JPH0338855B2 - - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to an intensive burn treatment facility that concentrates and systematically and efficiently treats inpatients with severe burns.

[Conventional technology]

The survival rate for severe burn injuries is low, and according to data, there are no intensive care facilities for severe burns in Japan, despite the fact that over 3,000 people die each year. In Japan, patients with extensive burns are housed in tertiary emergency facilities in the same way as trauma and other emergency patients. Once patients with extensive burns are hospitalized, it can take several months before they can be discharged, so burn patients occupy beds in emergency facilities for long periods of time, hindering the treatment of non-burn emergency patients.
Once burn patients have passed the acute stage, specialized skills and knowledge are required to treat them, and not all emergency facilities have specialists in burn treatment, so appropriate and consistent treatment is not always provided. The current situation is that there is no such thing.

[Problem that the invention seeks to solve]

The purpose of this invention is to address the current inconsistency in medical technology and facilities that occurs when severe burn patients are admitted to emergency facilities, and to solve the problem of inconsistencies in medical technology and facilities that occur when severe burn patients are admitted to emergency facilities. To provide an intensive burn treatment facility that eliminates the drawbacks of efficiency and effectively treats hospitalized patients with severe burns through specialized treatment and in an environment suitable for the patients.

The current mainstream treatment for burns is closed therapy, which involves applying a bandage or gauze to the affected area to prevent microbial infection, but it has the drawback of causing pain to the patient when changing the bandage. On the other hand, open therapy, in which the burn area is exposed to air and dried, facilitates skin regeneration, but requires a sterile room and technology to control temperature and humidity to prevent infection. Specialized treatment requires more than a doctor's medical skills alone. In order to support medical technology, we must not only ensure temperature and humidity conditions suitable for each patient and a sterile space, but also provide support for patients with infectious diseases who already have an infectious disease such as hepatitis or an infectious disease and who have suffered burns. Equipment is needed to control and ensure air flow within facilities housing severely burned patients in order to isolate them and prevent infection between patients.

[Means for solving problems]

This invention aims to efficiently treat a large number of severe burn patients with a small number of doctors specializing in burns, by placing multiple beds in a hospital room and surrounding each bed with movable partitions that can be seen through. , a critical care room equipped with an air conditioner with a sterilization filter that regulates the temperature, humidity, cleanliness, and positive/negative pressure in the partitioned space, which accommodates patients with severe burns and infections. Airtightly enclosed with fixed partitions,
An infectious disease room equipped with an air conditioner with a sterilization filter to maintain indoor temperature, humidity, and cleanliness, and an exhaust fan to maintain a negative pressure inside the room relative to the outside; The hydrotherapy room is equipped with an air conditioner with a sterilization filter to maintain temperature, humidity, and cleanliness, and an exhaust fan to maintain a negative pressure inside the room relative to the outside, and is surrounded by airtight fixed partitions. , a sterile room equipped with an air conditioner with a sterilization filter to maintain indoor temperature, humidity, and cleanliness, and an operating room. Corridors and nursing centers that are cleaned with air blown through sterilization filters, toilets and waste rooms that are arranged to maintain indoor cleanliness using surplus air from rooms other than infectious disease rooms.
In addition to maintaining positive pressure in the equipment room, recording room, and duty room, and supplying fresh air to residents,
In order to ensure the cleanliness, temperature and humidity of the nursing center, an air conditioning machine room is installed with an air conditioner that supplies outside air whose temperature and humidity have been adjusted in advance, and an exhaust fan that discharges excess air from each room that does not have an exhaust fan. According to the present invention, where cleanliness is not controlled, an aerodynamic chamber is organically arranged and configured at the entrance to the facility from outside the facility to maintain the cleanliness of the facility.

〔Example〕

Figure 1 shows one of the burn intensive care facilities according to this invention.
A plan view of an example is shown. The solid line arrow indicates the flow of excess clean air, the dashed line arrow indicates the flow of exhaust air, the double-dashed line arrow indicates the flow of fresh air, and the area between the two parallel solid lines indicates the wind guide.

In the critical care room 1 that accommodates patients with severe burns, beds are separated by multiple transparent movable partitions 2, and the temperature, humidity, cleanliness, and positive/negative relative to the outside of each space are arranged. It is equipped with an air conditioner 17 with a sterilization filter (HEPA filter) that adjusts the pressure.

Positive pressure is maintained inside the critical care room 1 and outside the partition 2.

