Automated scheduling of emergency procedure based on identification of high-risk patient
First Claim
1. A method for scheduling an emergency procedure, comprising the steps of:
- acquiring an electrocardiogram record for a particular patient, said electrocardiogram record comprising simultaneously acquired 12-1lead electrocardiograms;
sending said electrocardiogram record to a computer;
said computer determining that said particular patient has a high probability of acute coronary syndrome based at least partly on an automated analysis of data in said electrocardiogram record;
said computer automatically routing a communication to an electronic device accessible to a cardiologist on call in response to said determination by said computer that said particular patient has a high probability of acute coronary syndrome, said communication comprising said electrocardiogram record and results of said automated analysis;
after said routing of said communication to said electronic device, said computer receiving a message from said cardiologist having content indicating that said patient should undergo an emergency procedure for treatment of acute coronary syndrome; and
in response to said message from the cardiologist, said computer automatically scheduling said emergency procedure at an emergency coronary treatment facility.
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Accused Products
Abstract
A system and a method for scheduling an emergency procedure in response to detecting that a patient has a high probability of acute myocardial infarction. The system is able to identify patients that are suspected of having acute myocardial infarction (or acute ischemia). The system uses one or more expert software tools or algorithms to analyze received ECG records. Each software tool has logic (e.g., thresholds and/or settings) for automatic routing which is configurable by the customer via a graphical user interface. If any sufficient condition for automatic routing is satisfied, the system routes the data (including the underlying ECG record) and an alert to an electronic device which is accessible by the cardiologist “on call” via a bidirectional pager. If the cardiologist decides that the requested emergency treatment or procedure should be performed, the system accesses the schedules of all associated catheterization labs across multiple hospitals to identify a lab having optimum time-to-treatment. Then the system automatically contacts the selected catheterization lab via a network to schedule the PTCA procedure.
157 Citations
23 Claims
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1. A method for scheduling an emergency procedure, comprising the steps of:
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acquiring an electrocardiogram record for a particular patient, said electrocardiogram record comprising simultaneously acquired 12-1lead electrocardiograms; sending said electrocardiogram record to a computer; said computer determining that said particular patient has a high probability of acute coronary syndrome based at least partly on an automated analysis of data in said electrocardiogram record; said computer automatically routing a communication to an electronic device accessible to a cardiologist on call in response to said determination by said computer that said particular patient has a high probability of acute coronary syndrome, said communication comprising said electrocardiogram record and results of said automated analysis; after said routing of said communication to said electronic device, said computer receiving a message from said cardiologist having content indicating that said patient should undergo an emergency procedure for treatment of acute coronary syndrome; and in response to said message from the cardiologist, said computer automatically scheduling said emergency procedure at an emergency coronary treatment facility. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A system for scheduling an emergency procedure, comprising:
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an instrument for acquiring an electrocardiogram record for a particular patient, said electrocardiogram record comprising simultaneously acquired 12-lead electrocardiograms; an electronic device accessible to a cardiologist on call; a computer located at a site different than the sites where said instrument and said electronic device are located; means for sending said electrocardiogram record from said instrument to said computer via a network; and an emergency coronary treatment facility, wherein said computer is programmed to perform the following steps; determining that said particular patient has a high probability of acute coronary syndrome based at least partly on an automated analysis of data in said electrocardiogram record; routing a communication to said electronic device in response to said determination by said computer that said particular patient has a high probability of acute coronary syndrome, said communication comprising said electrocardiogram record and results of said automated analysis; after said routing of said communication to said electronic device, said computer receiving a message from said cardiologist having content indicating that said patient should undergo an emergency procedure for treatment of acute coronary syndrome; and scheduling said emergency procedure at said emergency coronary treatment facility in response to said message from said cardiologist. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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Specification