Cardiopulmonary arrest treatment recording system

Abstract

To provide a cardiopulmonary arrest treatment recording system for recording treatment given on cardiopulmonary arrest patients.SOLUTION: A cardiopulmonary arrest treatment recording system for recording treatment given to cardiopulmonary arrest patients is provided, comprising a time management unit for managing a first time period and a second time period, an electrocardiogram information input reception processing unit for receiving input of electrocardiogram information when the first time period has elapsed, a treatment information input reception processing unit for receiving input of treatment information when the first time period and / or the second time period has elapsed, and a recording unit for recording the electrocardiogram information and the treatment information.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention is a cardiopulmonary arrest treatment recording system that records treatment given to a patient who has undergone cardiopulmonary arrest. [Background technology]

[0002] When treating a patient in cardiac arrest, it is necessary to simultaneously perform CPR (cardiopulmonary resuscitation) such as cardiac massage, secure the airway, establish an intravenous line (intravenous drip), and perform defibrillation using an AED (automated external defibrillator) or defibrillator (see Non-Patent Document 1). International guidelines also recommend checking the electrocardiogram waveform every two minutes and administering medication every three to five minutes. Therefore, the above treatment procedures must be carried out while managing the time interval to two minutes or three to five minutes (a median of four minutes is often used). Appropriate records must also be kept of what treatment was performed and at what time.

[0003] The equipment set used when treating a patient in cardiac arrest usually consists of two stopwatches and a recording sheet. One stopwatch is used to check the ECG waveform every two minutes, and the other is used to administer medication every four minutes. Alarms are set to sound every two minutes and four minutes, and these alarms are used to check the ECG waveform and manage the two- or four-minute time for administering medication. In addition, while carrying out each of the above treatment procedures, the patient writes down the steps they have taken on a recording sheet. [Prior art documents] [Patent documents]

[0004] [Non-Patent Document 1] American Heart Association,” Highlights CPR and ECC Guidelines, [online], Internet <URL:https: / / cpr.heart.org / - / media / CPR-Files / CPR-Guidelines-Files / Highlights / Hghlghts_2020ECCGuidelines_Japanese.pdf> Summary of the Invention [Problem to be solved by the invention]

[0005] Treatment for patients in cardiac arrest is typically performed by one to four doctors and one to three nurses at medical institutions, and three to four paramedics and emergency medical technicians in ambulances and emergency medical facilities. While it would be easier to respond at medical institutions if multiple doctors and nurses were available, this is not always the case. In particular, at smaller emergency hospitals and during the nighttime hours, the number of medical personnel available may be limited, making it necessary for only three people to perform the treatment. Furthermore, most ambulance teams are staffed by three people, excluding the driver, and while these three people provide treatment, they also have to find a medical institution to transport the patient to and communicate with such institutions.

[0006] It is extremely difficult to perform such a task with a limited number of people. In particular, cardiac massage, one of the treatment procedures, is extremely physically demanding, so it is performed by taking turns every few minutes. It is extremely difficult to simultaneously perform other treatments on the patient, manage time, and record the results in a systematic manner.

[0007] It is said that if treatment for a patient in cardiac arrest is interrupted for more than 10 seconds, the chances of reintegration into society decrease. Therefore, medical professionals, including emergency personnel, paramedics, doctors, and nurses, cannot afford to waste even a single second when providing treatment to a patient in cardiac arrest. However, as mentioned above, the reality is that three people often have to care for a patient in cardiac arrest. Therefore, the timing of electrocardiogram waveform checks, which should be performed every two minutes, and drug administration, which should be performed every four minutes, can be off by as much as 10 seconds, which may affect the patient's life. Furthermore, recording what treatment was performed at what time and minute requires first checking the time and then writing or inputting the treatment in 10 to 20 characters, which takes several to 10 seconds.

[0008] In this way, when it comes to treating patients in cardiac arrest, every second counts and affects their ability to return to society, so treating the patient must take priority, and time management and recording when and what treatment was performed must be given a lower priority.

[0009] However, proper time management can also have an impact on saving a patient's life. Furthermore, while recording treatment is not a high priority when providing care to a patient, accurate recording becomes extremely important when verifying treatment at a later date, or when studying the rate of social reintegration for patients in cardiac arrest. However, as mentioned above, time management and recording tend to be put off, and since recording in particular is given the lowest priority, the accuracy of the records can be compromised.