The infectious disease room 3, which accommodates severe burn patients with infectious diseases, is airtightly surrounded by fixed partitions, and is further divided by transparent movable partitions 2, with ventilation and ventilation to maintain the temperature, humidity, and cleanliness of the room. It is equipped with an air conditioner 17 with a germ filter, an air suction port 18 and an exhaust fan 19 for maintaining a negative pressure inside the room relative to the outside. A simple toilet bowl 24 is provided.

The treatment room 4 where water therapy is performed is surrounded by a fixed partition with high airtightness, and an air conditioner 17 with a sterilization filter is used to maintain the temperature, humidity, and cleanliness of the room, and the room is also kept at a negative pressure relative to the outside. Air intake port 1
8 and an exhaust fan 19.

A sterile room 7 is provided to accommodate patients who are more seriously ill than those in the critical care room, and is surrounded by a fixed partition with high airtightness.It is equipped with an air conditioner 17 equipped with a sterilization filter to maintain the temperature, humidity, and cleanliness of the room. is maintained at positive pressure.

The operating room 14 is surrounded by a fixed partition with high airtightness, and is equipped with an air conditioner 17 equipped with a sterilization filter to maintain the temperature, humidity, and cleanliness of the room.

The nurse center 10 and the hallway 11 are supplied with air whose temperature and humidity have been adjusted in advance, and are purified by the air blown out from the sterile air outlet 20 through a provided sterilization filter.

Sewage treatment room 5, toilet 6, record room 8, duty room 9,
In the equipment room 12, surplus air from the cleaned rooms other than the infectious disease room 3 is guided to each room as shown by the arrow and exhausted by an exhaust fan 19 through an air intake port 18 attached to each room. This maintains the cleanliness of the room.

The air conditioning machine room 23 maintains positive pressure in each room and supplies fresh air to the residents, as well as the nurse center 10,
In order to ensure the cleanliness, temperature and humidity of the hallway 11, an air conditioner 21 with a sterilizing filter supplies outside air whose temperature and humidity have been adjusted in advance, and an exhaust fan 19 that exhausts excess air from each room that is not equipped with an exhaust fan. Install.

An airlock room 13 that maintains the cleanliness of the facility is located adjacent to the entrance 15 from outside the facility whose cleanliness is not controlled, and an aerospace room 2 is located adjacent to the emergency exit 26.
5 to maintain negative pressure in all cases to prevent infection outside the facility.

FIG. 2 shows a sectional view taken along the - arrow in FIG. 1.

The air conditioner 17 with a sterilization filter includes a casing 31, a blower 32, a sterilization filter (HEPA filter) 33, a side flow outlet 34, and a vertical flow outlet 3.
5 Suction port 36, fresh air intake port 37, anti-vibration rubber 3
8, sound deadening material 39, cold water coil 40, hot water coil 41, far infrared heater 42, drain pan 43,
It consists of an air volume adjustment damper 44.

It is characterized by adding a far-infrared heater 42 to the conventional one.

Temperature and humidity of patient accommodation space for treatment of burn patients;
In addition to adjusting the degree of cleanliness and positive pressure, by operating the far-infrared heater 42, it is possible to warm the patient with radiant heat without increasing the air temperature in the patient accommodation space.

Patients with severe burns have a compromised body temperature maintenance function, so it is necessary to warm the patient during treatment, but there are limits to methods of heating the atmosphere due to factors such as the patient's respiratory function.

By employing the far-infrared heater 42, it is possible to heat the patient from the core according to the patient's symptoms.

With reference to FIG. 1, the functions of the burn intensive care facility will be described assuming that a severe burn patient is brought into the burn intensive care facility.

Since it is unknown whether or not the severe burn patient has an infectious disease, the patient is brought in through the emergency exit 26, the room is made negative pressure in the treatment room 4, the patient is treated, and the patient is admitted to the infectious disease room 3 to determine the presence or absence of an infectious disease. . If it is determined that the patient does not have an infectious disease, the patient will be transferred to critical care room 1 and admitted there.

During this time, even if a severely burned patient brought in has an infectious disease, the excess clean air flow within the burn intensive care facility will not spread the infection to other hospital rooms. Patients admitted to the critical care room 1 and the sterile room 7 pass through the hallway 11 and use the toilet 6, but excess clean air flows in the direction of the toilet 6 and the waste treatment room 5. Since the air is exhausted from the toilet 5, the cleanliness inside the toilet 6 is as high as that of the corridor 11, and the risk of infection to patients walking outside the hospital room is low.

