JPH06169952A - Emergency medical care system and its vehicle structure - Google Patents

Abstract

(57) [Summary] [Purpose] To enable a doctor to be rushed to an accident site, etc., and to be able to give a patient necessary medical treatment before being transported to a medical institution. [Configuration] Vehicle 1 for transporting a doctor equipped with first aid equipment
And a vehicle for patient transport 2 equipped with high-standard treatment equipment
And a vehicle 3 for treating a patient, which is equipped with a detailed examination facility and a surgical facility, and the above-mentioned patient transport or patient upon receiving an instruction transmitted from a doctor when the doctor transport vehicle reaches an emergency occurrence point. An emergency medical system including a management unit 4 that issues a dispatch command to at least one of treatment vehicles, and a vehicle structure thereof.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an emergency medical system and a vehicle structure therefor capable of promptly and appropriately treating an urgently injured person such as an injured person or a sick person.

[0002]

2. Description of the Related Art Conventionally, when an injured person or the like needs to be urgently struck by a traffic accident or the like, an ambulance member rides in an ambulance and rushes to the scene to give the patient first aid and lung resuscitation, and Is carried in an ambulance and quickly transported to a prescribed medical institution. In addition, in order to increase the survival rate of patients, when a doctor rides in an ambulance and rushes to the accident site etc. and transports the patient from the accident site to the medical institution,
It is desired to administer drugs and perform medical treatment such as blood transfusion.

[0003]

SUMMARY OF THE INVENTION In order to enable a doctor who has rushed to the accident scene to perform appropriate medical treatment on a patient and maintain his or her life, a large ambulance is equipped with various kinds of medical equipment. It is necessary to select the required equipment from among them so that it can be used. However, when a large ambulance is used as described above, there is a problem that it takes a long time to arrive at the site if road conditions are bad.

The present invention has been made in order to solve the above-mentioned problems, and it is possible to promptly urge a doctor to an accident site or the like, and to provide a patient with medical treatment necessary before being transported to a medical institution. It is an object to provide an emergency medical system that can be applied and its vehicle structure.

[0005]

The invention according to claim 1 is
Vehicles for transporting doctors equipped with first aid equipment, vehicles for transporting patients equipped with high-standard treatment equipment, vehicles for patient treatment equipped with detailed examination equipment and surgery equipment, and emergency outbreak points And a management unit that issues a dispatch command to at least one of the patient transporting vehicle and the patient treating vehicle in response to an instruction transmitted from the doctor transporting vehicle that has arrived at.

[0006] The invention according to claim 2 is a communication device for mutual communication between a doctor transport vehicle, a patient transport vehicle and a patient treatment vehicle, and a management section, and a communication satellite as a relay point. Is provided.

According to a third aspect of the present invention, there is provided a vehicle structure used as a vehicle for carrying a patient in the above-mentioned emergency medical system, wherein a driver's seat is installed on the left side of the front part of the vehicle body, and on the side of the driver's seat.
A front passenger seat whose direction can be changed is installed, and a stretcher installation portion is disposed behind the front passenger seat.

According to a fourth aspect of the present invention, there is provided a vehicle structure used as a vehicle for treating a patient in the above-mentioned emergency medical system, in which a patient bed is installed at a rear part of a vehicle body and a patient detailed examination device is provided above the patient bed. A support base that is installed and supports the bed so that the bed can move up and down, a first slide support portion that supports the bed so as to slide in the length direction of the vehicle body, and a second slide that supports the bed so as to slide in the width direction of the vehicle body. And a support portion.

[0009]

According to the invention described in claim 1, when a traffic accident or a sudden illness occurs, first, a vehicle for transporting a doctor rushes to the site in response to a command issued from the management section to examine a patient and First-aid measures are taken and the patient's condition is reported to the management department. Then, in response to the above report, the management unit issues a dispatch command to the vehicle for patient transportation or the vehicle for patient treatment, and appropriate treatment is given to the patient by using each equipment.

According to the second aspect of the present invention, it is possible to spread the command of the management unit over a wide range by using the communication device having the communication satellite as a relay point, and to ensure the communication from each vehicle to the management unit. Can be sent quickly.

According to the third aspect of the present invention, the doctor, while seated on the passenger seat, faces the installation portion of the stretcher on which the patient side is located and looks at the condition of the patient from the head side and takes appropriate measures. You can

According to the invention described in claim 4, when the patient is inspected by the precision inspection device installed above the patient bed, the patient can be easily moved to an arbitrary position.