[0010] When there are sufficient personnel, nurses may be assigned to act as full-time record keepers, but this is not common. For example, at medical institutions, if there is no nurse to act as record keepers, someone on-site simply records the time and details of treatment on a whiteboard. Furthermore, when emergency medical teams work in ambulances or emergency medical facilities, there is no dedicated record keeper, and the paramedics write down the time and details of treatment on their gloves, or rely on their memory and later transcribe the treatment record. As a result, the details of treatment cannot be shared in real time, and are communicated verbally to the medical institution individually after transport. Furthermore, because there is no record keeper, the details of the records are not necessarily accurate. An image of the records is shown in Figure 6. The details shown in Figure 6 are written down on a whiteboard or gloves.

[0011] Therefore, when entering the information into an electronic medical record at a later date, the records on the whiteboard must be looked at again, and the details of the treatment given by the ambulance team must be entered again into the electronic medical record. [Means for solving the problem]

[0012] In view of the above problems, the present inventor has invented a cardiopulmonary arrest treatment recording system for recording treatment given to patients who have gone into cardiac arrest.

[0013] The first invention is a cardiopulmonary arrest treatment recording system that records treatment for a patient who has experienced cardiopulmonary arrest, Time to check the ECG waveform The first time , which is the time for drug administration The device has a time management unit that manages a second time period, an electrocardiogram information input reception processing unit that receives input of electrocardiogram information after the first time period has elapsed, a treatment information input reception processing unit that receives input of treatment information after the first time period and / or the second time period has elapsed, and a recording unit that records the electrocardiogram information and the treatment information. wherein the time management unit sounds different types of alarms when the first time has elapsed and when the second time has elapsed. This is a cardiopulmonary arrest treatment recording system.

[0014] The configuration of the present invention can reduce the burden of time management and recording when treating a patient in cardiac arrest. When the first time has elapsed, an electrocardiogram waveform check may be performed, and when the second time has elapsed, medication may be administered as a treatment. Therefore, different treatments must be performed, but if the same type of alarm is used to notify medical personnel who are concentrating on treating the patient that the first and second time periods have elapsed, confusion may result. Therefore, the configuration of the present invention makes it possible to distinguish between the two periods audibly, thereby preventing confusion.

[0017] In the above invention, the electrocardiogram information input reception processing unit receives input of electrocardiogram information from an electrocardiograph or an electrocardiogram monitor, and performs a process based on the received electrocardiogram information. Made, The result of the analysis of the electrocardiogram waveform can be recorded in the recording unit, and the system can be configured as a cardiac arrest procedure recording system.

[0018] By configuring as in the present invention, it is possible to reduce the input operations for checking the waveform of an electrocardiogram.

[0019] No. 3 The present invention is a cardiopulmonary arrest treatment recording system that records treatment for a patient who has undergone cardiac arrest, and the cardiopulmonary arrest treatment recording system includes: Time to check the ECG waveform After the first time, Input into the first input area on the display screen Electrocardiogram Information An electrocardiogram information input reception processing unit that receives the information and records it in the recording unit. and the first time and / or It's time for medication After the second time has elapsed, inputted into a second input area of ​​the display screen Treatment Information and a treatment information input reception processing unit that receives the first time information and records it in the recording unit, and the cardiac arrest treatment recording system allows input in the first input area for a predetermined time after the first time period has elapsed. This is a cardiopulmonary arrest treatment recording system. No. 4 The present invention is a cardiopulmonary arrest treatment recording system that records treatment for a patient who has undergone cardiac arrest, and the cardiopulmonary arrest treatment recording system includes: Time to check the ECG waveform After the first time, Input into the first input area on the display screen Electrocardiogram Information An electrocardiogram information input reception processing unit that receives the information and records it in the recording unit. and the first time and / or It's time for medication After the second time has elapsed, inputted into a second input area of ​​the display screen Treatment Information and a treatment information input reception processing unit that receives the first time and / or the second time and records the information in the recording unit, and the cardiac arrest treatment recording system allows input in the second input area for a predetermined time after the first time and / or the second time has elapsed. This is a cardiopulmonary arrest treatment recording system.

