the real-time ready state.
  3. 3. The portable multi-functional integrated transfer platform for pre-hospital emergency according to claim 2, wherein acquiring real-time ready status of each device further comprises: if the equipment is not ready, generating equipment faults, not ready to be indicated and an alternative equipment recommendation list, and acquiring corresponding list fine adjustment or replacement instructions; The medical staff performs secondary confirmation based on the list fine adjustment or replacement instruction fed back by the touch terminal, adjusts the complete equipment list until all the equipment is in a ready state, and generates an equipment matching completion signal; if the non-ready equipment which cannot be replaced still exists after the multiple times of adjustment, generating a task adaptation abnormal early warning signal, feeding back the task adaptation abnormal early warning signal to the emergency dispatch center and synchronizing the task adaptation abnormal early warning signal to the touch terminal.
  4. 4. The portable multifunctional integrated transfer platform for pre-hospital emergency according to claim 1, wherein the touch terminal performs data real-time display, further comprising: Acquiring vital sign data acquired in real time, wherein the vital sign data comprises electrocardiograph data, blood oxygen data, blood pressure data and heart rate data of a patient, and performing visual display on the vital sign data through a touch terminal to generate a continuous patient vital sign data stream; Meanwhile, comparing vital sign data acquired in real time with preset vital sign thresholds in one-to-one correspondence, judging abnormal data exceeding the preset vital sign thresholds, and judging the abnormal data if the vital sign data exceeds the corresponding preset vital sign thresholds; And carrying out real-time highlighting marking and acousto-optic early warning prompting on the abnormal data, and synchronously displaying the physical sign data type and the risk level corresponding to the abnormal data.
  5. 5. The portable multi-functional integrated transport platform for pre-hospital emergency according to claim 4, wherein determining abnormal data exceeding a preset vital sign threshold further comprises: Calling basic judging parameters corresponding to the abnormal data, wherein the basic judging parameters comprise a difference value of the abnormal data deviating from a preset threshold value, duration time of the abnormal data and occurrence frequency of the abnormal data; weighting calculation is carried out on the difference value, the duration of the abnormal data and the occurrence frequency of the abnormal data, a first abnormal judgment coefficient is obtained, and the first abnormal judgment coefficient is compared with a preset first-level abnormal judgment coefficient threshold value; When the first abnormality judgment coefficient exceeds a preset first-level abnormality judgment coefficient threshold value, judging that the first abnormality judgment coefficient is high-risk abnormality data; when the first abnormality judgment coefficient does not exceed a preset first-level abnormality judgment coefficient threshold value but exceeds a preset second-level abnormality judgment coefficient threshold value, the association judgment parameters corresponding to the abnormality data are called, wherein the association judgment parameters comprise fluctuation amplitude of association vital sign data in the same period, a specific data association threshold value corresponding to a patient basic condition and an influence coefficient of current diagnosis and treatment operation on the data; Acquiring a second abnormality determination coefficient based on fluctuation amplitude of associated vital sign data, a specific data association threshold corresponding to a basic disease of a patient and an influence coefficient of current diagnosis and treatment operation on the data, and comparing the second abnormality determination coefficient with a preset three-level abnormality determination coefficient threshold; When the second abnormality determination coefficient exceeds a preset three-level abnormality determination coefficient threshold value, determining medium-risk abnormality data; when the second abnormality determination coefficient does not exceed a preset three-level abnormality determination coefficient threshold, determining low-risk abnormality data; The calculation weights of the first abnormality determination coefficient and the second abnormality determination coefficient are dynamically adjusted based on the age, sex and disease type of the patient.
  6. 6. The portable multifunctional integrated transfer platform for pre-hospital emergency according to claim 4, wherein after the abnormal data is highlighted in real time and indicated by the acousto-optic warning, the portable multifunctional integrated transfer platform further comprises: The method comprises the steps of calling a preset abnormal sign emergency treatment knowledge base, matching a corresponding emergency treatment scheme based on the sign type and the risk level of current abnormal data, and displaying the emergency treatment scheme on a touch terminal; The abnormal data and the corresponding early warning information are used as high-priority data and are directionally transmitted to a diagnosis and treatment system and an emergency dispatch center in advance, and meanwhile, the time node, the duration time, the data change trend and the corresponding early warning response operation of the abnormal data are recorded, so that an abnormal data special record is generated; synchronizing the abnormal data special records to patient vital sign data streams in real time, and synchronously transmitting to a report generating module; If a plurality of abnormal data are overlapped or the abnormal data are continuously deteriorated, the acousto-optic early warning level is improved, the corresponding abnormal sign data and emergency treatment scheme are highlighted by the touch terminal, and the prompting strength of the acousto-optic early warning is improved until medical staff confirms to respond to the treatment operation.
