Technical specifications for the construction of 5G ambulance interfacility transport for critically ill children_West China Medical Journal

Authors：

ZHOU Yan ^1,2 , PAN Lingli ^1,2 , ZHU Xiaoshi ³ , HU Yuhang ⁴ , HOU Yufei ⁵ , ZHANG Guoying ⁶ , LI Lei ⁷ , YANG Kun ⁸ , YANG Xin ⁹ , SHEN Xing ¹⁰ , HE Yun ¹¹ , CAI Qiang ¹² , LI Xuemei ¹³ , TANG Xiaojun ¹⁴ , HUANG Qun ¹⁵ , ZHAO Rongxiang ¹⁶ , LIU Tonglin ¹⁷ , CHEN Guobing ¹⁸ , CHEN Yan ¹⁹ , FU Hongmin ²⁰ , XU Feng ²¹ ,  LI Xihong ^1,2

1. Department of Emergency, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan 610041, P. R. China;
3. Department of Pediatrics, Sichuan Provincial People’s Hospital, Chengdu, Sichuan 610072, P. R. China;
4. Department of Pediatrics, Sichuan Maternal and Child Health Hospital, Chengdu, Sichuan 610045, P. R. China;
5. 120 Emergency Center in Chengdu, Chengdu, Sichuan 610016, P. R. China;
6. Department of Pediatrics, Chengdu Women and Children’s Central Hospital, Chengdu, Sichuan 610000, P. R. China;
7. Department of Pediatrics, Chengdu Second People’s Hospital, Chengdu, Sichuan 610017, P. R. China;
8. Department of Pediatrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610072, P. R. China;
9. Department of Pediatrics, the First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan 610500, P. R. China;
10. Department of Pediatrics, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P. R. China;
11. Department of Pediatrics, the Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;
12. Department of Pediatrics, the Second People’s Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;
13. Department of Pediatrics, Zigong First People’s Hospital, Zigong, Sichuan 643000, P. R. China;
14. Department of Pediatrics, People’s Hospital of Jianyang, Jianyang, Sichuan 641400, P. R. China;
15. Department of Pediatrics, Wenjiang District Maternal and Child Health Hospital, Chengdu, Sichuan, 611130, P. R. China;
16. Department of Pediatrics, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
17. Department of Pediatrics, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei 430030, P. R. China;
18. Department of Pediatrics, the First Affiliated Hospital of Xiamen University, Xiamen, Fujian 361003, P. R. China;
19. Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P. R. China;
20. Department of Pediatrics, Kunming Children’s Hospital, Kunming, Yunnan 650034, P. R. China;
21. Department of Pediatrics, Children’s Hospital of Chongqing Medical University, Chongqing 400014, P. R. China;

Corresponding author：

LI Xihong, Email: hilixihong@163.com

Keywords：

Interfacility transport; critical illness; pediatric emergency; 5th generation mobile networks

DOI：

10.7507/1002-0179.202202133

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Interfacility transport of critically ill children is an important part of pre-hospital emergency care. The development of 5th generation mobile networks has brought revolutionary changes to emergency medicine, which can realize real-time sharing of information between hospitals and transfer ambulance units. In order to give full play to the advantages of superior medical institutions in diagnosis and treatment technology, equipment resources, and realize the safe and fast transfer of critically ill children, the technical specifications for the construction of interfacility transport of critically ill children’s ambulances with 5th generation mobile networks are specially formulated to standardize the team building, equipment and materials, transport process and quality control requirements for critically ill children’s ambulance transport, so as to reduce the fatality rate of critically ill children and improve the prognosis.

