Seriously traumatic patient emergency treatment process management method, device and system

Abstract

The invention provides a severely traumatic patient emergency treatment process management method, device and system, which are used for creating a severely traumatic patient emergency treatment process management system and configuring specific standardized emergency treatment process nodes and quality control indexes for the severely traumatic patient emergency treatment process management system. In this way, the accuracy and integrity of the whole process can be combined with important time nodes of trauma quality control, the current quality control management requirement can be well met, simple and perfect records can provide a good data basis for emergency treatment work of patients with serious trauma, the emergency treatment work can be promoted to be stably and efficiently promoted, and the emergency treatment efficiency is improved. And the personal safety of severely traumatic patients is ensured.

Description

Technical Field

[0001] The present application relates to the field of medical technology, and specifically to a method, device, and system for managing the emergency treatment process for severely traumatized patients. Background Art

[0002] In clinical work, trauma patients account for a large proportion of different types of patients. Trauma itself is also one of the main causes of disability in actual situations. Therefore, emergency treatment of trauma patients, especially those with severe trauma, is obviously important and requires clear, simple and well-organized treatment plans.

[0003] However, the inventors of this application have discovered that, for the emergency treatment of trauma patients, the existing relevant quality control management system only focuses on the recording of time nodes, but does not combine it with the accuracy and completeness of the entire process, and does not concisely record the specific progress dynamics of the emergency treatment of trauma patients. It is difficult to meet the current quality control management needs. In actual application, it not only affects the quality control management work of the emergency treatment of trauma patients, but also may hinder the advancement of the emergency treatment of trauma patients in some cases. Summary of the Invention

[0004] The present application provides a method, device and system for managing the emergency treatment process of severely traumatized patients, which is used to create a process management system for the emergency treatment of severely traumatized patients and configure it with specific standardized emergency treatment process nodes and their quality control indicators. In this way, the accuracy and completeness of the entire process can be combined with the important time nodes of trauma quality control, which is well in line with the current quality control management needs. The streamlined and complete records can also provide a good data basis for the emergency treatment of severely traumatized patients, so that the emergency treatment work can be carried out stably and efficiently, and the personal safety of severely traumatized patients can be guaranteed.

[0005] In a first aspect, the present application provides a method for managing the emergency treatment process for severely traumatized patients, the method comprising:

[0006] After determining the target severely traumatized patient to be processed on the severely traumatized patient emergency treatment process management system, determining the target process node where the target severely traumatized patient is located at the current monitoring time in the preset standardized emergency treatment process node;

[0007] Determine the target quality control indicators involved in the target process nodes;

[0008] Update the specific data of the target quality control indicators to record the emergency treatment dynamics of the target severe trauma patients.

[0009] In a second aspect, the present application provides a device for managing the emergency treatment process for severely traumatized patients, the device comprising:

[0010] The first determining unit is configured to determine, after determining a target severely traumatized patient to be processed on the severely traumatized patient emergency treatment process management system, a target process node where the target severely traumatized patient is located at a current monitoring time in a preset standardized emergency treatment process node;

[0011] A second determination unit is used to determine the target quality control indicators involved in the target process node;

[0012] The updating unit is used to update the specific data of the target quality control indicators to record the dynamics of emergency treatment of the target severely traumatized patients.

[0013] In a third aspect, the present application provides an emergency treatment process management system for severely traumatized patients, which is used to execute the method provided in the first aspect of the present application.

[0014] In a fourth aspect, the present application provides a computer-readable storage medium, which stores a plurality of instructions suitable for loading by a processor to execute the method provided in the first aspect of the present application.

[0015] From the above content, it can be concluded that this application has the following beneficial effects:

[0016] Aiming at the goal of emergency treatment process management for severely traumatized patients, this application has created a process management system for emergency treatment of severely traumatized patients, and configured specific standardized emergency treatment process nodes and their quality control indicators for it. In this way, the accuracy and completeness of the entire process can be combined with the important time nodes of trauma quality control, which is in good accordance with the current quality control management needs. The streamlined and complete records can also provide a good data basis for the emergency treatment of severely traumatized patients, so that the emergency treatment work can be carried out stably and efficiently, and the personal safety of severely traumatized patients can be guaranteed. BRIEF DESCRIPTION OF THE DRAWINGS

[0017] In order to more clearly illustrate the technical solutions in the embodiments of the present application, the following briefly introduces the drawings required for use in the description of the embodiments. Obviously, the drawings described below are only some embodiments of the present application. For those skilled in the art, other drawings can be obtained based on these drawings without creative work.

[0018] Figure 1 This is a flowchart of a method for managing the emergency treatment process for severely traumatized patients in this application;

[0019] Figure 2 A logical diagram of the emergency treatment process management method for severely traumatized patients in this application;

[0020] Figure 3This is a structural diagram of a device for managing the emergency treatment process of severely traumatized patients in this application;

[0021] Figure 4 This is a structural diagram of the emergency treatment process management system for severely traumatized patients in this application. DETAILED DESCRIPTION

[0022] The following will be combined with the drawings in the embodiments of this application to clearly and completely describe the technical solutions in the embodiments of this application. Obviously, the embodiments described are only part of the embodiments of this application, not all of the embodiments. Based on the embodiments in this application, all other embodiments obtained by those skilled in the art without making creative efforts are within the scope of protection of this application.