[0020] TheseBy configuring it as in the present invention, as shown in Figure 6, it is no longer necessary to perform a large amount of text input or memo writing at the CPR site as in the past, and input can be performed simply on a display screen. This can reduce the burden on medical personnel performing CPR, where every second counts, while also ensuring accurate recording. Furthermore, by configuring the invention as described above, it is possible to prevent erroneous input.

[0021] In the above-mentioned invention, the cardiac arrest treatment recording system can be further configured as a cardiac arrest treatment recording system that displays on the display screen an input information display area that displays the electrocardiogram information that has received the input in correspondence with the treatment information.

[0022] By configuring the present invention as described above, it is possible to check the results of the electrocardiogram waveform check, treatment, etc. from the display screen.

[0026] The first invention can be realized by loading the program of the present invention into a computer and executing it. Time to check the ECG waveform The first time ,It is time for medication administration. a time management unit that manages a second time period, and that receives input of electrocardiogram information after the first time period has elapsed; ,Recording to the recording unit an electrocardiogram information input reception processing unit that receives input of treatment information after the first time period and / or the second time period has elapsed; , and causing the recording unit to record Treatment information input reception processing unit, a cardiac arrest procedure recording program that functions as a cardiac arrest procedure recording program, wherein the time management unit sounds different types of alarms when the first time has elapsed and when the second time has elapsed; This is a cardiopulmonary arrest procedure recording program.

[0027] No. 7 The present invention can be realized by loading the program of the present invention into a computer and executing it. Time to check the ECG waveform After the first time, Input into the first input area on the display screen Electrocardiogram Information An electrocardiogram information input reception processing unit that receives the information and records it in the recording unit. , the first time and / or It's time for medication After the second time has elapsed, inputted into a second input area of ​​the display screen Treatment Information and a treatment information input reception processing unit that receives the information and records it in the recording unit, wherein the cardiopulmonary arrest treatment recording program allows input in the first input area for a predetermined time after the first time has elapsed. This is a cardiopulmonary arrest procedure recording program. No. 8The present invention can be realized by loading the program of the present invention into a computer and executing it. Time to check the ECG waveform After the first time, Input into the first input area on the display screen Electrocardiogram Information An electrocardiogram information input reception processing unit that receives the information and records it in the recording unit. , the first time and / or It's time for medication After the second time has elapsed, inputted into a second input area of ​​the display screen Treatment Information and a treatment information input reception processing unit that receives the first time and / or the second time and records the information in the recording unit. The cardiopulmonary arrest treatment recording program allows input in the second input area for a predetermined time after the first time and / or the second time has elapsed. This is a cardiopulmonary arrest procedure recording program. [Effects of the Invention]

[0028] By using the cardiac arrest treatment recording system of the present invention, it is possible to reduce the burden of time management and recording when treating a patient in cardiac arrest. [Brief explanation of the drawings]

[0029] [Figure 1] 1 is a block diagram schematically illustrating an example of the overall processing function of an information processing system according to the present invention. [Figure 2] FIG. 2 is a block diagram schematically illustrating an example of a hardware configuration of a computer on which the information processing system of the present invention functions. [Figure 3] 3 is a flowchart showing an example of the overall processing of the information processing system of the present invention. [Figure 4] FIG. 10 is a diagram illustrating an example of a display screen. [Figure 5] FIG. 10 is a diagram illustrating an example of a display screen. [Figure 6] FIG. 1 is a diagram showing an example of conventional recording. DETAILED DESCRIPTION OF THE INVENTION

[0030] An example of the overall processing functions of the cardiopulmonary arrest treatment recording system 1 of the present invention is shown in the block diagram of Fig. 1. An example of the hardware configuration of a computer that realizes the cardiopulmonary arrest treatment recording system 1 of the present invention is shown in Fig. 2.

[0031] The cardiac arrest treatment recording system 1 of the present invention is a computer (including portable communication terminals such as smartphones and tablet computers) that executes the processing of the present invention. The cardiac arrest treatment recording system 1 is preferably used by medical personnel in medical institutions and ambulances. Medical personnel include doctors, nurses, emergency medical technicians and other emergency personnel, as well as anyone who is able to record cardiac arrest treatment.