[0013]

1 shows an embodiment of a medical system according to the present invention. This medical system includes a vehicle 1 for transporting a doctor, which is a small vehicle, a vehicle 2 for transporting a patient, which is a medium-sized vehicle, a vehicle 3 for treating a patient, which is a large vehicle, and a management unit 4 including an emergency center. have. This management unit 4
Further, communication devices for mutual communication using the communication satellite 5 as a relay point are respectively installed between the above-mentioned types of vehicles 1 to 3 and the hospital 6 which is a recipient of patients.

The doctor transporting vehicle 1 is an ambulance which is a modification of an ordinary passenger car. It is equipped with a doctor's seat, such as a passenger's seat, and portable emergency treatment equipment. It is configured so that it can be express. In addition, as shown in FIG. 3, the vehicle 1 has a roof portion 1a.
A dual-purpose electronic scanning antenna 7 is installed in the vehicle, and a wireless communication device 8 that transmits and receives radio waves to and from the communication satellite 5 via the antenna 7 is also installed. The vehicle electronic scanning antenna 7 includes a printed board on which a circular patch is formed,
The vehicle 2 for transporting the patient and the vehicle 3 for treating the patient having a control circuit, an amplifier and the like arranged below the vehicle.
It is also installed on the roof part of.

The patient transporting vehicle 2 comprises a two-box car having a flip-up door or the like at the rear, and inside thereof, as shown in FIG. 3, a driver's seat 9 is provided on the left side of the front body.
Is installed, and a passenger seat 10 made of a rotating seat whose direction can be changed back and forth is installed on the side thereof. Above the driver's seat 9 and the passenger's seat 10, a ceiling box 11 for accommodating an inhaler, a respirator, etc. is arranged.

An installation portion for a stretcher 12 is provided behind the passenger seat 10, and a folding chair 13 for attendants is provided behind the driver seat 9.
An automatic hand sanitizer 14, a storage box 15 such as a portable emergency kit, a storage box 16 such as shock pants and splints, and a portable communication device 17 are installed.

On the left side wall surface of the vehicle body on which the stretcher 12 is arranged, a high-standard treatment consisting of a warming flow meter 18, a drip bottle 19, a respiratory circulatory system monitoring device 20, an infusion pump 21, a continuous thermometer 22 and the like. Equipment is installed. Further, as shown in FIG. 4, the installation portion of the stretcher 12 is composed of a kick-up portion 23 of the floor panel and a bottom raising portion 24 connected in front of the kick-up portion 23, and an oxygen cylinder 25 is provided in the bottom raising portion 24. It is configured to be stored.

The patient treatment vehicle 3 comprises a one-box car having a left and right opening / closing door in the rear portion thereof, and inside thereof, as shown in FIG. 5, a partition portion 26 from the front seat and a right side thereof. A patient bed 27 disposed at the rear is provided. The partition section 26 is provided with a communication path to a front seat having a door 28, and storage shelves 29 and 30 for storing various devices are installed on the left and right sides thereof.

A patient whole body management monitor 31, anesthesia machine 32, a refrigerator 33 and the like are placed on the left storage rack 29, and the X-ray monitor 3 is mounted on the right storage rack 30.
4, biochemistry tester 35, drychem 36, blood cell counter 3
7 etc. are placed. An air inlet 38 is provided below the storage shelves 29 and 30, and a clean air outlet 39, an oxygen supply port 40, and a laughter supply port 41 are provided above the air intake port 38. There is.

On the right side wall of the vehicle 3, a respiratory circulation system monitor 42, a blood gas monitor 43, a respirator 44, an inhaler 45, an infusion bottle 46, an infusion pump 47,
An electroencephalogram evoked potential device 48, a blood gas analyzer 49, an external defibrillator pacing 50, a handwash stand 51, a trash box 52 and the like are provided, and a storage box having a sliding door 53 and a slide shelf 54 is provided. ing. In this storage box, transesophageal pacing, transvenous pacing, and the like are stored.

Above the patient bed 27, a precision inspection device consisting of an X-ray generator 55 is installed, and a surgical operation lamp (not shown) is installed on the ceiling. Further, below the patient bed 27, an electric scalpel storage portion 56 is arranged.

As shown in FIG. 6, the patient bed 27 is supported by a support base 57 so that it can be raised and lowered, and is raised and lowered by a raising and lowering drive means 58 including a hydraulic cylinder or a rack gear mechanism disposed therein. It is configured to be driven. Further, the patient bed 27 is slidably supported in the front-rear direction and the width direction of the vehicle body by the first and second guide rails 58a and 58b provided at the upper end portion of the support base 57, and is usually not shown in the figure. It is configured to be locked by the lock mechanism to be in a fixed state.