[0023] The terms "first", "second", etc. in the specification and claims of this application and the above-mentioned drawings are used to distinguish similar objects and are not necessarily used to describe a specific order or sequence. It should be understood that the data used in this way can be interchangeable where appropriate so that the embodiments described herein can be implemented in a sequence other than that illustrated or described herein. In addition, the terms "including" and "having" and any variations thereof are intended to cover non-exclusive inclusions. For example, a process, method, system, product or device that includes a series of steps or modules is not necessarily limited to those steps or modules clearly listed, but may include other steps or modules that are not clearly listed or that are inherent to these processes, methods, products or devices. The naming or numbering of steps in this application does not mean that the steps in the method flow must be executed in the time / logical sequence indicated by the naming or numbering. The process steps that have been named or numbered can be changed in the execution order according to the technical purpose to be achieved, as long as the same or similar technical effects can be achieved.

[0024] The division of modules in this application is a logical division. In actual application, there may be other division methods. For example, multiple modules can be combined or integrated into another system, or some features can be ignored or not executed. In addition, the mutual coupling or direct coupling or communication connection shown or discussed can be through some interfaces, and the indirect coupling or communication connection between modules can be electrical or other similar forms, which are not limited in this application. Moreover, the modules or submodules described as separate components may or may not be physically separated, may or may not be physical modules, or may be distributed into multiple circuit modules. Some or all of the modules can be selected according to actual needs to achieve the purpose of the solution of this application.

[0025] Before introducing the emergency treatment process management method for severely traumatized patients provided by this application, the background content involved in this application is first introduced.

[0026] The method, device and computer-readable storage medium for managing the emergency treatment process for severely traumatized patients provided in this application can be applied to the emergency treatment process management system for severely traumatized patients, and are used to create an emergency treatment process management system for severely traumatized patients, and configure it with specific standardized emergency treatment process nodes and their quality control indicators. In this way, the accuracy and completeness of the entire process can be combined with the important time nodes of trauma quality control, which is well in line with the current quality control management needs. The streamlined and complete records can also provide a good data basis for the emergency treatment of severely traumatized patients, thereby enabling the emergency treatment work to be carried out stably and efficiently, and ensuring the personal safety of severely traumatized patients.

[0027] The method for managing the emergency treatment process for severely traumatized patients mentioned in this application can be executed by a device for managing the emergency treatment process for severely traumatized patients, or a management system for managing the emergency treatment process for severely traumatized patients that integrates the device for managing the emergency treatment process for severely traumatized patients. The device for managing the emergency treatment process for severely traumatized patients can be implemented in hardware or software. The management system for managing the emergency treatment process for severely traumatized patients can be implemented as different types of devices, such as a server, a physical host, or a user equipment (UE). The UE can be a terminal device such as a smartphone, a tablet computer, a laptop computer, a desktop computer, or a personal digital assistant (PDA). Alternatively, the management system for managing the emergency treatment process for severely traumatized patients can be configured in a device cluster. When a device cluster is used, devices of the same type, such as a server cluster, can be used, or devices of different types, such as a server cluster plus a physical host cluster. Obviously, the management system for managing the emergency treatment process for severely traumatized patients is flexible in terms of the specific device types and device deployment methods involved, and can be adaptively adjusted according to actual conditions. This application does not impose any specific restrictions on this.

[0028] As an example, the emergency treatment process management system for severely traumatized patients in this application can be configured in the form of a web server, which can provide corresponding system access services to the client, applet, official account or browser on the UE on the medical staff side based on web services, thereby providing medical staff with system business processing such as dynamic query or data upload.

[0029] Next, we will begin to introduce the emergency treatment process management method for severely traumatized patients provided by this application.

[0030] First, see Figure 1 , Figure 1A flow chart of the emergency treatment process management method for severely traumatized patients provided by the present application is shown. The emergency treatment process management method for severely traumatized patients provided by the present application may specifically include the following steps S101 to S103:

[0031] Step S101, after determining a target severely traumatized patient to be processed in the severely traumatized patient emergency treatment process management system, determine a target process node where the target severely traumatized patient is currently monitored in a preset standardized emergency treatment process node;

[0032] It can be understood that the emergency treatment process management system for severely traumatized patients created by this application uses severely traumatized patients as processing units to carry out corresponding emergency treatment process management for severely traumatized patients during its main system working process. In this regard, in order to facilitate the explanation of the plan, the severely traumatized patients currently determined to be processed are recorded as target severely traumatized patients. The same applies to the target quality control indicators involved in the subsequent process, which are also set for the purpose of literally distinguishing them.

[0033] Among them, the so-called severe trauma patients are usually patients who are manually judged to have severe trauma and need emergency treatment. Of course, in actual situations, it is not ruled out that the device may determine that the patient has severe trauma and needs emergency treatment through corresponding judgment strategies / rules.