[0032] The computer used in the cardiac arrest procedure recording system 1 includes a computing device 70 such as a CPU that executes program processing, a storage device 71 such as a RAM or hard disk that stores information, a display device 72 such as a display (screen), an input device 73 such as a keyboard or pointing device (such as a mouse or numeric keypad), and a communication device 74 that transmits and receives the processing results of the computing device 70 and the information stored in the storage device 71 via a network such as the Internet or a LAN. Each function (each means) realized on the computer is executed by loading the means (such as a program or module) that executes that process into the computing device 70. When each function uses information stored in the storage device 71 in its processing, it reads the relevant information from the storage device 71 and uses the read information appropriately for processing in the computing device 70. Furthermore, although the cardiac arrest procedure recording system 1 in FIG. 1 is shown as being implemented by a single computer, its functions may be distributed across multiple computers. The computer includes various information processing devices such as a server, a personal computer, and a workstation. It may also be in a so-called cloud format.

[0033] If the computer is equipped with a touch panel display, the display device 72 and the input device 73 may be configured as an integrated unit. Touch panel displays are often used in portable communication terminals such as tablet computers and smartphones, but are not limited to these. A touch panel display is a device that integrates the functions of the display device 72 and the input device 73 in that input can be made directly on the display using a predetermined input device (such as a touch panel pen) or a finger.

[0034] The functions of the various means in the present invention are only logically distinct, and they may be physically or practically in the same area. The processing described in the present invention is merely an example, and the processing process can be changed as appropriate.

[0035] Furthermore, the cardiopulmonary arrest procedure recording system 1 of the present invention may be installed in other computer systems used in medical institutions, such as electronic medical record systems, and may be realized as part of the functions thereof.

[0036] The cardiopulmonary arrest procedure recording system 1 has a time management unit 10, an electrocardiogram information input reception processing unit 11, a procedure information input reception processing unit 12, and a recording unit 13.

[0037] The time management unit 10 measures a predetermined first time and a predetermined second time. When the first time has elapsed, the electrocardiogram information input reception processing unit 11, described later, receives input of electrocardiogram waveform check information. When the second time has elapsed, the drug information input reception processing unit, described later, receives input of administered drug information. The timing of the first and second times is preferably started when CPR begins, but is not limited to this. For example, it may be started when a start button or the like is pressed. The first and second times can be set arbitrarily, but it is preferable that the first time be set to two minutes, which is the internationally recommended time for electrocardiogram waveform check, and the second time be set to a value between three and five minutes, which is the internationally recommended time for drug administration, for example, four minutes, which is the median value.

[0038] The first and second times can be changed arbitrarily in accordance with changes in CPR guidelines.

[0039] It is preferable that the time management unit 10 sounds an alarm or the like when the first time and the second time have elapsed. Furthermore, when sounding an alarm, it is preferable that different types of alarms be sounded for the first time and the second time, so that the medical personnel performing CPR can determine whether the first time or the second time has elapsed by sound alone. Note that if the first time and the second time reach a common multiple, only the alarm for the second time may be sounded. When the first time and the second time have elapsed and a predetermined action, such as sounding an alarm, is taken, the time is automatically reset and timing is restarted. For example, when the first time, which is two minutes, has elapsed, an alarm is sounded and the time is reset, and timing of two minutes is restarted. Furthermore, when the second time, which is four minutes, has elapsed, an alarm is sounded and the time is reset, and timing of four minutes is restarted. Note that two time management units 10 are not necessary as long as the time management unit 10 can measure the first time and the second time and notify that the time has elapsed. A single time management unit 10 may manage the first time and the second time.

[0040] After the first time period has elapsed, the electrocardiogram information input reception processing unit 11 receives input of electrocardiogram information. The electrocardiogram information is, for example, information about the patient's electrocardiogram waveform, such as information about the results of an electrocardiogram waveform check, such as "PEA," "Vf," "Asystole," and "pulseless VT." "PEA" stands for pulseless electrostatic activity, a condition in which a waveform is observed on an electrocardiogram but there is no valid cardiac beat and no pulse can be palpated, and does not include ventricular fibrillation or pulseless ventricular tachycardia. "Vf" stands for ventricular fibrillation. "Asystole" stands for asystole. "Pulseless VT" stands for pulseless ventricular tachycardia.

