2016年5月24日

電腦輔助急症集中式監視系統, Computer assisted emergency monitoring system, CAEMS.

This system CAMES, a prototype for real-time integration of multitudinous devices into a physiological intelligent monitoring system useful in intensive care unit (ICU). An IBM compatible PC is used as a console and connects to one bedside monitor via A/D converter. A Z-80 controller is used as the slave of the console and integrates information of one ventilator and three infusion venous pumps (IV-pumps) via RS-232. The communication protocol between console and slave is the RS-232. The SCO UNIX operation system, ANSI C language and X-windows utility are used in developing CAMES. From experimental results, this system successfully provides a friendly operational interface for clinicians and nurses, integrates information from bedside devices, report patient’s state and physiological parameters, displays and records the results. It is highly effective to be used as an integrated physiological monitor, a patient information system or a computer-based patient recorder (CPR). It can be networked to the whole hospital networks. (in 1993)



這雖然是本人82年的碩士論文,但是這個觀念不僅在當時是十分先進的究領域,到現在醫院內也對此類系統有迫且需求,以衛生署新竹醫院為例,本人正是以此概念與技術為基礎協助建立檢驗儀器連線監測資訊系統。採用系統:SCO UNIX, X-windows。

概述 :
將每一病床所使用之量測儀器如Bedside monitor、IV pump、ventilator等儀器之資訊網路化,每一病房可有一主控電腦,或是一護理站一主控電腦。儀器資訊網路化後可以產生電子報表與可由遠端監控各病床之儀器資訊。

優點

具RS232埠之醫療設備均可連線上網
遠端監視病患生理參數
遠端存取並監視控醫療設備之狀態 (如: 警示…等)
病患生理參數記錄自動化,取代人工抄錄(自動化電子病歷)
病患資料輸入自動化
醫療設備之設定之自動化

可應用範例

生理參數之量測及監視設備
加護病房病人生理參數集中監視資訊系統
療養院、老人安養院病人生理參數集中監視資訊系統

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