[0034] In specific operations, the trigger condition here can be the entry of a new target severe trauma patient into the severe trauma patient emergency treatment process management system or other business system, triggering the severe trauma patient emergency treatment process management system to initiate the corresponding severe trauma patient emergency treatment process management processing. Alternatively, after the target severe trauma patient has been entered into the severe trauma patient emergency treatment process management system in advance, the target severe trauma patient can be locked in and the corresponding severe trauma patient emergency treatment process management processing can be initiated with manual triggering by staff (usually medical staff) or automatic triggering by preset automatic triggering conditions (for example, specific triggering conditions such as monitoring time interval, monitoring time point, patient dynamics, etc.).

[0035] It can be understood that this application has created a new processing system for the emergency treatment process management system for severely traumatized patients. It involves the management and processing of the emergency treatment process for severely traumatized patients. On the basis of the preset standardized emergency treatment process nodes, it also involves corresponding process nodes. It is based on the treatment process, fully considers the quality control management work needs, and combines the accuracy and completeness of the entire process with the important time nodes of trauma quality control, and is highly consistent.

[0036] In this case, it is easy to understand that after determining the target severely traumatized patient to be treated, the target process node at which the target severely traumatized patient is currently monitored in the preset standardized emergency treatment process node can be determined.

[0037] For the target process node at the current monitoring time, it can be the first unprocessed or unfinished process node determined among the process nodes with process properties (or time properties / sorting properties), or it can be the process node determined based on the time between the target severe trauma patient's admission to the emergency treatment process and the current time point (that is, the process node the patient should be in from the beginning of admission to the present). Of course, the target process node can also be configured as the first process node in the preset standardized emergency treatment process nodes, which may also have corresponding application requirements in some special cases.

[0038] Step S102, determining the target quality control indicators involved in the target process node;

[0039] After determining the target process node that needs to be updated for the target severe trauma patient, the target quality control indicator involved in the target process node can be determined.

[0040] Among them, it should be understood here that, in this application, the relationship between quality control indicators and process nodes does not need to be understood as an inclusion relationship (that is, the quality control indicators are included in the process nodes) or it is not necessarily an inclusion relationship. What needs to be paid attention to is that in the process management and processing of the emergency treatment process for severely traumatized patients in this application, a series of process management and processing contents with process properties (or time properties / sorting properties) can be reflected through process nodes and the quality control indicators involved.

[0041] Step S103: updating the specific data of the target quality control indicator to record the dynamics of emergency treatment of the target severely injured patient.

[0042] After determining the target quality control indicators involved in this target process node, it is obvious that the corresponding emergency treatment dynamics data recording work can be carried out for the target quality control indicators.

[0043] For example, the corresponding data can be directly extracted from the local or other business systems of the hospital, or the data required for recording can be obtained by secondary processing based on the existing data in the local or other business systems of the hospital; or, a data upload interface of the type of system message / pop-up window / email / SMS can be sent to the medical staff responsible for the relevant emergency diagnosis and treatment work to enable timely data upload, or, a reminder message of the type of system message / pop-up window / email / SMS / voice call can be output to the medical staff responsible for the relevant emergency diagnosis and treatment work to remind them to upload data in a timely manner.

[0044] Obviously, the specific data recording method that can be adopted is relatively flexible, and can play the role of recording and updating the target quality control indicators to meet the needs of quality control management.

[0045] from Figure 1 As can be seen from the shown embodiments, in response to the emergency treatment process management goal for severely traumatized patients, this application has created a severe traumatized patient emergency treatment process management system, and configured specific standardized emergency treatment process nodes and their quality control indicators for it. In this way, the accuracy and completeness of the entire process can be combined with the important time nodes of trauma quality control, which is in good accordance with the current quality control management needs. The streamlined and complete records can also provide a good data basis for the emergency treatment of severely traumatized patients, so that the emergency treatment work can be carried out stably and efficiently, and the personal safety of severely traumatized patients can be guaranteed.

[0046] Next, in Figure 2 A logical schematic diagram of the emergency treatment process management method for severely traumatized patients of the present application is shown, which further explains in more detail a new processing system created by the system of the present application for the management and processing of the emergency treatment process for severely traumatized patients.

[0047] from Figure 2 It can be clearly seen that the preset standardized emergency treatment process nodes specially designed by this application in actual application can include the following in order according to the process sequence involved:

[0048] (1) Information warning node, (2) Trauma team activation node, (3) Initial assessment node, (4) History collection node, (5) Reassessment node, and (6) Definitive treatment node.

[0049] For information warning nodes, the specific node content may include: whether the pre-hospital medical institution transmits the information to the hospital;

[0050] In the information warning node, the system dynamically calculates the Distress Trauma Index (DTI) using a weighted comprehensive scoring model. The formula is: DTI = α·GCSnom + β.TInorm + y·ISSnorm, where the weight coefficients are optimized through historical data training. When the DTI exceeds 0.7, the trauma team activation node is automatically triggered; if the score increases by more than 10% within 5 minutes, the emergency escalation process is triggered.

