大型5G移动急救复苏单元的设计与构建  

Design and construction of a large 5G mobile emergency resuscitation unit

作　　者：杨旻斐[1] 李强[2] 徐善祥[2] 沈卫娣[1] 吴爱娜 葛芳民[3] 张军根 周明 叶建平 张茂[2] Yang Minfei;Li Qiang;Xu Shanxiang;Shen Weidi;Wu Aina;Ge Fangmin;Zhang Jungen;Zhou Ming;Ye Jianping;Zhang Mao(Nursing Department,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Emergency Department,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;eHealth center,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Hangzhou Emergency Centre Hangzhou,310003;Hangzhou Public Transportation Group,Hangzhou 310005,China;Department of Clinical Medical Engineering,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州310009 [2]浙江大学医学院附属第二医院急诊医学科,杭州310009 [3]浙江大学医学院附属第二医院网络医学中心,杭州310009 [4]杭州市急救中心,杭州310003 [5]杭州市公共交通集团有限公司,杭州310005 [6]浙江大学医学院附属第二医院临床医学工程部,杭州310009

出　　处：《中华急诊医学杂志》2023年第12期1623-1627,共5页Chinese Journal of Emergency Medicine

基　　金：浙江省重点研发项目(2021C03073)省部共建重大项目(WKJ-ZJ-2207)浙江省医院协会软科学研究项目(2021ZHA-KEB314)杭州市科技局重点项目(20200416A19)。

摘　　要：目的设计与建设整合5G通讯技术的大型移动急救复苏单元,以提高院前救治水平和转运效率。方法研究于2022年11月至2023年9月在杭州完成。梳理突发事件救援中院前急救、转运、院前-院内急诊联系等应用场景需求,依次开展方案设计、单项技术测试、上车调试和集成调试阶段。结果设计由电动公交车改装的大型5G移动急救复苏单元,车辆于2023年9月完成交付。(1)车辆外观:整车长12.9 m,宽2.3 m,高2.6 m,单次里程200 km;(2)内部结构:车厢内设有1个抢救床位,2个担架位,车厢前部设计有综合操作台、中部安装中央数字控制屏;(3)急救物资及仪器设备:车内物资包括抢救、监护、手术、检查检验、通讯模块,配备除颤监护仪、转运呼吸机、体外膜肺氧合等急救仪器,心电图、数字摄片、血气分析仪、胸痛5项检测仪等检查检验设备;(4)车载通讯、信息系统:搭载高清远程视频互动系统,远程医疗终端DP300一体化系统,实时全景体验系统及中央监护系统;(5)车辆消毒:车厢顶部安装等离子消毒仪,车内可达到医院消毒卫生标准Ⅱ类环境管理要求。结论整合5G通讯技术的大型移动急救复苏单元集成各种先进救治设备和远程会诊系统,可以满足最危重患者复苏的需求,为突发公共事件的救援提供有力的支持,值得进一步的探索。Objective To design a large-scale mobile emergency resuscitation unit based on 5G communication technology to improve the efficiency of prehospital transportation and treatment.Methods The study was conducted in Hangzhou from November 2022 to September 2023.It's sorted out the application scenario requirements for prehospital first aid,transfer,and prehospital-intrahospital emergency linkage in carrying out the program design,single technology testing,onboard debugging,and integration debugging phases sequentially.Results In September 2023,a large-scale 5G mobile emergency resuscitation unit was completed and delivered.The unit was converted from an electric bus and consists of five parts:(1)Vehicle appearance:the vehicle is 12.9 meters long,2.3 meters wide and 2.6 meters high,with a single mileage of 200 kilometers;(2)The overall internal structure:the vehicle has one resuscitation bed and two stretcher positions.Additionally,there is a comprehensive operating table located at the front of the vehicle.The middle of the vehicle is equipped with a central digital control screen.(3)First aid materials and instruments:the vehicle's materials are modularly configured in accordance with the resuscitation,guardianship,surgery,inspection and testing,Communication modular configuration,equipped with a defibrillation monitor,transfer ventilator,extracorporeal membrane lung oxygenation and other critical care first aid and electrocardiogram,digital radiography,blood gas analyzer,chest pain 5 monitors and other inspection and testing equipment;(4)Vehicle communication and information systems:equipped with high-definition remote video interactive system,telemedicine terminal DP300 integrated system,a real-time panoramic experience system and centralized guardianship system;(5)Vehicle disinfection:a plasma disinfector installed on the top of the car can meet the hospital disinfection hygiene standardsⅡclass environmental management requirements.Conclusions Incorporating 5G communication technology,the large-scale mobile eme

关 键 词：大型急救复苏单元 5G 院前 转运 

分 类 号：R459.7[医药卫生—急诊医学]