[0041] After the first time period has elapsed, the electrocardiogram information input reception processing unit 11 receives input from the medical professional such as "PEA," "Vf," "Asystole," and "pulseless VT" as information on the results of the electrocardiogram waveform check. For example, the electrocardiogram information input reception processing unit 11 receives pressing of any of the "PEA," "Vf," "Asystole," and "pulseless VT" buttons on the display screen 100 shown in Fig. 4, and receives input of electrocardiogram information (information on the results of the electrocardiogram waveform check).

[0042] The electrocardiogram information input reception processing unit 11 not only receives electrocardiogram information input by a medical professional pressing a button as described above, but may also receive electrocardiogram waveform information from an electrocardiograph or electrocardiogram monitor via wired or wireless connection, and analyze it using a publicly known automatic electrocardiogram waveform analysis system (or algorithm) to determine whether it is "PEA," "Vf," "Asystole," or "pulseless VT," and then accept the results.

[0043] The electrocardiogram information input reception processing unit 11 may further input electrocardiogram waveform information received from an electrocardiograph or electrocardiogram monitor into a learning model that performs predetermined deep learning, analyze the electrocardiogram waveform to determine whether it is "PEA," "Vf," "Asystole," or "pulseless VT," and accept the analysis result. In this case, the waveform information may be input into a learning model in which the weighting coefficients between neurons in each layer of a neural network consisting of multiple intermediate layers are optimized, and an analysis result such as "PEA," "Vf," "Asystole," or "pulseless VT" may be output based on the output value. The learning model may be provided with various electrocardiogram waveform information and correct answer data indicating the state of the waveform information, for example, "PEA," "Vf," "Asystole," or "pulseless VT."

[0044] The electrocardiogram information input reception processing unit 11 records the received electrocardiogram information together with the time in the recording unit 13. The electrocardiogram information to be recorded here may include the results of the electrocardiogram waveform check, i.e., "PEA," "Vf," "Asystole," and "pulseless VT," as well as electrocardiogram waveform information, if received, which may also be stored.

[0045] When the patient's heartbeat resumes, the electrocardiogram information input reception processing unit 11 receives the input of "resumption of heartbeat" regardless of the first time and the second time, and records it together with the time in the recording unit 13. When electrocardiogram waveform information is automatically analyzed using a publicly known electrocardiogram waveform automatic analysis system (or algorithm), deep learning, or the like, the analysis result of the resumption of heartbeat may be automatically recorded in the recording unit 13.

[0046] Note that the electrocardiogram information input reception processing unit 11 may accept input of the electrocardiogram waveform check results, i.e., "PEA," "Vf," "Asystole," and "pulseless VT," as well as electrocardiogram waveform information, at any timing when a change in the electrocardiogram state is observed, regardless of the first time period and the second time period. In this case, the electrocardiogram information input reception processing unit 11 records the accepted electrocardiogram waveform check results, the electrocardiogram waveform information, and the time in the recording unit 13 in association with each other.

[0047] The treatment information input reception processing unit 12 receives input of information about treatments performed on a patient and records it in the recording unit 13 along with the time. Examples of treatment information include "peripheral route," "tracheal intubation," "defibrillation," "1 mg epinephrine," and "laringual tube," as shown on the display screen 100 in FIG. 4. A "peripheral route" is a procedure for securing a peripheral venous line. A "tracheal intubation" is a procedure for securing an airway by inserting and leaving an endotracheal tube in the trachea via the mouth or nose and pharynx. A "defibrillation" is a procedure for restoring the heart to a normal state by an electric shock using a defibrillator, including an AED (automated external defibrillator). A "1 mg epinephrine" is a procedure for administering 1 mg of the drug epinephrine to a patient. A "laringual tube" is a procedure for securing an airway by inserting and leaving a tube called a laryngeal tube (supraglottic device) in the patient.