[0051] For the trauma team activation node, the specific node content may include: whether the trauma ISS score is greater than or equal to 16;

[0052] For the initial assessment node, its specific node content may include: the first round of assessment work before determining the treatment plan;

[0053] For the medical history collection node, its specific node content may include: medical history collection work before determining the treatment plan;

[0054] For the reassessment node, its specific node content may include: the second round of assessment work before determining the treatment plan;

[0055] For a deterministic treatment node, the specific node content may include: determining the specific treatment plan to be adopted.

[0056] It can be understood that in the embodiment here, these process nodes, while taking into account the comprehensive and accurate reflection of the entire process of emergency treatment of severely traumatic patients and the important nodes of trauma quality control, the present application provides a more specific and practical implementation plan. The nodes are closely linked to each other, which has better practical significance for the hospital application scenario in which the present application plan is located.

[0057] At the same time, from Figure 2 It can also be clearly seen that on the basis of a series of process nodes, a series of quality control indicators are also involved.

[0058] Correspondingly, as an exemplary embodiment, (1) the information warning node may specifically relate to a pre-hospital emergency transport time indicator and a trauma score indicator;

[0059] (2) The trauma team activation node can specifically involve the emergency department preparation time indicator;

[0060] (3) The initial assessment node may specifically involve setting indicators while assessing, artificial airway establishment time indicators, emergency blood transfusion preparation time indicators, diagnostic examination indicators, and FAST completion time indicators;

[0061] Among them, FAST specifically involves face (Face), upper limbs (Arms), speech (Speech) and time (Time), and is itself a common evaluation indicator in emergency work.

[0062] (4) The specific time points for medical history collection may include allergy history indicators, medication history indicators, previous disease history indicators, last meal indicators, accident-causing event indicators, loss mechanism, and injury history indicators;

[0063] (5) The reassessment nodes may specifically involve comprehensive physical examination indicators, laboratory examination indicators, imaging examination indicators, emergency surgery preoperative preparation time indicators, and emergency department stay time indicators;

[0064] (6) Deterministic treatment nodes may specifically involve deterministic surgical indicators and trauma surgery ICU indicators (i.e., trauma surgery ICU indicators).

[0065] It can be understood that in the embodiment here, this application provides a more specific implementation plan for the specific quality control indicators contained in or associated with the series of standardized emergency treatment process nodes constructed above, combined with the actual emergency treatment work situation and trauma quality control needs. Similar to the previous embodiment, it has better practical significance for the hospital application scenario in which this application plan is located.

[0066] Next, we will continue to provide a more detailed explanation of the series of quality control indicators mentioned above.

[0067] For (1) information warning node, there are:

[0068] Pre-hospital emergency transport time indicators specifically include pre-hospital emergency transport time = time for ambulance to arrive at the emergency department - time to leave the accident scene;

[0069] Trauma scoring indicators specifically include the Glasgow Coma Scale (GCS), the Trauma TI (Trauma Index) and the Injury Severity Score (ISS). The GCS score specifically refers to the Glasgow Coma Scale (GCS), the Trauma TI score specifically refers to the Tuauma Index (TI), and the Trauma ISS score specifically refers to the Injury Severity Score (ISS). All three are existing scoring systems for clinically assessing the severity of trauma in the form of scores.

[0070] For (2) trauma team activation node, there are:

[0071] The emergency preparation time indicator specifically involves emergency preparation time = time for severe trauma team members to arrive at the emergency department - time for patients to arrive at the emergency department.

[0072] For (3) the first evaluation node, we have:

[0073] The indicators set during the assessment specifically include: 1. Airway patency and cervical spine immobilization (yes, no), 2. Respiratory status (yes, no), 3. Circulatory control in the case of bleeding (yes, no), 4. Neurological function assessment (yes, no), 5. Exposure / environmental control (yes, no), 6. Maintaining airway patency, ventilation, and oxygenation (yes, no), 7. Fluid expansion and blood transfusion (yes, no), 8. Monitoring cardiac beats (yes, no), 9. Controlling bleeding (yes, no), and 10. Preoperative preparation (yes, no).

[0074] Artificial airway establishment time index specifically involves artificial airway establishment time = time to successfully establish artificial airway - time to propose airway establishment;

[0075] The emergency blood transfusion preparation time indicator specifically involves the following: emergency blood transfusion preparation time = blood transfusion execution time - blood transfusion application time;

[0076] Diagnostic examination indicators specifically involved portable radiography, ultrasound (FAST examination), and diagnostic abdominal paracentesis or lavage (yes, no);

[0077] The FAST completion time indicator specifically involves FAST completion time = FAST completion time - patient arrival time at the emergency department.

[0078] For (4) the time nodes of medical history collection, there are:

[0079] The allergy history index specifically involves whether there is a history of allergies, the drug history index specifically involves whether there is a history of drugs, the past medical history index specifically involves whether there is a menstrual history and whether there is a history of pregnancy, the last meal index specifically involves whether there is the most recent meal, the event index causing the accident specifically involves whether there is an event causing the accident, and the loss mechanism and injury history index specifically involves whether there is a loss mechanism and whether there is a history of injury.