  7. 7. The portable multifunctional integrated transfer platform for pre-hospital emergency according to claim 1, characterized in that the data transmission module comprises in particular: Constructing a bidirectional data transmission link between the touch terminal and the hospital diagnosis and treatment system and between the touch terminal and the emergency dispatching center, monitoring the data transmission quality of each data transmission link in real time, and determining a main link and a standby link of bidirectional data transmission based on the data transmission quality; dividing data to be transmitted into different priorities based on task priorities, data types and diagnosis and treatment requirements, and transmitting the data based on a priority division result; Performing fragmentation processing on data to be transmitted, generating a unique identifier and an integrity check code based on each fragment data, encrypting the data fragments, and simultaneously performing encryption processing on an encryption key to generate an encrypted data packet; And sending the encrypted data packet to a target receiving end through a bidirectional data transmission link, and after the target receiving end receives the encrypted data packet, performing decryption processing and integrity verification, generating a data receiving confirmation signal and acquiring transmission state feedback data.
  8. 8. The portable multi-functional integrated transfer platform for pre-hospital emergency according to claim 7, wherein the data transmission module further comprises: Judging the data transmission completion state based on the transmission state feedback data and the data reception confirmation signal; Clearing and deleting the local temporary diagnosis and treatment data according to the judging result of the completion of data transmission, simultaneously acquiring an encrypted diagnosis and treatment data backup file, storing the encrypted diagnosis and treatment data backup file into a target encrypted storage area, and establishing the access right of calling the diagnosis and treatment data backup file; transmitting the diagnosis and treatment report to a diagnosis and treatment archive in a hospital based on the synchronous requirement of the diagnosis and treatment report, and establishing a data interaction mechanism of medical information in the hospital and before the hospital; And acquiring a patient unique identifier associated with the patient data acquisition module, performing association matching on the diagnosis and treatment report and the patient unique identifier in the hospital diagnosis and treatment archive, synchronizing the content of the diagnosis and treatment report to the hospital diagnosis and treatment archive of the corresponding patient according to the association matching result, and generating a patient medical information chain.
  9. 9. The portable multifunctional integrated delivery platform for pre-hospital emergency according to claim 7, wherein said data transmission based on prioritized results, in particular, comprises: Acquiring a current available bandwidth value of the data transmission link in real time, and acquiring the residual transfer duration of the portable multifunctional main body for navigation to a target hospital; counting the total data quantity of the data to be transmitted in the current cache, calling a first abnormality judgment coefficient or a second abnormality judgment coefficient corresponding to the obtained abnormality data, and normalizing the first abnormality judgment coefficient or the second abnormality judgment coefficient to be the illness risk weight; Based on the total data quantity, the current available bandwidth value, the residual transfer duration and the illness state risk weight, a transmission urgency calculation model is constructed, a data transmission urgency index at the current moment is calculated, and a calculation formula is as follows: Wherein: the data transmission urgency index is a dimensionless value; The unit is megabits for the total data size of the data to be transmitted; The current available bandwidth value is given in megabits per second; The remaining transfer time is in seconds; The value range is 0to 1 for the illness risk weight; the sensitivity factor is regulated for the preset risk and used for balancing the influence of the emergency degree of the illness on the transmission strategy; the data transmission module is obtained according to calculation Executing a dynamic transmission strategy: When (when) When the method is used, the condition that the current link state cannot transmit all data in the residual transfer duration in a lossless manner is judged, a semantic feature extraction compression algorithm is automatically triggered, non-abnormal vital sign data are transmitted after being subjected to lossy compression processing, and bandwidth is allocated preferentially to transmit abnormal data in a lossless manner; When (when) And maintaining the lossless coding format of the original data for transmission.