[0048] For example, the input of information on treatments performed on a patient as a result of checking an electrocardiogram waveform after the first or second time has elapsed is accepted. Note that the input may be accepted at any timing unrelated to the first or second time. When the treatment information input acceptance processing unit 12 accepts the input of treatment information, it records the accepted treatment information together with the time of the input in the recording unit 13.

[0049] As for treatment information, the display screen 100 in Figure 4 shows a case where only a button for administering "adrenaline 1 mg" is provided, but if there is a possibility that other drugs such as "amiodarone" may be administered, buttons for those drugs may also be provided.

[0050] The recording unit 13 records information such as electrocardiogram waveform check information, electrocardiogram information, and its time, input received by the electrocardiogram information input reception processing unit 11, and treatment information and its time, input received by the treatment information input reception processing unit 12. The recording unit 13 preferably records each piece of information in chronological order based on time, but is not limited to this. In addition, other information necessary for recording, such as the recorder, date, and identification information of the person who performed the treatment or administered the drug, may also be recorded.

[0051] With regard to the information on the electrocardiogram waveform check, the electrocardiogram information, and the treatment information performed at the timing when the electrocardiogram information input reception processing unit 11 received the input at that time, i.e., the treatment performed based on the electrocardiogram waveform information after the first time or the second time has passed, the recording unit 13 may record and display the results of the electrocardiogram waveform check and the treatment information in association with each other. This association may be performed when the time of the electrocardiogram waveform check information received by the electrocardiogram information input reception processing unit 11 and the time of the treatment information received by the treatment information input reception processing unit 12 are the same or immediately thereafter (for example, one minute later).

[0052] Fig. 4 is an example of a display screen 100 of the cardiac arrest procedure recording system 1 of the present invention. The display screen 100 of Fig. 4 includes a time display area 101 that displays the remaining time of each of the first and second times managed by the time management unit 10, a first input area 102 for receiving input of the results of an electrocardiogram waveform check, and a second input area 103 for receiving input of procedure information. In addition, as shown in Fig. 5, an input information display area 104 may be provided for displaying the input information in chronological order on the display screen 100 so that it can be confirmed once each piece of information has been input.

[0053] In addition, to prevent erroneous input, buttons other than the cardiac resumption button in the first input area 102 and buttons in the second input area 103 may be made inputtable for a certain period of time, for example, one minute, after the first time and / or the second time has elapsed. [Example]

[0054] Next, an example of the processing process of the cardiopulmonary arrest procedure recording system 1 of the present invention will be explained using the flowchart in Figure 3. Note that the following example explains a case where CPR is performed at a medical institution, but it also applies to other cases, such as when an emergency team performs CPR at the scene of an emergency. In addition, the first time period is set to 2 minutes, and the second time period is set to 4 minutes.

[0055] When a patient experiences cardiac arrest, a medical professional begins CPR (cardiopulmonary resuscitation) such as cardiac massage on the patient. Furthermore, the cardiac arrest treatment recording system 1 of the present invention is started, and a predetermined button, for example, a start button, is pressed, causing the time management unit 10 to start timing the first time and the second time (S100). During this time, the medical professional continues CPR on the patient.

[0056] The time management unit 10 continues timing processing until CPR ends (until time management ends) (S110). Then, when the time management unit 10 times two minutes (S120), the time management unit 10 sounds an alarm or the like to indicate that two minutes have passed.

[0057] When a medical professional hears this alarm, they temporarily stop cardiac massage, read the patient's waveform displayed on the electrocardiogram monitor, and input whether it is "PEA," "Vf," "Asystole," or "pulseless VT" on the display screen 100 shown in Fig. 4. This input is accepted by the electrocardiogram information input acceptance processing unit 11 (S130) and recorded in the recording unit 13 together with date and time information. Furthermore, if any treatment is performed on the patient, information about the treatment performed is entered on the display screen 100 shown in Fig. 4. This input is accepted by the treatment information input acceptance processing unit 12 (S140) and recorded in the recording unit 13 together with date and time information.

[0058] Then, the medical staff resumes cardiac massage again. Also, the time management unit 10 resets the measurement of the first time period and starts measuring the first time period again.