[0080] For (5) evaluate the node again, we have:

[0081] Comprehensive physical examination indicators specifically involved the heart (yes, no), knee brace (yes, no), abdomen (yes, no), spine (yes, no), head (yes, no), pelvis (yes, no), limbs (yes, no), arteries (yes, no), and nerves (yes, no), and were performed in the order from head to toe (yes, no);

[0082] Laboratory examination indicators specifically involved blood routine, blood gas, electrolytes, biochemistry, liver and kidney function, coagulation function, blood type, antibody screening, cross-matching, pregnancy test, cardiac biomarker detection, etc. (yes, no);

[0083] Imaging examination indicators specifically include plain X-ray examination (yes, no), CT examination (including whole-body CT) (yes, no), whole-body rapid CT, chest X-ray, pelvic X-ray, FAST completion time (yes, no), electrocardiogram (yes, no), and MRI (yes, no). The FAST completion time here specifically includes the whole-body rapid CT time / chest X-ray / pelvic X-ray time minus the time the patient arrives at the emergency department;

[0084] Emergency surgery preoperative preparation time indicators specifically include: Emergency surgery preoperative preparation time = surgery start time - time to issue emergency surgery order;

[0085] The emergency department stay time indicator specifically involves emergency department stay time = patient leaving the emergency department - patient arriving at the emergency department time.

[0086] For (6) deterministic treatment nodes, we have:

[0087] Definitive surgical indicators specifically involved definitive surgical indicators (yes, no);

[0088] The invasive ICU indicator specifically involves the invasive ICU (yes, no).

[0089] In addition, as mentioned earlier, this application plan is designed based on the management of the emergency treatment process for severely traumatized patients. In this way, after recording the emergency treatment dynamics of the current target severely traumatized patient so far or throughout the entire process, corresponding quality control management work can be carried out.

[0090] In this regard, as an exemplary embodiment, after step S103 updates the specific data of the target quality control indicator to record the emergency treatment dynamics of the target severe trauma patient, the method of the present application may further include:

[0091] Based on the records of emergency treatment dynamics of target severely traumatized patients, quality control management is carried out.

[0092] It can be understood that the quality control management processing involved here is specifically the quality control management processing of emergency treatment of trauma patients. It can be completed by the system according to the corresponding autonomous processing strategy / rules. For the autonomous processing method, it is obvious that in actual application, it can promote the advantage of significantly improving processing efficiency while ensuring stable timeliness; or, it can also serve the manual processing of relevant personnel by providing a relevant processing environment. For example, a special visual interface can be provided to assist relevant personnel to more intuitively and conveniently understand the personal or overall quality control management situation, so as to carry out more accurate judgments and responses more quickly, and promote better quality control management processing effects.

[0093] In addition, based on the recorded emergency treatment dynamics of one or more severely traumatized patients, in addition to carrying out corresponding quality control management processing, other aspects of data application may also be involved.

[0094] For example, when other business systems in the hospital need to use data, these recorded data can be called upon. Another example is that, based on this data, data analysis and processing beyond quality control can be carried out (specific analysis and processing strategies / rules are adjusted according to specific business needs). Another example is that currently recorded data can be reprocessed through data disaster recovery solutions such as off-site backup to ensure data security.

[0095] At the same time, the above solution content mainly introduces the corresponding content of the emergency treatment process management and processing of severely traumatized patients designed by this application from the perspective of a single patient. At the overall level, based on the dynamic recording data of emergency treatment, corresponding to management needs, corresponding monitoring work can also be carried out according to the corresponding quality control compliance rate, which is quality control management in a broad sense.

[0096] That is, as an exemplary embodiment, the method of the present application may further include:

[0097] Based on the dynamic record data of emergency treatment at the overall level, the corresponding quality control compliance rate within the monitoring period is monitored to deploy corresponding measures in a targeted manner.

[0098] For example, if it is detected that the quality control compliance rate does not meet 90% during the monitoring period (such as a specific time period such as a weekly, monthly or quarterly period), the corresponding team or person (individual) who caused the quality control indicator to fail to meet the standard can be identified and determined, and reminders can be given to play a certain degree of supervisory role.

[0099] For another example, if the quality control compliance rate of an individual team or individual is detected to be on a downward trend during the monitoring period, that is, if the preset downward trend judgment conditions are met, a reminder can also be issued.

[0100] In addition, this application can further introduce a quality control compliance rate prediction mechanism, based on the dynamic record data of emergency treatment recorded by the team or personnel in the past time period and its quality control compliance rate, to predict the corresponding quality control compliance rate to determine the potential and possible risks of some teams or personnel in the emergency treatment of severe trauma patients (an increase in risk corresponds to a decrease in quality control compliance rate). From the perspective of data analysis, advance reminders can be given to such teams or personnel to better deal with the impact of their own factors or external factors on the emergency treatment of severe trauma patients, and corresponding measures can be deployed in a targeted manner, such as adjusting positions, adding personnel, increasing equipment support, reducing material piles, and other specific measures that help reduce risks.

