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Simulation of emergency care for patients with ACS in Saint Petersburg for ambulance decision making

机译：圣彼得堡ACS患者急救护理决策模拟

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One of the stages of emergency medical care in case of Acute Coronary Syndrome (ACS) (if there are medical conditions for surgical intervention) is directly linked to the time between the first contact with the patient and the and inflating the balloon in the coronary artery (in a medical institution). Time of the operation start a medical facility depends on the time of patient delivery to hospital, as well as on the waiting time in the queue in the institution. This paper describes a development of ambulance model for obtaining aggregate estimation of these two periods of time. The estimation time is obtained by means of described in the article the decision support system (DSS) in the ambulance service. Unlike modern navigation systems DSS takes into account ambulance vehicle behavior (the ability to exit into oncoming traffic) and availability of free operation rooms. With the help of the described simulation model of the ambulance service we carried out the time distribution analysis (between the first contact with the patient and surgical intervention in case of ACS) in St. Petersburg, Russia. Simulation scenario uses real data on the work of ambulance service in the city.
机译：急性冠状动脉综合征（ACS）情况下的紧急医疗护理阶段（如果存在手术干预的医疗条件）直接与首次与患者接触到与冠状动脉球囊充气之间的时间有关。 （在医疗机构中）。手术开始的时间取决于医疗机构将病人送往医院的时间，以及机构排队等候的时间。本文介绍了用于获得这两个时间段的合计估计值的救护车模型的开发。估计时间是通过本文中描述的救护车服务中的决策支持系统（DSS）获得的。与现代导航系统不同，DSS考虑了救护车的车辆行为（驶入迎面而来的交通的能力）和免费手术室的可用性。借助所描述的救护车服务仿真模型，我们在俄罗斯圣彼得堡进行了时间分布分析（在首次与患者接触和进行ACS手术之间）。模拟场景使用有关城市中救护车服务工作的真实数据。

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