Correa Bruno S P M, Gonçalves Bernardo, Teixeira Iuri M, Gomes Antônio T A, Ziviani Artur
National Laboratory for Scientific Computing (LNCC), National Institute of Science and Technology on Medicine Assisted by Scientific Computing (INCT-MACC), 25651-075 Petrópolis, RJ, Brazil.
Int J Telemed Appl. 2011;2011:560209. doi: 10.1155/2011/560209. Epub 2011 Jul 6.
The latest population-based studies in the medical literature worldwide indicate that acute myocardial infarction (AMI) patients still experience prolonged delay to be rescued, which often results in morbidity and mortality. This paper reports from a technological standpoint a teleconsultation and monitoring system named AToMS. This system addresses the problem of prehospital delivery of thrombolysis to AMI patients by enabling the remote interaction of the paramedics and a cardiologist available at a Coronary Care Unit (CCU). Such interaction allows the diagnosis of the patient eligibility to the immediate application of thrombolysis, which is meant to reduce the delay between the onset of symptoms and the eventual application of proper treatment. Such delay reduction is meant to increase the AMI patient's chances of survival and decrease the risks of postinfarction sequels. The teleconsultation is held with the support of wireless and mobile technologies, which also allows the cardiologist to monitor the patient while he/she is being taken to the nearest CCU. All exchanged messages among paramedics and cardiologists are recorded to render an auditable system. AToMS has been deployed in a first stage in the city of Rio de Janeiro, where the medical team involved in the project has conducted commissioned tests.
全球医学文献中最新的基于人群的研究表明，急性心肌梗死（AMI）患者仍面临较长的救援延迟，这常常导致发病和死亡。本文从技术角度报告了一个名为AToMS的远程会诊与监测系统。该系统通过使护理人员与冠心病监护病房（CCU）的心脏病专家进行远程互动，解决了向AMI患者进行院前溶栓的问题。这种互动能够诊断患者是否适合立即进行溶栓，旨在减少症状出现与最终进行适当治疗之间的延迟。减少这种延迟旨在增加AMI患者的生存机会，并降低梗死后后遗症的风险。远程会诊在无线和移动技术的支持下进行，这也使心脏病专家能够在患者被送往最近的CCU途中对其进行监测。护理人员和心脏病专家之间所有交换的信息都会被记录下来，以形成一个可审计的系统。AToMS已在里约热内卢市进行了第一阶段的部署，参与该项目的医疗团队已进行了委托测试。