Doctors and nurses use the entrance/exit 15 and go through the aerospace room 13 to perform medical care, but they must proceed in the upstream direction of the flow of excess clean air, so even if harmful bacteria are brought in from outside the center, Bacteria are not transported to the hospital room. In addition, since the patient room is located away from the air room 3, the entrance 15
Doctors and nurses entering the room can be sterilized within the airlock room 3 or before they leave the airlock room 3 and go to the patient's room.

The critical care room 1 is a large room that can accommodate a plurality of patients, and each patient's bed is individually surrounded by a curtain-like movable partition 2 made of soft transparent plastic film. The temperature, humidity, and cleanliness of the enclosed space are adjusted by an air conditioner 17 with a sterilization filter and a temperature controller 22 in accordance with the treatment conditions of the patient in the hospital bed. Doctors and nurses who perform medical treatment can observe the condition of the patient from the outside through the movable partition 2, and since there is no need to open the partition unnecessarily, the patient's treatment environment is less likely to be disturbed. Furthermore, since a plurality of patients are housed in one room, doctors and nurses can efficiently patrol the patients.

The fact that the hospital bed partition is movable means that if the movable partition 2 of the unused hospital bed is stored in one corner like a curtain, the space for doctors and nurses to perform treatment will be expanded, and treatment efficiency will be increased, as well as patient transport, It is also convenient when transporting.

〔Effect of the invention〕

According to this invention, in a burn intensive care facility, it is possible to prevent infection between patients within the facility and from doctors and nurses to patients,
Additionally, a small number of doctors and nurses can efficiently treat a large number of severely burnt patients in an environment that suits the treatment conditions of the patients.

[Brief explanation of the drawing]

Figure 1 shows one of the burn intensive care facilities according to this invention.
A plan view of the embodiment, FIG. 2 shows a sectional view taken along the - arrow in FIG. 1... Critical care room, 2... Movable partition, 3... Infectious disease room, 4... Treatment room, 5... Sewage treatment room, 6...
Toilet, 7...sterile room, 8...recording room, 9...duty room, 10...nursing center, 11...corridor, 12
...Equipment room, 13...Aerial room, 14...Operating room, 15...Entrance/exit, 16...Blower device with sterilization filter, 17...Air conditioner with sterilization filter,
18...Air suction port, 19...Exhaust fan, 20...
Sterile air outlet, 21... Air conditioner, 23...
Air conditioning machine room, 25...Aerodynamic room, 26...Emergency exit, 31...Casing, 32...Blower, 3
3... Sterilization filter, 34... Side flow outlet, 35
... Vertical flow outlet, 36 ... Suction port, 37 ... Fresh air intake port, 38 ... Vibration-proof rubber, 39 ... Sound deadening material, 40 ... Cold water coil, 41 ... Hot water coil, 42 ... ...far infrared heater, 43...drain pan, 44...air volume adjustment damper.

Claims (1)

[Scope of Claims] 1. In a burn intensive care facility of a hospital, multiple beds are placed in one patient room, each of which is surrounded by partitions, and the temperature, humidity, cleanliness, and positive/negative relative to the outside of the enclosure are controlled. A critical care room equipped with an air conditioner with a sterilizing filter to adjust the pressure and a far-infrared heater, and a room that accommodates severe burn patients with infectious diseases and is airtightly enclosed with partitions to maintain the temperature, humidity, and cleanliness of the room. The infectious disease room is equipped with an air conditioner with a sterilizing filter, an exhaust fan to maintain a negative pressure inside the room relative to the outside, and a far-infrared heater. A hydrotherapy room is equipped with an air conditioner equipped with a sterilizing filter, an exhaust fan, and a far-infrared heater to maintain a negative pressure inside the room compared to the outside. The sterile room and operating room are equipped with an air conditioner with a sterilizing filter and a far-infrared heater to maintain the temperature, and each room is connected to receive air whose temperature and humidity have been adjusted in advance, and the air is blown through a sterilizing filter. The hallways and nursing center are cleaned by the air released from the hospital, and the toilets, filth room, equipment room, record room, and toilets are arranged to maintain the cleanliness of the rooms with surplus air from rooms other than the infectious disease room. A burn intensive care facility characterized by comprising a room such as a duty room, and an airlock room that is installed in the hospital in a continuous manner with an entrance of the hospital and allows surplus clean air to flow toward the entrance.