一种用于复苏的计算机化设备和药物计算器的开发。
The development of a computerised equipment and drug calculator for use in resuscitation.
作者信息
Shannon T, Ratchford A, Southward D, Hildreth A
机构信息
Sunderland Royal Hospital, Sunderland, UK.
出版信息
Emerg Med J. 2002 May;19(3):215-8. doi: 10.1136/emj.19.3.215.
OBJECTIVES
To design a computerised system of calculating resuscitation requirements and to test this system to ensure that it gives accurate and fast results, so that it could potentially be used in the resuscitation of patients in a accident and emergency (A&E) department.
METHODS
Using internet based technology we have developed a program that runs inside most web browsers and can be used to calculate several parameters (including endotracheal tube dimensions and drug doses). The only value that is required is the age of the patient. The weight is calculated and can be adjusted if known. The resuscitation requirement calculations are made from the weight. The program was then tested on staff members in the department to calculate theoretical resuscitation requirements for paediatric and adult patients. Accuracy and speed of the computerised calculator was compared with the conventional paper based calculation methods.
RESULTS
Subjects performed better using the computerised calculator. On average they made significantly fewer errors (21.4% more accurate than using conventional methods) and were three times faster.
CONCLUSION
The computerised calculator has proved, in a controlled setting, to be a more accurate and faster way of calculating resuscitation requirements than conventional methods.
目的
设计一个计算复苏需求的计算机化系统，并对该系统进行测试，以确保其结果准确且快速，从而有可能用于急诊（A&E）科患者的复苏。
方法
利用基于互联网的技术，我们开发了一个程序，该程序可在大多数网络浏览器中运行，用于计算多个参数（包括气管内导管尺寸和药物剂量）。唯一需要的值是患者的年龄。体重会被计算出来，若已知体重也可进行调整。复苏需求根据体重进行计算。然后该程序在科室工作人员中进行测试，以计算儿科和成年患者的理论复苏需求。将计算机化计算器的准确性和速度与传统的纸质计算方法进行比较。
结果
受试者使用计算机化计算器表现更佳。平均而言，他们犯的错误显著更少（比使用传统方法准确21.4%），且速度快三倍。
结论
在可控环境下，计算机化计算器已被证明是一种比传统方法更准确、更快的计算复苏需求的方式。
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