Acute care treatment systems dashboard

Patent metadata

Field	Value
Publication number	US-11826181-B2
Application number	US-202016947554-A
Country	US
Kind code	B2
Filing date	Aug 6, 2020
Priority date	Nov 11, 2010
Publication date	Nov 28, 2023
Grant date	Nov 28, 2023

Abstract

A system for clinical decision support for a caregiver during a clinical encounter involving respiratory distress includes a defibrillator-patient monitor including sensors configured to gather patient physiological data, a user interface device, a memory, and a processor communicatively coupled to the defibrillator-patient monitor, the memory, and the user interface device and configured to control the user interface device to display diagnosis and treatment pathways (DTPs) including a respiratory distress DTP, receive a user selection of the respiratory distress DTP, control the user interface device to provide at least a portion of the physiological data in response to the user selection of the respiratory distress DTP, provide a suggested respiratory distress diagnosis at the user interface device based on the physiological data and the user selection of the respiratory distress DTP, and provide a respiratory distress treatment protocol at the user interface device based on the suggested respiratory distress diagnosis.

First claim

What is claimed is:

1. A system for clinical decision support for a caregiver during a clinical encounter involving respiratory distress, the system comprising:
a defibrillator-patient monitor comprising one or more sensors configured to gather physiological data from a patient;
at least one user interface device;
a memory; and
a processor communicatively coupled to the defibrillator-patient monitor, the memory, and the at least one user interface device, the processor configured to:
control the at least one user interface device to display a plurality of diagnosis and treatment pathways (DTPs) comprising a respiratory distress DTP,
receive a user selection of respiratory distress DTP;
control the at least one user interface device to provide at least a portion of the physiological data in response to the user selection of the respiratory distress DTP, wherein the at least a portion of the physiological data comprises capnography data,
determine one or more capnography waveform measurements from the capnography data,
control the at least one user interface device to provide the one or more capnography waveform measurements for the caregiver, wherein the one or more capnography waveform measurements comprise one of more of: dead space volume, a phase II slope, and a phase III slope,
provide at least one suggested respiratory distress diagnosis at the at least one user interface device based on the physiological data and the user selection of the respiratory distress DTP, and
provide a respiratory distress treatment protocol at the at least one user interface device based on the at least one suggested respiratory distress diagnosis.

2. The system of claim 1 , wherein the processor is configured to provide the respiratory distress treatment protocol in response to a user confirmation of the at least one suggested respiratory distress diagnosis.

3. The system of claim 1 , wherein the processor is configured to monitor a physiological signal indicative of an effect of the respiratory distress treatment protocol on the patient.

4. The system of claim 3 , wherein the processor is configured to generate a visual and/or audio indication of the physiological signal reaching or approaching a predetermined numerical limit.

5. The system of claim 3 , wherein the processor is configured to:
provide an analysis at the at least one user interface device that indicates whether a patient condition is improving in response to the respiratory distress treatment protocol, and
request a confirmation of the analysis from the caregiver.

6. The system of claim 5 , wherein the processor is configured to provide caregiver input additional steps in the respiratory distress treatment protocol based on the confirmation of the analysis.

7. The system of claim 1 , wherein the processor is configured to provide a probability associated with the at least one suggested respiratory distress diagnosis.

8. The system of claim 1 , wherein the respiratory distress DTP is a customized DTP specific to one or more of the caregiver, the patient, a geography, and a regulation.

9. The system of claim 8 , wherein the processor is configured upload and/or download the customized DTP.

10. The system of claim 1 , wherein the processor is configured to provide the respiratory distress treatment protocol based on a treatment outcome probability.

11. The system of claim 1 , wherein the processor is configured to automatically narrow a differential diagnosis to provide the at least one suggested respiratory distress diagnosis.

12. The system of claim 1 , wherein the processor is configured to:
receive caregiver input comprising one or more of health history information and examination findings for the patient, and
provide the at least one suggested respiratory distress diagnosis based on the one or more of the health history information and the examination findings.

13. The system of claim 12 , wherein the processor is configured to provide one or more of the health history information and the examination findings with the physiological data at the at least one user interface device.

14. The system of claim 1 , wherein the at least one user interface device is remotely located from the defibrillator-patient monitor.

15. The system of claim 1 , wherein the at least one user interface device is a display on the defibrillator-patient monitor.

16. The system of claim 1 , wherein the at least one user interface device comprises one or more of a mobile device display, a heads-up display, an earbud, an audio receiver and/or transmitter, a video device, a touchscreen, and a camera.

17. The system of claim 1 , wherein the at least one user interface device is communicatively coupled to the defibrillator-patient monitor via a Bluetooth® connection.

18. The system of claim 1 , wherein the at least one user interface device is communicatively coupled to the defibrillator-patient monitor via a wired and/or wireless coupling.

19. The system of claim 1 , wherein the at least one user interface device comprises a touchscreen and the processor is configured to determine the one or more capnography waveform measurements in response to user touch input to the touchscreen.

20. The system of claim 1 , wherein the processor is configured to provide the at least one suggested respiratory distress diagnosis based on the one or more capnography waveform measurements.

21. The system of claim 1 , wherein the processor is configured to:
select the at least one suggested respiratory distress diagnosis from a COPD diagnosis and an asthma diagnosis based on the physiological data.

22. The system of claim 21 , wherein the processor is configured to provide the respiratory distress treatment protocol corresponding to the selection of the at least one suggested respiratory distress diagnosis from the COPD diagnosis or the asthma diagnosis.

23. The system of claim 1 , wherein the physiological data comprises heart sounds.

24. The system of claim 23 , wherein the at least one suggested respiratory distress diagnosis comprises one of asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and pulmonary edema.

25. The system of claim 1 , wherein the physiological data comprises breath sound data and the processor is configured to:
employ an algorithm to detect wheezing, crackles, rale, or stridor based on the breath sound data, and
provide the at least one suggested respiratory distress diagnosis based on the detection by the algorithm.

26. The system of claim 1 , wherein the at least a portion of the physiological data comprises one or more of volumetric CO2 data or volumetric O2 data.

27. The system of claim 1 , wherein the at least a portion of the physiological data comprises respiration rate data.

Assignees

• Zoll Medical Corp

Inventors

• Freeman Gary A
• Johnson Guy R

Classifications

• A61B5/7475 Primary

  User input or interface means, e.g. keyboard, pointing device, joystick · CPC title

• A61B5/0002

  Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network (endoradiosondes A61B5/07) · CPC title

• A61B5/0205

  Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition · CPC title

• A61B5/318

  Heart-related electrical modalities, e.g. electrocardiography [ECG] · CPC title

• A61B5/742 Primary

  using visual displays (displays for heart-related electrical signals, e.g. ECG, A61B5/339) · CPC title