Use of Instant-On-Scene Video Triage to Improve Patient Care and Efficiency in Emergency Care

使用即时现场视频分类来改善患者护理和紧急护理效率

• 批准号: 49637
• 金额: $ 6.86万
• 依托单位: GOODSAM LIMITED
• 依托单位国家: 英国
• 项目类别: Study
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=49637
• 关键词: Use; Instant; Scene; Video; Triage

A huge part of emergency services work is decision making rather than intervention - deciding what resource is required, and which hospital if any should the patient go to? [GoodSAM][0] has developed "_Instant-on-scene_" - the ability to see a patient or scene; which is already radically changing emergency response. Video technology in emergency dispatch offers unparalleled opportunities to transform the ubiquitous smartphone into a life-saving device.**How it works:** An Emergency Service Control Centre sends a text to a caller's smartphone during an emergency call. The text contains a link, which, when clicked, instantly streams video and provides location of the caller. The call continues as audio passes both through the phone call and through the video simultaneously- see brochure [here][1]. Importantly, unlike Skype or FaceTime, with GoodSAM there is no App to download to open the video and it works on any smartphone instantly. Video streaming enables the process of 'hear-and-treat' to become 'see-and-treat'. The video stream is highly innovative, containing in-built pulse rate detection technology. This video can be shared amongst Emergency Services and personnel across organisations who are enroute to scene. In healthcare, the system can be used to assess patients (how sick they are, measuring their pulse) and the scene (mechanism of injury). Clinical hubs can dispatch appropriate resources confident in their assessment of need. Video can also enable the call handler to advise the caller (e.g. to hold an airway open). The system has been trialled successfully with Air Ambulance Service partners delivering promising results ([publication][2] here).Through this project we will work with London Ambulance Service to trial Instant-On-Scene in three focus areas:1\. Video assess acutely unwell patients (Category 2) requiring an emergency response - determining how quickly a patient needs a response and the most appropriate pathway.2.Video assess less urgent patients in a Clinical Hub (e.g. Category 4 calls).3\. Video assess acutely unwell patients requiring remote consultation -- enabling paramedics to stream video to senior clinicians.**The Project:**This project is to utilise GoodSAM Instant-On-Scene in London's Ambulance Service to demonstrate benefit, improve product and to roll out the platform not just across UK Ambulance Services but all emergency services globally. In addition to building the governance framework for use, we will have a robust economic analysis of benefits of the system to patients, individual ambulance services and at a national level to public expenditure.[0]: http://www.goodsamapp.org/[1]: https://goodsamapp.org/assets/pdf/Brochure.pdf[2]: https://www.goodsamapp.org/assets/pdf/HEMS_GoodSAM.pdf

急诊服务工作的很大一部分是决策，而不是干预-决定需要什么资源，如果有的话，病人应该去哪家医院？[GoodSAM][0]开发了“_即时现场_”-查看患者或现场的能力;这已经从根本上改变了应急响应。紧急调度中的视频技术为将无处不在的智能手机转变为救生设备提供了无与伦比的机会。**工作原理：** 紧急服务控制中心在紧急呼叫期间向呼叫者的智能手机发送文本。文本中包含一个链接，当点击该链接时，立即播放视频并提供呼叫者的位置。当音频同时通过电话和视频传递时，通话将继续进行-参见手册[此处][1]。重要的是，与Skype或FaceTime不同，GoodSAM无需下载应用程序即可打开视频，并且可以立即在任何智能手机上工作。视频流使“听和治疗”的过程成为“看和治疗”。视频流是高度创新的，包含内置的脉搏率检测技术。此视频可以在前往现场的紧急服务和组织人员之间共享。在医疗保健领域，该系统可用于评估患者（他们的病情，测量他们的脉搏）和现场（受伤机制）。临床中心可以派遣适当的资源，相信他们的需求评估。视频还可以使呼叫处理器能够建议呼叫者（例如保持气道开放）。该系统已经成功地与空中救护车服务合作伙伴进行了测试，取得了可喜的成果（[出版物][2]在这里）。通过这个项目，我们将与伦敦救护车服务在三个重点领域进行即时现场试验：1。视频评估需要紧急响应的急性不适患者（类别2）-确定患者需要响应的速度和最合适的路径。2.视频评估临床中心中不太紧急的患者（例如类别4呼叫）。视频评估需要远程会诊的急性不适患者-使护理人员能够将视频流传输给高级临床医生。**该项目：** 该项目将在伦敦的救护车服务中使用GoodSAM即时现场服务，以展示效益，改进产品，并在英国救护车服务以及全球所有紧急服务中推广该平台。除了建立使用的治理框架外，我们还将对该系统对患者、个人救护车服务以及国家一级的公共支出的好处进行强有力的经济分析。[0]：http：//www.goodsamapp.org/[1]：https：//goodsamapp.org/assets/pdf/Brochure.pdf [2]：https://www.goodsamapp.org/assets/pdf/HEMS_GoodSAM.pdf