  10. 10. The portable multi-functional integrated delivery platform for pre-hospital emergency according to claim 8, wherein the synchronizing of the out-of-diagnosis summary report content to the corresponding patient's in-hospital medical profile is preceded by performing an artifact rejection step based on multi-source data attribution: Acquiring vehicle vibration acceleration data recorded by a built-in sensor of the touch terminal in the transferring process, and extracting a medicine injection time recorded by a medicine list; the time stamp of the vital sign abnormal data in the consultation summary report is respectively matched with the peak time of the vehicle vibration acceleration data and the medicine injection time in time sequence; When the time stamp of the vital sign abnormal data is coincident with the peak value time of the vehicle vibration acceleration data and the time is not matched with the expected change of pharmacological reaction caused by drug injection, judging the vital sign abnormal data as a transportation vibration artifact, and adding an artifact interference mark to the data; When the time stamp of the vital sign abnormal data is coincident with the expected effective window of pharmacological reaction after the medicine injection time, judging that the vital sign abnormal data is effective diagnosis and treatment reaction data, and reserving an abnormal mark of the data; and the data transmission module only synchronizes the diagnosis and treatment summary report and the effective diagnosis and treatment reaction data which are checked by the artifact eliminating step to the hospital diagnosis and treatment file, and attaches a filtering log of an artifact interference mark when the diagnosis and treatment file is synchronized.

Description

Portable multifunctional integrated transfer platform for pre-hospital first aid Technical Field The invention relates to the technical field of medical treatment, in particular to a portable multifunctional integrated transfer platform for pre-hospital emergency. Background The current first-aid service's of hospital job type covers emergency call treatment, conventional physical examination, chronic disease follow-up etc., however current equipment configuration relies on manual experience, and equipment redundancy or key equipment are easily appeared and are lost, and interim diagnosis and treat station is built loaded down with trivial details, is difficult to adapt to different places of visit environment and task demand. For example, chinese patent application with publication number CN117637190a discloses a 5G interconnection transfer system and method for medical emergency, the system comprises an intelligent critical transfer platform, an emergency command cabin, a 5G pre-hospital emergency command system, and a 5G ambulance, wherein the 5G ambulance comprises a network communication module, an intelligent task terminal, an ambulance position real-time feedback module, a patient life parameter module, and an in-car panoramic high-definition video module, the timeliness of pre-hospital emergency is improved by 5G technology, the emergency efficiency is improved, the integration of pre-hospital emergency treatment and treatment is realized, and the pre-hospital emergency treatment and the off-hospital transfer medical service mode are innovated. However, the above patent application realizes the information interaction, remote consultation and emergency resource overall management in the hospital, but still has the following problems: 1. In the prior art, medical equipment configuration dynamic screening is not carried out by combining specific characteristics of a consultation task, manual presetting or experience collocation is relied on, the problem that equipment redundancy or key auxiliary equipment aiming at different task types are lost easily occurs, and the service requirements before a multiplex hospital cannot be flexibly adapted; 2. The medical equipment is only taken as an independent component to be carried in the ambulance, and an adjustable supporting structure and an equipment fixing component are not involved, so that the convenience of temporary diagnosis and treatment operation is insufficient, and the operation requirements of different scenes such as on-site first aid treatment, physical examination sampling and the like can not be met; 3. The method has the advantages that different judgment standards for adapting to different ages, sexes and disease types are not set, a multi-dimensional grading early warning system based on data deviation degree, duration and the like is not constructed, a standardized emergency treatment knowledge base is not associated, medical staff is difficult to quickly identify high-risk diseases and accurately take treatment measures, and pertinence and standardization of emergency treatment are possibly affected. Disclosure of Invention The invention aims to provide a portable multifunctional integrated transfer platform for pre-hospital emergency, which is used for analyzing an out-of-hospital instruction, accurately matching a device list, simplifying a preparation process, accurately identifying hierarchical early warning abnormal data by means of a differential threshold value and a multi-stage judging system, synchronously pushing a standardized treatment scheme, transmitting high-priority data in advance, and quickly deciding by aid of assistance, so that suitability and emergency precision of pre-hospital service are improved, cooperativity and privacy of diagnosis and treatment information are ensured, and the pre-hospital emergency service process is comprehensively optimized, so that the problems in the background technology are solved. In order to achieve the above purpose, the present invention provides the following technical solutions: the portable multifunctional integrated transfer platform for pre-hospital first aid comprises a portable multifunctional main body, and a device screening module, a temporary diagnosis and treatment adaptation module, a patient data acquisition module, a touch terminal, a data transmission module and a report generation module which are integrated in the portable multifunctional main body; The device screening module is used for generating an adaptive device list according to the task types corresponding to the received first aid or diagnosis instruction association and carrying out matching screening on medical devices based on the device list; based on the screened medical equipment, a temporary diagnosis and treatment station is built through a temporary diagnosis and treatment adaptation module; the patient data acquisition module is used for acquiring vital sign data of a patient in real time throug