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

急救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，以及患者应该去哪家医院？[GoodSAM][0]开发了“_即时-现场_”--能够看到病人或现场；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。**其工作原理：**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。文本包含一个链接，当点击该链接时，会立即播放视频并提供呼叫者的位置。当音频同时通过电话通话和视频传输时，通话仍在继续--请参阅手册[此处][1]。重要的是，与Skype或FaceTime不同，GoodSAM不需要下载App来打开视频，它可以在任何智能手机上即时运行。视频流使“听而治”的过程变成了“看而治”。视频流具有很高的创新性，包含内置脉率检测技术。这段视频可以在前往现场的紧急服务人员和组织中的人员之间共享。在医疗保健中，该系统可用于评估患者(病情严重，测量脉搏)和现场(受伤机制)。临床中心可以对其需求评估充满信心地调度适当的资源。视频还可以使呼叫处理机能够建议呼叫者(例如，保持呼吸道开放)。该系统已经与空中救护车服务合作伙伴进行了成功的测试，取得了令人振奋的结果([出版物][2]此处)。通过这个项目，我们将与伦敦救护车服务合作，在三个重点领域进行即时现场测试：1\。视频评估需要紧急响应的严重不适患者(2类)-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4类呼叫)。3\。视频评估需要远程会诊的严重不适患者--使护理人员能够向资深临床医生传输视频。**项目：**该项目将利用伦敦救护车服务的GoodSAM即时现场服务来展示益处，改进产品，并不仅在英国救护车服务部门，而且在全球所有紧急服务部门推广该平台。除了建立可供使用的治理框架外，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