[0059] When the time management unit 10 counts four minutes (S120, S150), the time management unit 10 sounds an alarm of a different type than that sounded when the first time period has elapsed. Then, as described above, the medical professional temporarily stops cardiac massage, reads the waveform of the patient displayed on the electrocardiogram monitor, and inputs whether the waveform is "PEA," "Vf," "Asystole," or "pulseless VT" on the display screen 100 shown in FIG. 4. This input is accepted by the electrocardiogram information input acceptance processing unit 11 (S130) and recorded in the recording unit 13 together with date and time information. Furthermore, if any treatment is performed on the patient, information about the treatment performed is entered on the display screen 100 shown in FIG. 4. This input is accepted by the treatment information input acceptance processing unit 12 (S140) and recorded in the recording unit 13 together with date and time information.

[0060] Furthermore, when an alarm corresponding to the second time sounds, the medical staff decides whether to administer the medication, and if the medication has been administered to the patient, inputs the information on the display screen 100 shown in Fig. 4. This input is received by the treatment information input reception processing unit 12 (S160) and recorded together with date and time information.

[0061] The medical staff then resumes cardiac massage. Time management unit 10 also resets the timing of the first time and the second time, and starts timing the first time and the second time again.

[0062] As described above, the above-described processing is repeated every time the first time period and the second time period elapse until CPR is completed (S110).

[0063] After CPR is completed, by performing a predetermined operation, the electrocardiogram information recorded in the recording unit 13 and its date and time information, and the treatment information and its date and time information are extracted and sent to a predetermined medical information system such as an electronic medical record. This allows the records made during CPR to be reflected in the medical information system. [Example]

[0064] In the above description of the electrocardiogram information input reception processing unit 11 and the treatment information input reception processing unit 12, input of each piece of information was accepted by pressing a button displayed on the display screen 100 in FIG. 4 , but voice input may also be accepted. In this case, spoken voice input is accepted using a microphone provided in the cardiac arrest treatment recording system 1. The accepted spoken voice information is sent to a predetermined voice analysis server and converted into text. Based on the text, the electrocardiogram information input reception processing unit 11 may identify information on the electrocardiogram waveform check results, such as "PEA," "Vf," "Asystole," and "pulseless VT," and record this information in the recording unit 13 together with date and time information. Furthermore, based on the text of the spoken voice, the treatment information input reception processing unit 12 may identify treatment information, such as "peripheral route," "tracheal intubation," "defibrillation," "1 mg of epinephrine," and "laryngeal tube," and record this information in the recording unit 13 together with date and time information. [Example]

[0065] After CPR is completed, the information recorded in recording unit 13 is reflected in the medical information system, and the information may be configured to be sent in real time. For example, when CPR is being performed by an ambulance crew, the ambulance crew may designate a destination medical institution, and the information recorded in recording unit 13 of cardiac arrest procedure recording system 1 may be automatically sent to a specified computer at the destination medical institution. This allows medical personnel at the medical institution to understand the condition of the patient being transported while waiting for the patient to be transported.

[0066] The above-described embodiment is merely an example, and it is possible to add, change, delete, etc. processes as appropriate within the scope of the technical concept of the present invention. [Industrial Applicability]

[0067] By using the cardiopulmonary arrest treatment recording system 1 of the present invention, it is possible to reduce the burden of time management and recording when treating a patient in cardiopulmonary arrest. [Explanation of symbols]

[0068] 1: Cardiopulmonary arrest procedure recording system 10: Time management department 11: Electrocardiogram information input reception processing unit 12: Treatment information input reception processing unit 13: Recording section 70: Arithmetic device 71:Storage device 72:Display device 73: Input device 74:Communication equipment 100:Display screen 101: Time display area 102: First input area 103: Second input area 104: Input information display area

Claims

1. A cardiopulmonary arrest treatment recording system that records treatment for a patient who has experienced cardiopulmonary arrest, a time management unit that manages a first time period, which is a time period for checking an electrocardiogram waveform, and a second time period, which is a time period for administering a drug; an electrocardiogram information input reception processing unit that receives input of electrocardiogram information after the first time period has elapsed; a treatment information input reception processing unit that receives input of treatment information after the first time period and / or the second time period has elapsed; a recording unit that records the electrocardiogram information and the treatment information, The time management unit sounding different types of alarms when the first time period has elapsed and when the second time period has elapsed; A cardiopulmonary arrest procedure recording system.