[0101] It can also be seen here that when predicting quality control compliance rates and risks, it is also helpful to generate targeted optimization suggestions on how to respond.

[0102] Under the above-mentioned scheme setting, it is understandable that the specific work can also be completed by artificial intelligence (AI) technology with strong learning ability, and specifically involve the application of neural network models, especially deep learning neural network models.

[0103] As an example, for the quality control compliance rate, the working logic of the model can be expressed as follows:

[0104] Y=f(x t-1 ,x t-2 ,…,x t-n ),

[0105] Among them, Y is the predicted result of quality control compliance rate, x iis the model input (i.e., the dynamic record data of emergency treatment and its quality control compliance rate recorded by the team or personnel in the past time period, in different aspects), i = x t-1 ,x t-2 ,…,x t-n .

[0106] At the same time, considering that the prediction mechanism involved here involves the time dimension, the model can also adopt the Long Short-Term Memory (LSTM) model which is highly sensitive to time series features.

[0107] Furthermore, the present application can also consider digging out more potential and possible risk factors at a deeper level. Therefore, the prediction processing carried out by the model can be divided into two branches. One is based on the dynamic record data of emergency treatment and its quality control compliance rate recorded by the team or personnel in the past time period to carry out basic quality control compliance rate prediction processing; the other is based on the dynamic record data of emergency treatment and its quality control compliance rate recorded by the team or personnel in the past time period, combined with the special circumstances imposed, to dig out situations that will lead to a decrease in quality control compliance rate and increase risks, and then personalize the work content that the team or individual can pay extra attention to, so as to play another kind of advance reminder effect.

[0108] Among them, the special circumstances that can be imposed above are mainly aimed at situations that rarely occur in actual situations, or situations that are difficult for teams or individuals to encounter in actual situations, and may involve three aspects: special patient conditions, special medical resource conditions, and special emergency plan adjustments. The specific descriptive information can be randomly generated, or randomly / sorted extracted from a situation queue composed of pre-configured different situations, or manually configured. In specific operations, different special circumstances are reflected through the impact on the dynamic recording data of emergency treatment and its quality control compliance rate.

[0109] In this way, on the basis of being highly adapted to the emergency treatment process management architecture for severely traumatized patients specially designed for this application, we will continue to implement more flexible and deeper data support work through the application of highly personalized different situations, and promote more intelligent and higher-quality emergency treatment work.

[0110] The above is an introduction to the emergency treatment process management method for severely traumatized patients provided by this application. In order to facilitate better implementation of the emergency treatment process management method for severely traumatized patients provided by this application, this application also provides an emergency treatment process management device for severely traumatized patients from the perspective of functional modules.

[0111] See Figure 3 , Figure 3This is a structural diagram of a device for managing the emergency treatment process for severely traumatized patients in this application. In this application, the device 400 for managing the emergency treatment process for severely traumatized patients may specifically include the following structure:

[0112] The first determining unit 301 is configured to determine, after determining a target severely traumatized patient to be processed on the severely traumatized patient emergency treatment process management system, a target process node where the target severely traumatized patient is located at the current monitoring time in a preset standardized emergency treatment process node;

[0113] The second determining unit 302 is used to determine the target quality control indicators involved in the target process node;

[0114] The updating unit 303 is used to update the specific data of the target quality control indicator to record the emergency treatment dynamics of the target severe trauma patient.

[0115] In an exemplary embodiment, the preset standardized emergency treatment process nodes include, in order of process sequence:

[0116] Information warning node, trauma team activation node, initial assessment node, medical history collection node, re-assessment node and deterministic treatment node.

[0117] In another exemplary embodiment, the information warning node specifically relates to a pre-hospital emergency transport time indicator and a trauma score indicator;

[0118] The trauma team activation node specifically involves the emergency department preparation time indicator;

[0119] The initial assessment nodes specifically involve setting indicators while assessing, artificial airway establishment time indicators, emergency blood transfusion preparation time indicators, diagnostic examination indicators, and FAST completion time indicators;

[0120] The time points for medical history collection specifically include allergy history indicators, medication history indicators, previous disease history indicators, last meal indicators, accident-causing event indicators, loss mechanism, and injury history indicators;

[0121] The reassessment nodes specifically involve comprehensive physical examination indicators, laboratory examination indicators, imaging examination indicators, emergency surgery preoperative preparation time indicators and emergency department stay time indicators;

[0122] Deterministic treatment nodes specifically involve deterministic surgical indicators and extrainvasive ICU indicators.

[0123] In another exemplary embodiment, for the first evaluation node, there are:

[0124] Indicators set during assessment specifically include: 1. Airway patency and cervical spine immobilization, 2. Respiratory status, 3. Circulatory control in the event of bleeding, 4. Neurological function assessment, 5. Exposure / environmental control, 6. Maintaining airway patency, ventilation, and oxygenation, 7. Fluid replacement and blood transfusion, 8. Monitoring heart beats, 9. Bleeding control, and 10. Preoperative preparation.