At the installation portion of the support base 57, a pair of front and rear cross members 60 which are horizontally stretched between a pair of left and right side frames 59 extending in the front and rear direction of the vehicle body, and a base plate 61 made of a steel plate fixed to the upper surface thereof. Are provided, and the support base 57 is mounted on the base plate 61. Further, a floor panel 62 made of a veneer plate is attached to the other portion except the installation portion of the base plate 61.

On the left side of the vehicle 3 for treating patients, as shown in FIG. 7, a pair of front and rear folding chairs 6 are provided.
3 and 64 are installed, and an operation panel 65 of the X-ray generator 55 is provided above them. Further, behind the folding chairs 63, 64, there are installed various storage boxes 66 for storing medical products and treatment equipment.

The operation of the emergency medical system will be described with reference to the flowchart shown in FIG. First, the management unit 4 determines whether or not an emergency case has occurred (step A
1) When it is confirmed that an emergency case has occurred, a dispatch command is transmitted from the management unit 4 to the doctor carrying vehicle 1 via the communication satellite 5 (step A2). In response to the dispatch command, the doctor rides on the vehicle 1 and rushes to the point of occurrence of the patient, such as an accident site, where the doctor diagnoses the patient.
Then, first aid is provided to the patient using the first aid equipment mounted on the vehicle 1 (step A3), and the patient's diagnosis result is reported to the management section 4 by the wireless communication device 8 (step A4). In response to the request, the dispatch of the patient transport vehicle 2 or the patient treatment vehicle 3 is requested.

Based on the above report, the management unit 4 determines whether or not the vehicle 2 for patient transportation should be dispatched (step A5). In this management unit 4, it is judged that a high-standard treatment device such as a ventilator is necessary, and the above step A
When the determination result of 5 is YES, the dispatch command is transmitted to the patient transport vehicle 2 (step A6). Then, the patient is appropriately treated using the treatment equipment mounted on the vehicle 2 (step A7), the patient is placed on the stretcher 12 and carried into the vehicle 2, and designated by the management unit 4. The patient is transported to the hospital 6 (step A8).

If NO in step A5, the management unit 4 determines whether or not the patient treatment vehicle 3 should be dispatched according to the report from the doctor (step A9). When the management unit 4 judges that the condition of the patient is further heavy and that a detailed examination or surgery is necessary and the result of the determination in step A9 is YES, the dispatch of the patient treatment vehicle 3 is performed. A command is transmitted (step A10). After placing the patient on the patient bed 27 in the vehicle 3 and adjusting the installation height and the installation position of the support base 58, the X-ray generator 55 gives the X-ray to the patient.
A precise examination is performed by irradiating the patient with an X-ray and displaying the affected area on the X-ray monitor 35.
A treatment is performed on the patient while 8 is locked by the lock mechanism (step A11). Then, the process proceeds to step A8, and the vehicle 3 transports the patient to the hospital.

As described above, the doctor transports the vehicle 1 consisting of a small high-speed car so that the doctor can quickly reach the point where the patient occurs. Therefore, even if the road condition is bad due to a narrow road, the doctor can quickly arrive at the site. First aid can be given. In addition, since it is configured to request that the vehicle 2 for patient transportation or the vehicle 3 for patient treatment be dispatched according to the diagnosis result of the doctor, the device mounted on these vehicles 2 and 3 can be adapted to the patient's condition. The prescribed treatment and surgery can be performed.

Further, when a patient who needs an operation or the like occurs at a point which must pass through an alley where the vehicle 3 for treating the patient cannot enter, as shown in FIG.
The doctor-carrying vehicle 1 is dispatched to the patient occurrence point (step B1), and the patient is diagnosed and first aid is provided (step B2). Then, the diagnosis result of the doctor is reported to the management unit 4 (step B3), and in response to this report, a dispatch command is sent to both the patient transport vehicle 2 and the patient treatment vehicle 3 (step B4).

In response to the above-mentioned command, the large-sized vehicle 3 is advanced to a position where it can be advanced and made to stand by (step B
5). In addition, the vehicle 2 for patient transportation is rushed to the point where the patient is generated, and the patient 2 is transported by the vehicle 2 for patient transportation to the point of advance of the vehicle 3 for patient treatment (step B6). Then, the patient is transferred from the patient transport vehicle 2 to the patient treatment vehicle 3, and the patient treatment vehicle 3 is transferred.
After performing a detailed examination and surgery on the patient (step B7), the patient is transported to the hospital by the patient transport vehicle 2 or the patient treatment vehicle 3 (step B8).