2. The electrocardiogram information input reception processing unit includes: Accepts input of electrocardiogram information from an electrocardiograph or electrocardiogram monitor, causing the recording unit to record an analysis result of the electrocardiogram waveform based on the received input electrocardiogram information; The cardiopulmonary arrest procedure recording system according to claim 1 .

3. A cardiopulmonary arrest treatment recording system that records treatment for a patient who has experienced cardiopulmonary arrest, The cardiopulmonary arrest procedure recording system includes: an electrocardiogram information input reception processing unit that receives electrocardiogram information input in a first input area on the display screen after a first time period has elapsed, the electrocardiogram information being a time period for checking an electrocardiogram waveform, and records the received electrocardiogram information in a recording unit; a treatment information input reception processing unit that receives treatment information input into a second input area of ​​the display screen after the first time period and / or a second time period that is a time period for drug administration has elapsed, and records the treatment information in the recording unit, The cardiopulmonary arrest procedure recording system includes: after the first time period has elapsed, input into the first input area is enabled for a predetermined time period; A cardiopulmonary arrest procedure recording system.

4. A cardiopulmonary arrest treatment recording system that records treatment for a patient who has experienced cardiopulmonary arrest, The cardiopulmonary arrest procedure recording system includes: an electrocardiogram information input reception processing unit that receives electrocardiogram information input in a first input area on the display screen after a first time period has elapsed, the electrocardiogram information being a time period for checking an electrocardiogram waveform, and records the received electrocardiogram information in a recording unit; a treatment information input reception processing unit that receives treatment information input into a second input area of ​​the display screen after the first time period and / or a second time period that is a time period for drug administration has elapsed, and records the treatment information in the recording unit, The cardiopulmonary arrest procedure recording system includes: After the first time period and / or the second time period has elapsed, input into the second input area is enabled for a predetermined time period. A cardiopulmonary arrest procedure recording system.

5. The cardiopulmonary arrest procedure recording system includes: Furthermore, an input information display area for displaying the received input electrocardiogram information and the treatment information in association with each other is displayed on the display screen.

5. The cardiopulmonary arrest procedure recording system according to claim 3 or 4.

6. The computer, a time management unit that manages a first time period, which is a time period for checking the waveform of an electrocardiogram, and a second time period, which is a time period for administering a drug; an electrocardiogram information input reception processing unit that receives input of electrocardiogram information and causes the information to be recorded in a recording unit after the first time period has elapsed; a cardiopulmonary arrest procedure recording program that functions as a treatment information input reception processing unit that receives input of treatment information and records it in the recording unit after the first time period and / or the second time period has elapsed, The time management unit sounding different types of alarms when the first time period has elapsed and when the second time period has elapsed; A cardiopulmonary arrest procedure recording program.

7. The computer, an electrocardiogram information input reception processing unit that receives electrocardiogram information input in a first input area on the display screen after a first time period has elapsed, the electrocardiogram information being a time period for checking an electrocardiogram waveform, and records the received electrocardiogram information in a recording unit; a cardiopulmonary arrest treatment recording program that functions as a treatment information input reception processing unit that receives treatment information input into a second input area of ​​the display screen and records the treatment information in the recording unit after the first time period and / or a second time period that is a time period for drug administration has elapsed, The cardiopulmonary arrest procedure recording program includes: after the first time period has elapsed, input into the first input area is enabled for a predetermined time period; A cardiopulmonary arrest procedure recording program.

8. The computer, an electrocardiogram information input reception processing unit that receives electrocardiogram information input in a first input area on the display screen after a first time period has elapsed, the electrocardiogram information being a time period for checking an electrocardiogram waveform, and records the received electrocardiogram information in a recording unit; a cardiopulmonary arrest treatment recording program that functions as a treatment information input reception processing unit that receives treatment information input into a second input area of ​​the display screen and records the treatment information in the recording unit after the first time period and / or a second time period that is a time period for drug administration has elapsed, The cardiopulmonary arrest procedure recording program includes: After the first time period and / or the second time period has elapsed, input into the second input area is enabled for a predetermined time period. A cardiopulmonary arrest procedure recording program.

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