[0125] In another exemplary embodiment, for re-evaluating a node, there are:

[0126] Diagnostic examination indicators specifically involve portable radiography, ultrasound, and diagnostic abdominal puncture or lavage.

[0127] In another exemplary embodiment, for re-evaluating a node, there are:

[0128] Comprehensive physical examination indicators specifically involve the heart, knees, abdomen, spine, head, pelvis, limbs, arteries and nerves, and are performed in order from head to toe;

[0129] Laboratory examination indicators specifically include blood routine, blood gas, electrolytes, biochemistry, liver and kidney function, coagulation function, blood type, antibody screening, cross-matching, pregnancy test, and cardiac biomarker detection;

[0130] The imaging examination indicators specifically include plain X-ray examination, CT examination, whole-body rapid CT, chest X-ray, pelvic X-ray, FAST completion time, electrocardiogram and MRI.

[0131] In another exemplary embodiment, the apparatus further includes a quality control unit 304, configured to:

[0132] Based on the records of emergency treatment dynamics of target severely traumatized patients, quality control management is carried out.

[0133] This application also provides a process management system for emergency treatment of severe trauma patients from the perspective of hardware structure. For the convenience of explanation, it is regarded as a processing device. Figure 4 , Figure 4 The present invention shows a structural diagram of a severe trauma patient emergency treatment process management system. Specifically, the present invention may include a processor 401, a memory 402, and an input and output device 403. The processor 401 is used to execute the computer program stored in the memory 402 to implement the following Figure 1 The steps of the emergency treatment process management method for severely injured patients in the corresponding embodiment; or, when the processor 401 is used to execute the computer program stored in the memory 402, the following is implemented Figure 3 The memory 402 is used to store the functions of each unit in the embodiment, and the processor 401 executes the above Figure 1The computer program required by the emergency treatment process management method for severely traumatized patients in the corresponding embodiment.

[0134] For example, the computer program may be divided into one or more modules / units, one or more of which are stored in memory 402 and executed by processor 401 to implement the present application. One or more modules / units may be a series of computer program instruction segments capable of performing specific functions, and the instruction segments are used to describe the execution process of the computer program in a computer device.

[0135] The emergency treatment process management system for severely traumatized patients may include, but is not limited to, a processor 401, a memory 402, and an input / output device 403. Those skilled in the art will appreciate that the diagram is merely an example of an emergency treatment process management system for severely traumatized patients and does not limit the system to a specific embodiment. The system may include more or fewer components than shown, or a combination of certain components, or different components. For example, the emergency treatment process management system for severely traumatized patients may also include a network access device, a bus, and the like, with the processor 401, the memory 402, the input / output device 403, and the like being connected via the bus.

[0136] Processor 401 may be a central processing unit (CPU), or other general-purpose processors, digital signal processors (DSP), application-specific integrated circuits (ASIC), field-programmable gate arrays (FPGA), or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. The general-purpose processor may be a microprocessor or any conventional processor. The processor is the control center of the emergency treatment process management system for severely traumatized patients, and utilizes various interfaces and lines to connect various parts of the entire device.

[0137] Memory 402 can be used to store computer programs and / or modules. Processor 401 implements various functions of the computer device by running or executing computer programs and / or modules stored in memory 402 and accessing data stored in memory 402. Memory 402 may primarily include a program storage area and a data storage area. The program storage area may store an operating system, at least one application required for a function, and the data storage area may store data created based on the use of the emergency treatment process management system for severely traumatized patients. Furthermore, the memory may include high-speed random access memory and non-volatile memory, such as a hard disk, internal memory, a plug-in hard disk, a smart media card (SMC), a secure digital (SD) card, a flash card, at least one disk storage device, a flash memory device, or other volatile solid-state storage device.

[0138] When the processor 401 is used to execute the computer program stored in the memory 402, it can specifically implement the following functions:

[0139] After determining the target severely traumatized patient to be processed on the severely traumatized patient emergency treatment process management system, determining the target process node where the target severely traumatized patient is located at the current monitoring time in the preset standardized emergency treatment process node;

[0140] Determine the target quality control indicators involved in the target process nodes;

[0141] Update the specific data of the target quality control indicators to record the emergency treatment dynamics of the target severe trauma patients.

[0142] Those skilled in the art will clearly understand that for the convenience and brevity of description, the specific working process of the emergency treatment process management device, system and corresponding units of the severe trauma patient described above can refer to the following: Figure 1 The description of the emergency treatment process management method for severely traumatized patients in the corresponding embodiment will not be repeated here.

[0143] Those skilled in the art will appreciate that all or part of the steps in the various methods of the above embodiments may be accomplished by instructions, or by controlling related hardware through instructions. The instructions may be stored in a computer-readable storage medium and loaded and executed by a processor.

[0144] To this end, the present application provides a computer-readable storage medium, which stores a plurality of instructions, which can be loaded by a processor to execute the present application as follows: Figure 1 The steps of the emergency treatment process management method for severely injured patients in the corresponding embodiment, the specific operations can be referred to as follows Figure 1The description of the emergency treatment process management method for severely traumatized patients in the corresponding embodiment will not be repeated here.

