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评估救护车转运过程中的患者转运条件。

Assessing patient transport conditions during ambulance transit.

机构信息

Department of Mobility Engineering, Federal University of Santa Catarina, Joinville, Santa Catarina, Brazil.

出版信息

Proc Inst Mech Eng H. 2024 May;238(5):508-519. doi: 10.1177/09544119241240908. Epub 2024 Apr 1.

Abstract

Emergency ambulances play a vital role in medical rescue and patient transportation, but their transit can impact patient health due to vehicle dynamic forces and vibrations. This study evaluates patient transport conditions on a stretcher subjected to vertical vibration excitation from road unevenness. Using an eight-degree-of-freedom numerical model, we analyze the construction parameters of a medical stretcher's support and vehicle suspension. Actual experimental data from an emergency vehicle were utilized to assess the vibration conditions experienced by both the stretcher and the ambulance floor. The model is adjusted based on measurements, specifically targeting the main vibration modes. The investigation involves determining temporal responses for vertical accelerations and characterizing vibration modal parameters under various transportation conditions. Notably, several system natural frequencies fall within the range of human body frequencies, making them susceptible to mechanical excitation, particularly in the human neck, abdomen, and spine. A sensitivity analysis underscores the influence of medical stretcher support structure parameters on patient comfort. Increasing support stiffness, which alters the stretcher's natural frequency, and damping coefficient reduce vibration propagation between the vehicle and the patient. Additionally, the research predicts the model's dynamic behavior on roads with low-quality pavement, indicating vibrational amplitudes that could potentially be discomforting and unhealthy for individuals. The study illustrates a vibration exposure period on a class E road, revealing that transportation longer than 25 min may cause damage to patient health.

摘要

救护车在医疗救援和患者运输中起着至关重要的作用,但由于车辆的动力和振动,其运输过程可能会影响患者的健康。本研究评估了担架在道路不平坦引起的垂直振动激励下的运输条件。使用八自由度数值模型,分析了医疗担架支撑和车辆悬架的结构参数。利用急救车的实际实验数据评估了担架和救护车地板所经历的振动情况。该模型根据测量结果进行调整,特别是针对主要振动模式。研究涉及确定垂直加速度的时间响应,并在不同运输条件下描述振动模态参数。值得注意的是,几个系统固有频率落在人体频率范围内,容易受到机械激励,特别是在人体颈部、腹部和脊柱。敏感性分析强调了医疗担架支撑结构参数对患者舒适度的影响。增加支撑刚度(改变担架的固有频率)和阻尼系数会减少车辆和患者之间的振动传播。此外,该研究还预测了在路面质量较差的道路上模型的动态行为,表明振动幅度可能会令人不适,对个体健康造成潜在危害。研究表明在 E 级道路上的暴露时间,运输时间超过 25 分钟可能会对患者健康造成损害。

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