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

紧急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？b[0]开发了“即时现场”——能够看到病人或场景；这已经从根本上改变了应急反应。视频技术在紧急调度中提供了无与伦比的机会，将无处不在的智能手机转变为救生设备。**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，当点击时，该链接会立即播放视频并提供呼叫者的位置。通话继续，音频同时通过通话和视频——参见宣传册[这里][1]。重要的是，与Skype或FaceTime不同，GoodSAM不需要下载应用程序来打开视频，它可以立即在任何智能手机上运行。视频流使“听即请客”的过程变成了“看即请客”。视频流是高度创新的，包含内置的脉搏率检测技术。此视频可在前往现场的紧急服务部门和各组织的人员之间共享。在医疗保健领域，该系统可用于评估患者（他们的病情如何，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，对他们的需求评估充满信心。视频还可以使呼叫处理程序向呼叫者提出建议（例如保持气道畅通）。该系统已成功地与空中救护服务合作伙伴进行了试验，并取得了良好的效果。通过这个项目，我们将与伦敦救护车服务中心合作，在三个重点领域试用现场即时服务：视频评估需要紧急响应的急性不适患者（第2类）-确定患者需要多快的响应和最合适的途径。在临床中心对不太紧急的病人进行视频评估（例如第4类呼叫）。视频评估需要远程咨询的急性不适患者-使护理人员能够将视频流式传输给高级临床医生。**项目：**该项目将在伦敦救护车服务中利用GoodSAM现场即时服务来展示效益，改进产品，并不仅在英国救护车服务中推广该平台，而且在全球范围内推广所有紧急服务。除了建立使用的治理框架外，我们还将对该系统对患者、个人救护车服务和国家层面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

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