[0145] The computer-readable storage medium may include a read-only memory (ROM), a random access memory (RAM), a magnetic disk or an optical disk, etc.

[0146] Due to the instructions stored in the computer readable storage medium, the present application can be executed as follows: Figure 1 The steps of the emergency treatment process management method for severely traumatized patients in the corresponding embodiment, therefore, the present application can be implemented as follows Figure 1 The beneficial effects that can be achieved by the emergency treatment process management method for severely traumatized patients in the corresponding embodiment are detailed in the previous description and will not be repeated here.

[0147] The above is a detailed introduction to the emergency treatment process management method, device, system and computer-readable storage medium for severely traumatized patients provided by this application. Specific examples are used herein to illustrate the principles and implementation methods of this application. The description of the above embodiments is only used to help understand the method and core idea of ​​this application. At the same time, for technical personnel in this field, based on the ideas of this application, there will be changes in the specific implementation methods and application scope. In summary, the content of this specification should not be understood as a limitation on this application.

Claims

1. A method for managing the emergency treatment process of severely traumatized patients, characterized in that: The method comprises: After determining a target severely traumatized patient to be processed on the severely traumatized patient emergency treatment process management system, determining a target process node where the target severely traumatized patient is located at a current monitoring time in a preset standardized emergency treatment process node; Determine the target quality control indicators involved in the target process node; Update the specific data of the target quality control indicators to record the emergency treatment dynamics of the target severe trauma patients.

2. The method according to claim 1, characterized in that The preset standardized emergency treatment process nodes include, in order of process sequence: Information warning node, trauma team activation node, initial assessment node, medical history collection node, re-assessment node and deterministic treatment node.

3. The method according to claim 2, characterized in that The information warning node specifically involves pre-hospital emergency transport time index and trauma score index; The trauma team activation node specifically involves the emergency preparation time indicator; The initial assessment nodes specifically involve setting indicators while assessing, artificial airway establishment time indicators, emergency blood transfusion preparation time indicators, diagnostic examination indicators and FAST completion time indicators; The medical history collection time points specifically include allergy history indicators, medication history indicators, previous medical history indicators, last meal indicators, accident-causing event indicators, loss mechanism, and injury history indicators; The reassessment nodes specifically involve comprehensive physical examination indicators, laboratory examination indicators, imaging examination indicators, emergency surgery preoperative preparation time indicators and emergency department stay time indicators; The deterministic treatment nodes specifically relate to deterministic surgical indicators and invasive ICU indicators.

4. The method according to claim 3, characterized in that For the first evaluation node, we have: The aforementioned indicators set while evaluating specifically involve 1. airway patency and cervical spine immobilization, 2. respiratory status, 3. circulation control in the event of bleeding, 4. neurological function assessment, 5. exposure / environmental control, 6. maintaining airway patency, ventilation, and oxygenation, 7. fluid replacement and blood transfusion, 8. monitoring cardiac beats, 9. controlling bleeding, and 10. preparation before surgery.

5. The method according to claim 3, characterized in that For the re-evaluation node, there are: The diagnostic examination indicators specifically relate to portable X-ray photography, ultrasound, and diagnostic abdominal puncture or lavage.

6. The method according to claim 3, characterized in that For the re-evaluation node, there are: The comprehensive physical examination specifically covers the heart, knees, abdomen, spine, head, pelvis, limbs, arteries and nerves, and is performed in order from head to toe; The laboratory examination indicators specifically involve blood routine, blood gas, electrolytes, biochemistry, liver and kidney function, coagulation function, blood type, antibody screening, cross-matching, pregnancy test, and cardiac biomarker detection; The imaging examination indicators specifically involve X-ray examination, CT examination, whole-body rapid CT, chest X-ray, pelvic X-ray, FAST completion time, electrocardiogram and MRI.

7. The method according to claim 1, characterized in that After updating the specific data of the target quality control indicator to record the dynamics of emergency treatment of the target severely injured patient, the method further includes: Based on the recorded emergency treatment dynamics of the target severely traumatized patient, quality control management is carried out.

8. A device for managing the emergency treatment process of patients with severe trauma, characterized in that: The device comprises: A first determining unit is configured to, after determining a target severely traumatized patient to be processed on the severely traumatized patient emergency treatment process management system, determine a target process node where the target severely traumatized patient is located at a current monitoring time in a preset standardized emergency treatment process node; A second determining unit, configured to determine target quality control indicators involved in the target process node; An updating unit is used to update the specific data of the target quality control indicator to record the emergency treatment dynamics of the target severely traumatized patient.

9. A process management system for emergency treatment of severely injured patients, characterized in that: Used to perform the method according to any one of claims 1 to 7.

10. A computer-readable storage medium, characterized in that The computer-readable storage medium stores a plurality of instructions, and the instructions are suitable for being loaded by a processor to execute the method according to any one of claims 1 to 7.

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