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远程监测、人工智能、机器学习与移动超声结合 5G 互联网应用于院前急救以支持黄金一小时原则和优化严重创伤及急诊手术结局。

Remote Monitoring, AI, Machine Learning and Mobile Ultrasound Integration upon 5G Internet in the Prehospital Care to Support the Golden Hour Principle and Optimize Outcomes in Severe Trauma and Emergency Surgery.

机构信息

Program of Excellence 2014-16-Siemens Program for Greece.

出版信息

Stud Health Technol Inform. 2024 Aug 22;316:1807-1811. doi: 10.3233/SHTI240782.

Abstract

AIM

Feasibility and reliability evaluation of 5G internet networks (5G IN) upon Artificial Intelligence (AI)/Machine Learning (ML), of telemonitoring and mobile ultrasound (m u/s) in an ambulance car (AC)- integrated in the pre-hospital setting (PS)- to support the Golden Hour Principle (GHP) and optimize outcomes in severe trauma (TRS).

MATERIAL AND METHODS

(PS) organization and care upon (5G IN) high bandwidths (10 GB/s) mobile tele-communication (mTC) experimentation by using the experimental Cobot PROMETHEUS III, pn:100016 by simulation upon six severe trauma clinical cases by ten (N1=10) experts: Four professional rescuers (n1=4), three trauma surgeons (n2=3), a radiologist (n3=1) and two information technology specialists (n4=2) to evaluate feasibility, reliability and clinical usability for instant risk, prognosis and triage computation, decision support and treatment planning by (AI)/(ML) computations in (PS) of (TRS) as well as by performing (PS) (m u/s).

RESULTS

A. Trauma severity scales instant computations by the Cobot PROMETHEUS III, pn 100016) ) based on AI and ML complex algorithms and Cloud Computing, telemonitoring and r showed very high feasibility and reliability upon (5GIN) under specific, technological, training and ergonomic prerequisites B. Measured be-directional (m u/s) images data sharing between (AC) and (ED/TC) showed very high feasibility and reliability upon (5G IN) under specific, technological and ergonomic conditions in (TRS).

CONCLUSION

Integration of (PS) tele-monitoring with (AI)/(ML) and (PS) (m u/s) upon (5GIN) via the Cobot PROMETHEUS III, (pn 100016) in severe (TRS/ES), seems feasible and under specific prerequisites reliable to support the (GHP) and optimize outcomes in adult and pediatric (TRS/ES).

摘要

目的

评估人工智能(AI)/机器学习(ML)在 5G 互联网网络(5G IN)上的可行性和可靠性,以及在救护车(AC)中集成远程监测和移动超声(m u/s)在院前环境(PS)中的可行性和可靠性,以支持黄金时间原则(GHP)并优化严重创伤(TRS)的结果。

材料和方法

(PS)组织和护理使用实验型 Cobot PROMETHEUS III,pn:100016 通过六个严重创伤临床病例的模拟,由 10 名专家(N1=10)进行 10GB/s 移动远程通信(mTC)实验,以评估即时风险、预后和分诊计算、决策支持和治疗计划的可行性、可靠性和临床可用性,以及通过执行(PS)(m u/s)进行治疗。

结果

A. 基于 AI 和 ML 复杂算法和云计算,Cobot PROMETHEUS III,pn 100016)对创伤严重程度量表的即时计算显示,在特定的技术、培训和人体工程学前提条件下,5GIN 具有非常高的可行性和可靠性。B. 在特定的技术和人体工程学条件下,AC 和 ED/TC 之间的双向(m u/s)图像数据共享显示,5GIN 具有非常高的可行性和可靠性。

结论

在严重创伤(TRS/ES)中,通过 Cobot PROMETHEUS III,pn 100016)在 5GIN 上集成 PS 远程监测与 AI/ML 和 PS(m u/s),似乎具有可行性,并且在特定前提条件下可靠,以支持 GHP 并优化成人和儿科(TRS/ES)的结果。

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