{"title":"评估救护车转运过程中的病人运送条件。","authors":"Pedro Vitor Uchima, Sérgio Junichi Idehara","doi":"10.1177/09544119241240908","DOIUrl":null,"url":null,"abstract":"<p><p>Emergency ambulances play a vital role in medical rescue and patient transportation, but their transit can impact patient health due to vehicle dynamic forces and vibrations. This study evaluates patient transport conditions on a stretcher subjected to vertical vibration excitation from road unevenness. Using an eight-degree-of-freedom numerical model, we analyze the construction parameters of a medical stretcher's support and vehicle suspension. Actual experimental data from an emergency vehicle were utilized to assess the vibration conditions experienced by both the stretcher and the ambulance floor. The model is adjusted based on measurements, specifically targeting the main vibration modes. The investigation involves determining temporal responses for vertical accelerations and characterizing vibration modal parameters under various transportation conditions. Notably, several system natural frequencies fall within the range of human body frequencies, making them susceptible to mechanical excitation, particularly in the human neck, abdomen, and spine. A sensitivity analysis underscores the influence of medical stretcher support structure parameters on patient comfort. Increasing support stiffness, which alters the stretcher's natural frequency, and damping coefficient reduce vibration propagation between the vehicle and the patient. Additionally, the research predicts the model's dynamic behavior on roads with low-quality pavement, indicating vibrational amplitudes that could potentially be discomforting and unhealthy for individuals. The study illustrates a vibration exposure period on a class E road, revealing that transportation longer than 25 min may cause damage to patient health.</p>","PeriodicalId":20666,"journal":{"name":"Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine","volume":" ","pages":"508-519"},"PeriodicalIF":1.7000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing patient transport conditions during ambulance transit.\",\"authors\":\"Pedro Vitor Uchima, Sérgio Junichi Idehara\",\"doi\":\"10.1177/09544119241240908\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Emergency ambulances play a vital role in medical rescue and patient transportation, but their transit can impact patient health due to vehicle dynamic forces and vibrations. This study evaluates patient transport conditions on a stretcher subjected to vertical vibration excitation from road unevenness. Using an eight-degree-of-freedom numerical model, we analyze the construction parameters of a medical stretcher's support and vehicle suspension. Actual experimental data from an emergency vehicle were utilized to assess the vibration conditions experienced by both the stretcher and the ambulance floor. The model is adjusted based on measurements, specifically targeting the main vibration modes. The investigation involves determining temporal responses for vertical accelerations and characterizing vibration modal parameters under various transportation conditions. Notably, several system natural frequencies fall within the range of human body frequencies, making them susceptible to mechanical excitation, particularly in the human neck, abdomen, and spine. A sensitivity analysis underscores the influence of medical stretcher support structure parameters on patient comfort. Increasing support stiffness, which alters the stretcher's natural frequency, and damping coefficient reduce vibration propagation between the vehicle and the patient. Additionally, the research predicts the model's dynamic behavior on roads with low-quality pavement, indicating vibrational amplitudes that could potentially be discomforting and unhealthy for individuals. The study illustrates a vibration exposure period on a class E road, revealing that transportation longer than 25 min may cause damage to patient health.</p>\",\"PeriodicalId\":20666,\"journal\":{\"name\":\"Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine\",\"volume\":\" \",\"pages\":\"508-519\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.1177/09544119241240908\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/4/1 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1177/09544119241240908","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/1 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0
摘要
急救车在医疗救援和运送病人方面发挥着重要作用,但其运输过程中的车辆动态力和振动可能会影响病人的健康。本研究评估了担架在路面不平引起的垂直振动激励下运送病人的条件。我们使用八自由度数值模型,分析了医用担架的支撑和车辆悬架的结构参数。我们利用一辆急救车的实际实验数据来评估担架和救护车地板所经历的振动情况。根据测量结果对模型进行了调整,特别是针对主要的振动模式。调查包括确定垂直加速度的时间响应,以及描述各种运输条件下的振动模式参数。值得注意的是,几个系统的自然频率在人体频率范围内,因此容易受到机械激励,尤其是在人体颈部、腹部和脊柱。敏感性分析强调了医用担架支撑结构参数对病人舒适度的影响。增加支撑刚度(可改变担架的固有频率)和阻尼系数可减少车辆和病人之间的振动传播。此外,研究还预测了模型在劣质路面上的动态行为,指出了可能会使个人感到不适和不健康的振动幅度。研究说明了在 E 级道路上的振动暴露期,揭示了超过 25 分钟的运输可能会对患者的健康造成损害。
Assessing patient transport conditions during ambulance transit.
Emergency ambulances play a vital role in medical rescue and patient transportation, but their transit can impact patient health due to vehicle dynamic forces and vibrations. This study evaluates patient transport conditions on a stretcher subjected to vertical vibration excitation from road unevenness. Using an eight-degree-of-freedom numerical model, we analyze the construction parameters of a medical stretcher's support and vehicle suspension. Actual experimental data from an emergency vehicle were utilized to assess the vibration conditions experienced by both the stretcher and the ambulance floor. The model is adjusted based on measurements, specifically targeting the main vibration modes. The investigation involves determining temporal responses for vertical accelerations and characterizing vibration modal parameters under various transportation conditions. Notably, several system natural frequencies fall within the range of human body frequencies, making them susceptible to mechanical excitation, particularly in the human neck, abdomen, and spine. A sensitivity analysis underscores the influence of medical stretcher support structure parameters on patient comfort. Increasing support stiffness, which alters the stretcher's natural frequency, and damping coefficient reduce vibration propagation between the vehicle and the patient. Additionally, the research predicts the model's dynamic behavior on roads with low-quality pavement, indicating vibrational amplitudes that could potentially be discomforting and unhealthy for individuals. The study illustrates a vibration exposure period on a class E road, revealing that transportation longer than 25 min may cause damage to patient health.
期刊介绍:
The Journal of Engineering in Medicine is an interdisciplinary journal encompassing all aspects of engineering in medicine. The Journal is a vital tool for maintaining an understanding of the newest techniques and research in medical engineering.