When a large-scale traffic accident or the like causes a large number of injured persons at the same time, as shown in FIG.
In response to a report from a doctor who has rushed to the accident hall, a command for dispatching both the patient transport vehicle 2 and the patient treatment vehicle 3 to the accident occurrence point is transmitted (steps C1 to C).
4).

Then, the vehicle 3 for treating the patient, which has reached the accident occurrence point, is used as a temporary hospital, in which a detailed examination and necessary treatment are performed (step C).
5). Further, the patients who have undergone the examination and treatment are sequentially transported to the hospital 6 by the vehicle 2 for transporting patients (step C6).

When both the patient transporting vehicle 2 and the patient treating vehicle 3 are dispatched in this way, the features of the respective vehicles are utilized to the maximum extent and the patient is treated appropriately. In addition, the patient can be quickly transported from the accident site to the hospital 6.

In the above-described vehicle 2 for transporting a patient, a passenger seat 10 made of a rotating seat is arranged on the right side of the front vehicle body, and a stretcher 12 is installed behind it, so that a doctor can ride with him. The above-mentioned passenger seat 1 when transporting a patient
By setting 0 to the rear, the doctor sitting on the passenger seat 10 can easily and properly perform the work of securing the trajectory of the patient lying on the stretcher 12 and injecting the patient. That is, the doctor seated in the passenger seat 10 has a large space on the right hand side, that is, on the left side of the vehicle body.
The above work can be easily performed by effectively using the right hand.

Further, according to the construction in which the bottom raising portion 24 which is continuous with the kick up portion 23 provided in the patient transporting vehicle 2 is formed, the installation portion of the stretcher 12 is formed into a flat surface and the stretcher 12 is formed. Can be easily carried in and out, and the inside of the bottom raising portion 24 can be effectively used as a storage portion for the oxygen cylinder 25 and the like.

The patient treatment vehicle 3 is supported by a support base 57 so as to be able to move up and down, and by the first and second slide support portions composed of the first and second guide rails 58a and 58b, the front and rear direction. Since the patient bed 27 slidably supported in the width direction is provided, when the patient is inspected by the precision inspection device including the X-ray generator 55 installed above the patient bed 27, the bed 27 is moved. Thus, the position of the patient can be easily and appropriately moved in accordance with the X-ray irradiation position. Then, by controlling the movement of the patient bed 27 by a lock mechanism (not shown), the bed 27 can be used as an operating table, and a patient lying on the bed 27 can be appropriately treated such as surgery. There is.

As described above, the communication satellite 5 is used as a relay point, and the communication equipment including the wireless communication device 8 and the portable communication device 17 for transmitting and receiving signals via the vehicle electronic scanning antenna 7 and the like allows each vehicle 1 to operate. 3 to 3 and the management unit 4 are configured to perform mutual communication, the above mutual communication can be performed without any trouble even in a mountainous area where normal radio waves are hard to reach or a distant position.

Instead of the communication device having the communication satellite 5 as a relay point, the mutual communication may be performed by using an ordinary radio or car telephone. Also,
The doctor transporting vehicle 1 is omitted, and the patient transporting vehicle 2 is omitted.
May have a function as a vehicle for transporting a doctor.

[0039]

As described above, according to the present invention, the doctor transporting vehicle, the patient transporting vehicle, the patient treating vehicle, and the management unit for issuing a dispatch command to each vehicle are provided.
When a traffic accident causes injuries or sudden illness, etc. at a location where traffic conditions are bad, the doctor transport vehicle can be used to promptly dispatch a doctor to the site of the patient's outbreak and to provide first aid. By dispatching the required vehicle in response to the report, there is an advantage that the patient can be transported to the hospital after the patient is appropriately treated.

Further, in the case where the above-mentioned vehicles and the management unit are configured to communicate with each other by the communication equipment having the communication satellite as a relay point, the above-mentioned problem will occur without any problem even in a mountainous area where ordinary radio waves are hard to reach. Contact can be made, and the range of activity of each vehicle can be greatly expanded.

In the patient transport vehicle, there is a passenger seat which is disposed on the right side of the front vehicle body and whose direction can be changed back and forth,
According to the configuration provided with the installation part of the stretcher located behind it, the doctor seated in the passenger seat has his right hand by turning the passenger seat backward when the doctor rides and transports the patient. Freely move the stretcher 1
2 has the advantage that the work of securing the orbit of the patient lying on top of the patient and injecting it can be performed easily.

According to the above-mentioned vehicle for treating a patient, a support base for supporting the patient bed so as to be able to move up and down and a slide support portion for supporting the patient bed so as to be slidable in the longitudinal direction and the width direction of the vehicle body are provided. , When inspecting a patient with a precision inspection device installed above the bed, the bed can be moved to an arbitrary position according to the location of the affected part, whereby the above inspection can be easily and appropriately performed. There is an advantage that you can.

[Brief description of drawings]

FIG. 1 is an explanatory diagram showing a configuration of a medical system according to the present invention.

FIG. 2 is a perspective view showing configurations of an antenna and a communication device.

FIG. 3 is a perspective view showing an internal structure of a patient transportation vehicle.

FIG. 4 is a perspective view showing an installation portion of a stretcher in the vehicle.

FIG. 5 is a perspective view showing an internal structure on the right side of a vehicle for treating a patient.

FIG. 6 is a cross-sectional view showing an installation portion of a patient bed in the vehicle.

FIG. 7 is a perspective view showing an internal structure on the left side of the vehicle for treating a patient.

FIG. 8 is a flowchart showing an operating state of each vehicle.

FIG. 9 is a flowchart showing another example of the operating state of each vehicle.

FIG. 10 is a flowchart showing yet another example of the operating state of each vehicle.

[Explanation of symbols]

 1 Vehicle for Transporting Doctor 2 Vehicle for Transporting Patient 3 Vehicle for Patient Treatment 4 Management Department 5 Communication Satellite 6 Hospital 7 Antenna (Communication Equipment) 8 Wireless Communication Equipment (Communication Equipment) 10 Passenger Seat 12 Stretcher 17 Portable Communication Machine (communication device) 27 Patient bed 57 Supports 58a, 58b Guide rails (slide support)

 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Muneharu Yamada, 3-1, Shinchi, Fuchu-cho, Aki-gun, Hiroshima Prefecture Mazda Co., Ltd. (72) Ichido Hirata 2-4-1 Niho, Minami-ku, Hiroshima Mazda Industry (72) Inventor Yoshihiro Ochi 2-4-1 Niho, Minami-ku, Hiroshima City Mazda Industry Co., Ltd. (72) Inventor Hidehiko Sadaaki 2-4-1 Niho, Minami-ku, Hiroshima City Mazda Industry Co., Ltd. (72) Inventor Hiroko Wataoka 2-4-1 Niho, Minami-ku, Hiroshima City Mazda Industry Co., Ltd. (72) Inventor Momoe Takahashi 2-4-1 Niho, Minami-ku, Hiroshima City Mazda Industry Co., Ltd. ( 72) Inventor Masato Kamiya 3-4-7 Higashikomatsu, Okayama City, Okayama Prefecture Park Side Fuji 201

Claims (4)

[Claims] 1. A vehicle for transporting a doctor, which is equipped with first aid equipment, and a vehicle for transporting a patient, which is equipped with high-standard treatment equipment.
At least one of a vehicle for patient treatment, which is equipped with equipment for detailed examination and equipment for surgery, and a vehicle for patient transport or patient treatment, which is instructed by a vehicle for transporting a doctor who has reached the emergency occurrence point. An emergency medical system characterized in that a management unit for issuing a dispatch command is provided. 2. A communication device for mutual communication using a communication satellite as a relay point is provided between the doctor transporting vehicle, the patient transporting vehicle, the patient treating vehicle, and the management unit. The emergency medical system according to claim 1. 3. A vehicle structure used as a vehicle for transporting a patient in the emergency medical system, wherein a driver's seat is installed on a left side of a front part of a vehicle body, and a passenger seat capable of changing its direction to the side or the side. The vehicle structure of the emergency medical system characterized in that the stretcher is installed behind the passenger seat. 4. A vehicle structure used as a vehicle for treating a patient of the emergency medical system, wherein a patient bed is installed at a rear part of a vehicle body, and a patient detailed examination device is installed above the bed. A support base that supports the bed vertically, a first slide support portion that supports the bed slidably in the longitudinal direction of the vehicle body, and a second slide support portion that supports the bed slidably in the vehicle width direction are provided. The vehicle structure of the emergency medical system characterized by the following.