关键词: 交通伤, 医警协同, 信息交互, 云平台, 急救护理

Abstract:

Objective To construct a regional collaborative cloud-based treatment model treatment model for patients with severe road traffic injuries，and to preliminarily evaluate the differences in nursing timeliness indicators and outcomes. Methods The regional collaborative cloud-based treatment platform includes 4 ports，including public security traffic police，pre-hospital emergency center，regional trauma center triage，and regional trauma center resuscitation unit. This forms a standardized real-time interactive treatment process between regional medical services and police for patients with severe road traffic injuries. Using a concurrent control study design，241 patients with severe road traffic injuries admitted to the emergency department of a regional trauma center in Zhejiang Province from May 2022 to May 2024 were selected as the study subjects. Among them，120 patients treated with the regional real-time collaborative cloud-based treatment model were designated as an experimental group，while 121 patients treated with the original trauma care process were designated as a control group. The differences in timeliness indicators and outcomes between the 2 groups were compared. Results The study included 241 patients with severe trauma. After the application of the regional collaborative cloud-based treatment model，the time from the scene of the accident to the hospital，the proportion of information early warning，completion time of pre-examination and triage，waiting time of the trauma team，the time of the first CT，the length of multidisciplinary consultation，and the time for completing hospitalization procedures in the experimental group were shorter than those in the control group（P<0.05），the proportion of information early warning in the experimental group was 100%（120/120），and the proportion of information early warning in the control group was 52.1%（63/121）. The difference between the two groups was statistically significant（P<0.001）. The survival rate of the experimental group was 90.8%（109/120），and that of the control group was 86.0%（104/121）. There was no significant difference between the two groups（ χ²=1.399，P=0.237）. Conclusion The regional collaborative cloud-based treatment model improves the timeliness and standardization of the treatment of patients with severe road traffic injury，which has certain reference significance and promotion value.

Key words: Traffic Injury, Medical-Police Collaboration, Information Interaction, Cloud Platform, Emergency Nursing