Измерение, мониторинг, управление, контроль (Dec 2022)

FEATURES OF THE FUNCTIONING OF THE MEDICAL INFORMATION SYSTEM IN THE CONDITIONS OF EMERGENCY SITUATION

  • O.N. Bodin,
  • M.V. Edemskiy,
  • N.E. Kruchinina,
  • N.A. Serzhantova

DOI
https://doi.org/10.21685/2307-5538-2022-4-14
Journal volume & issue
no. 4

Abstract

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Background. The second half of the XX and XXI centuries are characterized by various types of man-made, social, anthropogenic and natural disasters. The most significant side of all disasters is the loss of life. An analysis of all disasters leads to the conclusion that medical systems are not sufficiently prepared to provide assistance in emergency situations. The article discusses the features of the functioning of the medical information system in an emergency situation, and also suggests a way to provide emergency cardiological care. Materials and methods. Methods of building information and measurement systems, theoretical foundations of disaster medicine and electrocardiography, methods of statistical signal processing, digital signal processing, as well as methods of mathematical modeling were used. Results. An approach for creating a dual-use medical information system is proposed. This approach allows the medical information system to function in two modes of operation: under normal conditions and in an emergency situation. Under normal conditions, to assess the functional state of the body, it is proposed to use the technology of the digital double of the heart as a virtual personalized model of the cardiovascular system, created to simulate its functioning, taking into account the processes of regulation and two-way information links with the patient. For emergency medical care in an emergency situation, the authors proposed the use of portable cardiac analyzers. A method of providing emergency cardiological care has been developed. Conclusions. The use of the proposed medical information system will improve the efficiency of the healthcare system by unifying methods and means of providing cardiological care.

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