Citation： ZHOU Yan, PAN Lingli, ZHU Xiaoshi, HU Yuhang, HOU Yufei, ZHANG Guoying, LI Lei, YANG Kun, YANG Xin, SHEN Xing, HE Yun, CAI Qiang, LI Xuemei, TANG Xiaojun, HUANG Qun, ZHAO Rongxiang, LIU Tonglin, CHEN Guobing, CHEN Yan, FU Hongmin, XU Feng, LI Xihong. Technical specifications for the construction of 5G ambulance interfacility transport for critically ill children. West China Medical Journal, 2022, 37(11): 1612-1617. doi: 10.7507/1002-0179.202202133 Copy

1.	艾贤妍. 儿童医疗转运网络对患儿转运及救治的作用及其安全性. 中国社区医师, 2020, 36(19): 187-188.
2.	谢友军, 韦跃, 韦蓉, 等. 移动ICU远距离院际转运危重症患儿的应用价值. 中国小儿急救医学, 2017, 24(4): 282-285.
3.	VanGraafeiland B, Foronda C, Vanderwagen S, et al. Improving the handover and transport of critically ill pediatric patients. J Clin Nurs, 2019, 28(1/2): 56-65.
4.	李清华, 段颖杰, 刘文, 等. 儿科急诊抢救室患儿无缝对接转运安全管理. 北京医学, 2018, 40(7): 704-706.
5.	Di Ciaula A. Towards 5G communication systems: are there health implications?. Int J Hyg Environ Health, 2018, 221(3): 367-375.
6.	李强, 田雨, 张旻海, 等. 构建基于5G通讯技术的大型社会活动医疗急救保障系统. 中华急诊医学杂志, 2019(10): 1231-1236.
7.	孙明伟, 江华, 王凯, 等. 5G紧急医学救援系统的建设、实践与展望. 中华急诊医学杂志, 2019(10): 1228-1230.
8.	Lewis SJ, Gandomkar Z, Brennan PC. Artificial Intelligence in medical imaging practice: looking to the future. J Med Radiat Sci, 2019, 66(4): 292-295.
9.	Orr RA, Felmet KA, Han Y, et al. Pediatric specialized transport teams are associated with improved outcomes. Pediatrics, 2009, 124(1): 40-48.
10.	Edge WE, Kanter RK, Weigle CG, et al. Reduction of morbidity in interhospital transport by specialized pediatric staff. Crit Care Med, 1994, 22(7): 1186-1191.
11.	Kanter RK, Boeing NM, Hannan WP, et al. Excess morbidity associated with interhospital transport. Pediatrics, 1992, 90(6): 893-898.
12.	Britto J, Nadel S, Maconochie I, et al. Morbidity and severity of illness during interhospital transfer: impact of a specialised paediatric retrieval team. BMJ, 1995, 311(7009): 836-839.
13.	Ramnarayan P, Thiru K, Parslow RC, et al. Effect of specialist retrieval teams on outcomes in children admitted to paediatric intensive care units in England and Wales: a retrospective cohort study. Lancet, 2010, 376(9742): 698-704.
14.	Tanem J, Triscari D, Chan M, et al. Workforce survey of pediatric interfacility transport systems in the United States. Pediatr Emerg Care, 2016, 32(6): 364-370.
15.	Shinozaki RM, Schwingshackl A, Srivastava N, et al. Pediatric interfacility transport effects on mortality and length of stay. World J Pediatr, 2021, 17(4): 400-408.
16.	祝益民, 钱素云. 重症儿童院际三级转诊专家建议. 中华儿科杂志, 2015, 53(8): 573-575.
17.	孔祥永, 封志纯, 李秋平. 新生儿转运工作指南(2017版). 中华实用儿科临床杂志, 2017, 32(20): 1543-1546.
18.	Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport: results from a national consensus conference. Pediatrics, 2013, 132(2): 359-366.
19.	Lyng J, Adelgais K, Alter R, et al. Recommended essential equipment for basic life support and advanced life support ground ambulances 2020: a joint position statement. Pediatrics, 2021, 147(6): e2021051508.
20.	American Academy of Pediatrics, American College of Emergency Physicians, American College of Surgeons Committee on Trauma, et al. Equipment for ground ambulances. Prehosp Emerg Care, 2014, 18(1): 92-97.
21.	Holt T, Prodanuk M, Hansen G. Utilizing pediatric scoring systems to predict disposition during interfacility transport. Prehosp Emerg Care, 2019, 23(2): 249-253.

1. 艾贤妍. 儿童医疗转运网络对患儿转运及救治的作用及其安全性. 中国社区医师, 2020, 36(19): 187-188.
2. 谢友军, 韦跃, 韦蓉, 等. 移动ICU远距离院际转运危重症患儿的应用价值. 中国小儿急救医学, 2017, 24(4): 282-285.
3. VanGraafeiland B, Foronda C, Vanderwagen S, et al. Improving the handover and transport of critically ill pediatric patients. J Clin Nurs, 2019, 28(1/2): 56-65.
4. 李清华, 段颖杰, 刘文, 等. 儿科急诊抢救室患儿无缝对接转运安全管理. 北京医学, 2018, 40(7): 704-706.
5. Di Ciaula A. Towards 5G communication systems: are there health implications?. Int J Hyg Environ Health, 2018, 221(3): 367-375.
6. 李强, 田雨, 张旻海, 等. 构建基于5G通讯技术的大型社会活动医疗急救保障系统. 中华急诊医学杂志, 2019(10): 1231-1236.
7. 孙明伟, 江华, 王凯, 等. 5G紧急医学救援系统的建设、实践与展望. 中华急诊医学杂志, 2019(10): 1228-1230.
8. Lewis SJ, Gandomkar Z, Brennan PC. Artificial Intelligence in medical imaging practice: looking to the future. J Med Radiat Sci, 2019, 66(4): 292-295.
9. Orr RA, Felmet KA, Han Y, et al. Pediatric specialized transport teams are associated with improved outcomes. Pediatrics, 2009, 124(1): 40-48.
10. Edge WE, Kanter RK, Weigle CG, et al. Reduction of morbidity in interhospital transport by specialized pediatric staff. Crit Care Med, 1994, 22(7): 1186-1191.
11. Kanter RK, Boeing NM, Hannan WP, et al. Excess morbidity associated with interhospital transport. Pediatrics, 1992, 90(6): 893-898.
12. Britto J, Nadel S, Maconochie I, et al. Morbidity and severity of illness during interhospital transfer: impact of a specialised paediatric retrieval team. BMJ, 1995, 311(7009): 836-839.
13. Ramnarayan P, Thiru K, Parslow RC, et al. Effect of specialist retrieval teams on outcomes in children admitted to paediatric intensive care units in England and Wales: a retrospective cohort study. Lancet, 2010, 376(9742): 698-704.
14. Tanem J, Triscari D, Chan M, et al. Workforce survey of pediatric interfacility transport systems in the United States. Pediatr Emerg Care, 2016, 32(6): 364-370.
15. Shinozaki RM, Schwingshackl A, Srivastava N, et al. Pediatric interfacility transport effects on mortality and length of stay. World J Pediatr, 2021, 17(4): 400-408.
16. 祝益民, 钱素云. 重症儿童院际三级转诊专家建议. 中华儿科杂志, 2015, 53(8): 573-575.
17. 孔祥永, 封志纯, 李秋平. 新生儿转运工作指南(2017版). 中华实用儿科临床杂志, 2017, 32(20): 1543-1546.
18. Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport: results from a national consensus conference. Pediatrics, 2013, 132(2): 359-366.
19. Lyng J, Adelgais K, Alter R, et al. Recommended essential equipment for basic life support and advanced life support ground ambulances 2020: a joint position statement. Pediatrics, 2021, 147(6): e2021051508.
20. American Academy of Pediatrics, American College of Emergency Physicians, American College of Surgeons Committee on Trauma, et al. Equipment for ground ambulances. Prehosp Emerg Care, 2014, 18(1): 92-97.
21. Holt T, Prodanuk M, Hansen G. Utilizing pediatric scoring systems to predict disposition during interfacility transport. Prehosp Emerg Care, 2019, 23(2): 249-253.

West China Medical Journal

Technical specifications for the construction of 5G ambulance interfacility transport for critically ill children

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