Effectiveness of a Doctor Dispatch System Activated by an Advanced Automatic Collision Notification after a Single-Vehicle Accident: A Case Report.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-01-20 Epub Date: 2022-11-25 DOI:10.1272/jnms.JNMS.2023_90-606

Takanobu Otaguro, Tomokazu Motomura, Yutaka Funaki, Yuita Fukuyama, Tetsuya Nishimoto, Yoshiaki Hara, Shoji Yokobori

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Abstract

A 79-year-old woman collided with a cliff in a passenger automobile. The fire department acknowledged an automated collision notification from the D-Call Net (DCN) at 1 min after the accident and called for doctors by helicopter ( "Doctor-Heli" [DH] in Japan) 9 min after the injury. The DH reached the victim 28 min after the injury, and examination revealed pain in the right side of her chest, tachypnea, and a weak radial artery pulse (indicating shock). The DH arrived at the hospital 49 min after the injury. Thoracic drainage was performed for right-sided tension pneumothorax. She recovered from shock but was diagnosed with flail chest and placed on a respirator. She was extubated on postoperative day 6 and transferred to a rehabilitation hospital on postoperative day 57. Because of the DCN, the patient received treatment 15 min earlier than she would have with the conventional system. Emergency response task forces must develop strategies for connecting DCN warnings to rapid medical response systems.

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单车事故后由高级自动碰撞通知系统启动的医生派遣系统的有效性：案例报告。

一名 79 岁的妇女驾驶客车与悬崖相撞。消防部门在事故发生 1 分钟后收到了来自 D-Call Net（DCN）的自动碰撞通知，并在受伤 9 分钟后呼叫直升机医生（日本称 "Doctor-Heli"[DH]）。伤后 28 分钟，DH 到达伤者身边，检查发现伤者右侧胸部疼痛、呼吸急促、桡动脉脉搏微弱（显示休克）。DH 在受伤 49 分钟后到达医院。医院为她进行了胸腔引流术，以治疗右侧张力性气胸。她从休克中恢复过来，但被诊断为胸部外翻，需要使用呼吸机。术后第 6 天拔管，术后第 57 天转入康复医院。由于使用了 DCN，患者比使用传统系统时提前 15 分钟接受了治疗。应急响应工作组必须制定战略，将 DCN 警报与快速医疗响应系统连接起来。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.