| Summary: | 碩士 === 元智大學 === 資訊工程學系 === 98 === This study demonstrates an e-technology to transform a 12-lead ECG instrument, traditionally used in the hospital, into a portable 12-lead ECG instrument in an ambulance. By transmitting ECG reports from an ambulance to the hospital and to the mobile phones of off-site cardiologists, this portable ECG performs pre-hospital ECG diagnoses and ECG tele-consultation. Installed on the mobile phone of an emergency medical technician who works in an ambulance, the ECG listener first receives Extensible Markup Language (XML) based ECG files generated by Philips XML-ECG instrument via wireless local area network. Next, the ECG transmitter, installed on the same phone, sends received ECG files to the ECG processing server in the hospital via mobile telephony network. After the server reduces ECG noises and artifacts, the files are converted into Digital Imaging Communications in Medicine (DICOM) based ECG reports and stored in Picture Archiving and Communication System (PACS). These reports are delivered to the phones of off-site cardiologists. Clinical evaluations indicate the following findings. First, the automatic 12-lead ECG acquisition and transmission via mobile phones can simplify ambulatory 12-lead ECG measurement and transmission. Second, on-site Emergency Department physicians and off-site cardiologists can discuss ECG reports via PACS on their computers or mobile phones to prepare for the most appropriate treatment while the patient is on the way to the hospital. In conclusion, this e-technology enhances the functions of a 12-lead ECG instrument and facilitates effective pre-hospital 12-lead ECG diagnoses.
|
|---|
