Telemed J E Health - Clinical outcomes on real-time telemetry system in developing emergency medical service system.

Tópicos

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Resumo

JECTIVE: With the development of information technology, real-time telemetry has been invented for checking patients' physiologic parameters during their transport, via an Emergency Medical Service (EMS) system. We developed a Real-Time Telemetry System (RTS), which sends physiologic parameters including electrocardiogram (ECG), vital signs, and pulse asymmetry in real-time from the ambulance to a hospital through the Emergency Medical Information Center, a kind of central control unit. Therefore, we asked whether the RTS monitoring affects the use of medical direction in EMS system.METHODS: Of six ambulance stations covering EMS transport with RTS monitor, 941 patients who were classified as emergency patients by an Emergency Medical Technician were retrospectively enrolled in this study. We divided them into two groups: group 1 (the patients using RTS monitoring) and group 2 (control group).RESULTS: The mean age was 53.5?22.8 years, and 494 patients were men. RTS monitoring was used in 118 (20%) patients. Medical direction for treatments in group 1 was much more than that of group 2 (8.0% vs. 0.3%; p <0.001). Ambulance diversion to proper hospitals in group 1 was much more than that of group 2 (14.4% vs. 0.1%; p <0.001). The mean treatment time at the scene in group 1 also decreased more significantly than that of group 2 (4.4?3.5 min vs. 6.3?5.9 min; p <0.001).CONCLUSION: The results showed that intermediate medical direction in the cases using the RTS was conducted more than in the conventional method-ambulance to the hospital. These results suggest that the RTS monitoring enhances the quality in developing EMS system.

Resumo Limpo

jectiv develop inform technolog realtim telemetri invent check patient physiolog paramet transport via emerg medic servic em system develop realtim telemetri system rts send physiolog paramet includ electrocardiogram ecg vital sign puls asymmetri realtim ambul hospit emerg medic inform center kind central control unit therefor ask whether rts monitor affect use medic direct em systemmethod six ambul station cover em transport rts monitor patient classifi emerg patient emerg medic technician retrospect enrol studi divid two group group patient use rts monitor group control groupresult mean age year patient men rts monitor use patient medic direct treatment group much group vs p ambul divers proper hospit group much group vs p mean treatment time scene group also decreas signific group min vs min p conclus result show intermedi medic direct case use rts conduct convent methodambul hospit result suggest rts monitor enhanc qualiti develop em system

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