Editor's note:
In response to the Belt and Road Initiative, and with the aim of sharing expertise and addressing shared health challenges, our hospital has launched the Overseas Promotion Program for New Medical Technologies. If you are interested in any of the medical technologies covered under this program, please feel free to contact the International Cooperation Office at faowch@163.com.
Integrated Shock Visualized, Intelligent Monitoring, Diagnostics and Therapeutics Decision-Making, and Training System
1. Overview
Shock represents a critical condition in critical care medicine, characterized by high mortality and complex clinical decision-making that demands real-time physician judgment and multimodal data integration. This project addresses core challenges in shock management by establishing an integrated system unifying "visualized monitoring, intelligent decision-making, and capability training." Utilizing critical care ultrasound as the primary visualization tool, the system synthesizes multidimensional clinical data—including patient demographics, vital signs, and examination results—to establish the OPACCUS standardized pathway based on the "Etiology-Host/Organ Unregulated Response-Hemodynamic Disorder". Guided by expert mindset chain, the pathway integrates dynamic image acquisition with artificial intelligence analysis, creating a closed-loop management process from monitoring and identification through intelligent analysis to assisted decision-making. The system further incorporates multi-organ AI dynamic image interpretation models, the NASPAS structured shock management platform, and a three-dimensional simulation manikin training system, achieving deep integration of clinical practice and education. It has undergone multi-center clinical validation, demonstrating substantial practicality and a solid foundation for dissemination.
2. Clinical Application
Deployed in over 30 hospitals across China, including West China Hospital, Sichuan University, the system standardizes shock management through its informationized platform, significantly enhancing treatment efficiency and quality. A multicenter real-world study (ChiCTR2200061952) demonstrated a significant reduction in shock patient mortality from 36.82% with conventional therapeutics to 21.05%. Through early warning, precise intervention, and pathway management, the system effectively shortens decision-making time, reduces hospitalization costs by approximately 10%, and conserves 10%-20% of medical resources. The integrated training system, leveraging real clinical cases and AI feedback mechanisms, trains over 6,000 medical personnel totally, substantially improving shock resuscitation capabilities and management homogeneity in primary hospitals while facilitating the dissemination of high-quality medical resources.
3. Innovations
1) