Hauv kev kho mob thaum muaj xwm txheej ceev, tsheb thauj neeg mob tsis raug teeb tsa zoo ib yam. Hloov chaw, lawv tau muab faib ua peb hom tshwj xeeb raws li qhov ceev ntawm qhov xwm txheej cawm thiab qhov nyuaj ntawm tus neeg mob: lub tsheb thauj neeg mob ceev, hloov tsheb thauj neeg mob, thiab tsheb thauj neeg mob hnyav. Peb hom no sib txawv ntawm qhov chaw ua haujlwm, kev teeb tsa cov cuab yeej siv, thiab cov xwm txheej uas siv tau, thiab ua ke ua ib qho kev pabcuam thaum muaj xwm txheej ceev uas npog tag nrho cov saw ntawm "ntawm-kev kho mob xwm txheej ceev - hauv- hloov mus los - kev saib xyuas hnyav".
Tshwj xeeb, tsheb thauj neeg mob xwm txheej ceev yog lub hom phiaj- tsim los rau cov xwm txheej kub ntxhov. Nruab nrog cov cuab yeej txhawb nqa lub neej yooj yim, lawv tuaj yeem teb sai thiab ruaj khov rau cov neeg mob cov cim tseem ceeb. Kev hloov tsheb thauj neeg mob tsom mus rau cov neeg mob nyob rau hauv qhov chaw ruaj khov, muab kev nyab xeeb thiab muaj txiaj ntsig ntawm kev sib tshuam - tsev kho mob hloov chaw. Cov tsheb thauj neeg mob hnyav ua ke ua ke nrog cov txheej txheem txhawb nqa lub neej, ua kom muaj kev saib xyuas tas li thiab kev pabcuam xwm txheej kub ntxhov rau cov neeg mob hnyav thaum caij tsheb npav. Qhov kev faib tshwj xeeb ntawm kev ua haujlwm no tsis tsuas yog txhim kho kev faib cov peev txheej xwb tab sis kuj tseem txhim kho kev ua tau zoo tag nrho ntawm cov txheej txheem thaum muaj xwm txheej ceev.Cov lus hauv qab no qhia txog cov ntsiab lus tseem ceeb ntawm txhua hom:
I. Emergency Ambulance: "Mobile Emergency Station" ntawm "Lifeline"
Raws li hom tsheb ntau tshaj plaws nyob rau hauv lub kaw lus thaum muaj xwm txheej ceev, lub tsheb thauj neeg mob ceev yog nyob rau ntawm qhov chaw tseem ceeb ntawm "kev teb sai, ntawm - kev tswj hwm qhov chaw, thiab kev ruaj ntseg pib". Nws tsuas yog ua haujlwm ntawm - chaw cawm thiab luv - txoj haujlwm hloov chaw nyob rau qhov xwm txheej ceev. Nws daim ntawv thov scenarios suav nrog kev mob sai sai (xws li, mob myocardial infarction, mob stroke) thiab kev raug mob los ntawm kev sib tsoo (kev sib tsoo, kev raug mob hnyav), ua lub neej txuas nrog qhov chaw thiab tsev kho mob.
Core Configuration: Cov cuab yeej tshaj lij ua kom muaj txiaj ntsig zoo
Txhawm rau ua kom tau raws li ntawm - qhov xav tau kev cawm thaum muaj xwm txheej ceev, hom tsheb thauj neeg mob no yuav tsum tau nruab nrog peb pawg ntawm cov cuab yeej tseem ceeb:
Kev Pabcuam Lub Neej: suav nrog cov khoom siv kho mob plawv (CPR), automated external defibrillators (AEDs), portable electrocardiographs, negative pressure suction devices, oxygen cylinders with integrated oxygen supply systems, and portable ventilators-ua kom muaj kev txhawb nqa lub neej tseem ceeb ua ntej hloov mus.
Cov Khoom Siv Thaum Muaj Xwm Ceev: Muaj cov khoom siv tshuaj kho mob xwm txheej ceev (muaj cov tshuaj thaum muaj xwm txheej ceev xws li adrenaline thiab nitroglycerin), cov khoom siv kho mob (tourniquets, cov ntaub qhwv lub siab, tshuaj tua kab mob), thiab ntau yam -cov khoom siv stretchers (tsis siv neeg thauj khoom stretchers thiab spinal immobilization boards).
Kev Txhawb Nqa Txawb: Nta nrawm nrawm / nres muaj peev xwm thiab ua haujlwm tau meej. Qee cov qauv kuj tau nruab nrog lub teeb pom kev kub ntxhov, suab- pom lub tswb, thiab ntawm - lub nkoj sib txuas lus thiab xa cov tshuab, ua kom muaj kev cawm dim ntawm "kev tuaj txog sai thiab tiag- sijhawm sib koom tes".
Hom Daim Ntawv Thov Scenarios
Mob lub neej-kev hem thawj kev tswj hwm xwm txheej ceev: Ntawm- qhov chaw pab thawj zaug rau cov xwm txheej kub ntxhov xws li mob plawv, mob hauv siab, thiab mob ntshav siab.
Kev kho mob thaum muaj xwm txheej ceev: Fracture immobilization, hemostasis, thiab bandaging rau qhib qhov txhab.
Luv -kev hloov pauv mus deb: Kev hloov pauv sai ntawm qhov xwm txheej tshwm sim, cov zej zog, lossis cov tsev mus rau tsev kho mob (lub vojvoog Tsawg dua lossis sib npaug li 50 mais).
II. Hloov tsheb thauj neeg mob: "Safe Ferry" rau cov neeg mob ruaj khov
Qhov chaw tseem ceeb ntawm lub tsheb thauj neeg mob hloov chaw yog kev nyab xeeb thauj neeg mob. Nws yog tsim los rau cov neeg mob nyob rau hauv cov xwm txheej ruaj khov uas tsis xav tau ntawm - kev cuam tshuam xwm txheej ceev tab sis yuav tsum tau hloov mus ntawm cov chaw kho mob sib txawv. Nws lub luag haujlwm tseem ceeb yog los xyuas kom meej cov cim tseem ceeb hauv kev saib xyuas thaum lub sijhawm thauj mus los, tsis yog muab txoj hauv kev ntawm - kho qhov chaw.
Hais txog kev teeb tsa tseem ceeb, cov tsheb thauj neeg mob hloov chaw muaj cov khoom siv qis dua li cov tsheb thauj neeg mob xwm txheej ceev, nrog rau kev tsom mus rau kev saib xyuas yooj yim thiab kev nplij siab ntawm tus neeg mob. Cov cuab yeej txheem muaj xws li cov thooj voos kheej kheej nrog cov pa oxygen, cov cuab yeej saib xyuas lub cev (muaj peev xwm taug qab lub plawv dhia, ntshav siab, thiab ntshav oxygen saturation), hloov cov stretchers, thiab infusion stands. Qee cov qauv yog xaiv tau nruab nrog lub rooj zaum nqa lub rooj zaum kom yooj yim rau kev caij nkoj thiab teeb pom kev rau cov neeg mob uas tsis muaj kev txav mus los.
Tsis zoo li lub tsheb thauj neeg mob xwm txheej ceev, cov tsheb thauj neeg mob hloov mus rau feem ntau tsis nqa lub neej nyuaj-txuag cov cuab yeej xws li defibrillators lossis CPR cov cuab yeej. Lawv qhov kev teeb tsa sab hauv yog qhov tseem ceeb rau cov neeg mob kev nplij siab thaum caij tsheb thauj mus los.
Siv tau scenarios:
Hloov kho cov neeg mob rov qab los ntawm tsev kho mob mus rau cov chaw kho mob lossis lawv lub tsev;
Inter- tsev kho mob xa mus rau tom tsev kho mob tom qab- cov neeg mob ua haujlwm tau zoo (piv txwv li, hloov cov neeg mob los ntawm cov tsev kho mob hauv tsev kho mob mus rau tsev kho mob qib siab rau kev kuaj mob ntxiv);
Ntev-kev ncua deb ntawm cov tsis yog- cov neeg mob xwm txheej ceev (xws li, cov neeg mob nrhiav kev kho mob hauv lwm lub nroog);
Kev thauj mus los ntawm tib neeg seem.
Cov lus ceeb toom tseem ceeb: Kev hloov tsheb thauj neeg mob tsis muaj nyob ntawm - qhov chaw muaj peev xwm cawm tau thaum muaj xwm txheej ceev thiab raug txwv tsis pub siv rau kev teb thaum muaj xwm txheej ceev rau cov mob sai sai.
III. Tsheb thauj neeg mob hnyav: "Txiv ICU" rau cov neeg mob hnyav
Cov tsheb thauj neeg mob hnyav (feem ntau hu ua "ICU ambulances") yog qhov siab tshaj -tier ambulances nyob rau hauv cov nqe lus ntawm kev teeb tsa. Lawv qhov chaw tseem ceeb yog tag nrho - chav kawm mob hnyav + ntev - kev hloov mus deb. Lawv tau mob siab rau cov neeg mob hnyav nrog cov cim tseem ceeb tsis ruaj khov uas yuav tsum tau ua kom tsis tu ncua, siab - theem kev txhawb nqa lub neej thaum caij tsheb thauj mus los- qhov tseem ceeb yog lub tsev kho mob hnyav (ICU) ntawm lub log.
Advanced Life Support System
Nruab nrog siab -kawg invasive ventilators uas txhawb ntau hom kev ua pa, nrog rau siab- tswj qhov cua (PCV) thiab ntim- tswj qhov cua (VCV).
Kev saib xyuas ntau yam - qhov ntsuas kev saib xyuas mob hnyav ua rau muaj rau - channel tseem ceeb hauv kev taug qab, npog lub plawv dhia, ntshav siab, ntshav oxygen saturation, ua pa tus nqi, lub cev kub, thiab cov kab mob hemodynamic invasive.
Lub tshuab nqus dej ntse ua ke nrog cov twj tso kua mis, cov twj syringe, thiab cov khoom noj khoom haus, nrog rau kev xa tshuaj raug mus txog ± 2%.
Ib qho kev xaiv tsis tu ncua rau lub raum hloov kho (CRRT) cov cuab yeej txhawb nqa lub raum hloov kho rau cov neeg mob hnyav.
Professional Airway Management Module
Xws li cov cuab yeej siv dav dav dav dav dav dav xws li video laryngoscopes thiab fiberoptic laryngoscopes.
Cov khoom siv tracheal intubation (muaj ntau qhov ntau thiab tsawg, cov ntawv qhia, thiab cov khoom siv kho kom haum).
Cov khoom siv kho mob xwm txheej ceev (nrog rau cov koob cricothyrotomy thiab cov cuab yeej muaj feem xyuam).
Environmental Control thiab Kev Tiv Thaiv Kab Mob
Lub tsev kho mob tshwj xeeb tshwj xeeb tshwj xeeb (tso tseg 5 pawg tshuaj nrog ntau dua 30 ntau yam, suav nrog cov tshuaj vasoactive thiab sedatives).
Qhov tsis zoo -kev sib cais qhov siab (cua pauv tus nqi siab dua lossis sib npaug li 12 zaug hauv ib teev, ua tau raws li cov qauv BSL-3).
Qhov ntsuas kub thiab cov av noo tswj qhov ntse (tsim qhov ntsuas kub tsis tu ncua ntawm 22-24℃thiab av noo ntawm 50-60%).
Ib lub platform kev sib txuas ua ke nrog cov kab mob tua kab mob ultraviolet thiab qhov tsis zoo - cov khoom siv lub zog nqus.
Tshwj xeeb tsheb Engineering tsim
Txais yuav cov tub rog- qib poob siab- nqus chassis uas tau dhau ISO 2631-1 kev co tiv thaiv tus qauv ntsuas.
Lub kaw lus raug ncua ua ke nrog hydraulic shock absorbers zoo lim txoj kev vibrations (amplitude attenuation rate Ntau dua lossis sib npaug li 80%).
Lub kaw lus satellite kev sib txuas lus txhawb nqa dual -mode 5G + Beidou kis tau tus mob, ua rau:
Tiag -lub sij hawm tseem ceeb ntawm cov ntaub ntawv xa mus (latency Tsawg dua lossis sib npaug li 200ms)
Kev sib tham tej thaj chaw deb nrog 1080P siab -txhais yees duab muaj peev xwm
Kev sib koom ua ke tsis sib haum xeeb ntawm - pawg tswj hwm hluav taws xob cov ntaub ntawv kho mob thiab tsev kho mob HIS cov kab ke.
Qhov tseem ceeb, hom tsheb thauj neeg mob no muaj qhov xav tau siab heev rau cov neeg ua haujlwm kho mob. Nws feem ntau yog cov neeg ua haujlwm los ntawm pab pawg kws tshaj lij uas muaj cov kws kho mob tseem ceeb thiab cov kws saib xyuas neeg mob tshwj xeeb los nrog tus neeg mob thoob plaws kev taug kev.
Cov ntsiab lus: Qhov sib txawv ntawm qhov tseem ceeb thiab kev sib koom tes ntawm peb hom
Qhov sib txawv tseem ceeb ntawm peb hom tuaj yeem ua tiav raws li hauv qab no:
Lub tsheb thauj neeg mob xwm txheej ceev tsom mus rau -qhov chaw cawm + luv luv- kev hloov mus deb, ua haujlwm tseem ceeb hauv pem hauv ntej ntawm lub kaw lus thaum muaj xwm ceev;
Hloov tsheb thauj neeg mob tsom mus rau kev thauj neeg mob ruaj khov + kev hloov pauv niaj hnub, ua lub luag haujlwm tseem ceeb rau kev sib txuas cov peev txheej kho mob;
Tsheb thauj neeg mob hnyav: "Txiv ICU" rau cov neeg mob hnyav
Lub tsheb thauj neeg mob hnyav yog lub hom phiaj- tsim rau cov neeg mob hnyav. Nws cov txiaj ntsig tseem ceeb nyob hauv kev xa cov kev saib xyuas tas li thiab kev kho mob sib npaug sib npaug ntawm lub tsev kho mob ICU, ua rau nws tshwj xeeb tshaj yog haum rau qhov ntev -kev deb, hla- thaj chaw hloov chaw. Cov tsheb thauj neeg mob no tau nruab nrog cov txheej txheem txhawb nqa lub neej zoo, uas tuaj yeem tswj hwm kev ruaj ntseg ntawm cov neeg mob ua pa thiab cov hlab ntshav thaum lub sijhawm thauj mus los - yog li yuav lub sijhawm muaj txiaj ntsig rau cov neeg mob uas muaj ntau lub cev tsis ua haujlwm lossis kev raug mob hnyav kom tau txais kev saib xyuas xwm txheej ceev.
Hauv cov txheej txheem kho mob thaum muaj xwm txheej ceev, peb hom tsheb thauj neeg mob tsim muaj kev sib koom tes, sib koom tes teb:
Lub tsheb thauj neeg mob xwm txheej ceev, ua raws li cov neeg teb thawj zaug, tswj hwm cov kev pab cuam lub neej tam sim (xws li, kev tswj ntshav siab, kev kho mob plawv) ntawm qhov xwm txheej xwm txheej (xws li kev sib tsoo tsheb), tso lub hauv paus rau kev kho mob tom ntej.
Cov tsheb thauj neeg mob thauj mus los tau raug xa mus thaum cov neeg mob cov cim tseem ceeb tau pib ruaj khov. Lawv yog lub luag haujlwm rau kev nyab xeeb ntawm kev sib tshuam hauv tsev kho mob, ua kom cov neeg mob hloov mus rau cov tsev kho mob uas muaj peev xwm kho mob tshwj xeeb.
Cov tsheb thauj neeg mob hnyav tau qhib rau cov neeg mob siab -cov neeg mob acuity (piv txwv li, cov neeg mob hlwb raug mob lossis septic shock). Leveraging ntawm -board ICU- cov cuab yeej qib, cov tsheb thauj neeg mob no muab kev cuam tshuam tas mus li xws li kev txhawb nqa cua tshuab thiab kev saib xyuas hemodynamic- txuas ntxiv qhov kho qhov rai mus rau hauv cov txheej txheem hloov mus.
Qhov txheej txheem teb cov txheej txheem no txhim kho cov lus teb thaum muaj xwm txheej ceev thoob plaws peb qhov tseem ceeb:
Kev Txhim Kho Kev Txhim Kho: Hom tsheb thauj neeg mob tau ua tiav zoo rau cov neeg mob acuity, tsis txhob siv cov khoom siv siab - kawg.
Txheej Txheem Kaw: Tsim kom muaj kev sib txuas ntawm kev saib xyuas txuas ntxiv ntawm -kev kho mob xwm txheej ceev → hauv - kev saib xyuas kev thauj mus los → hauv - kev saib xyuas hauv tsev kho mob.
Txhim khu kev ua tau zoo: Ntawm- lub nkoj 5G kev sib tham hauv xov tooj tau ua kom muaj "kev kho mob- ntawm- nce nkoj" qauv, uas cov neeg mob tau txais kev saib xyuas nyob rau hauv txoj kev ua ntej mus txog hauv tsev kho mob.
Piv txwv Scenario
Thaum muaj kev sib tsoo ntau - tsheb loj, thawj lub tsheb thauj neeg mob thaum muaj xwm ceev tuaj txog ua rau cov neeg raug mob thiab pib ua cov txheej txheem hloov pauv sai:
Cov neeg mob uas raug mob me yog thauj mus rau lub tsev kho mob hauv zos los ntawm kev hloov tsheb thauj neeg mob;
Cov neeg mob hnyav uas raug mob lub hlwb raug xa ncaj qha mus rau lub chaw raug mob hauv lub xeev uas siv lub tsheb thauj neeg mob hnyav.
Thaum lub sij hawm kev thauj mus los, ntawm - lub nkoj CT scanners pab kom muaj kev kuaj mob ua ntej kom tiav - lub sijhawm tseem ceeb uas tuaj yeem siv los npaj rau kev phais mob tom ntej.
Qhov kev faib tshwj xeeb no - ntawm - kev ua haujlwm tsis yog tsuas yog txo qis ua ntej - tsev kho mob cov neeg tuag tab sis kuj txo cov sij hawm teb thaum muaj xwm txheej ceev ntau dua 40% los ntawm cov txheej txheem txheej txheem. Nws tsim lub ICU txawb-qib kev txhawb nqa lub neej rau cov neeg mob hnyav.
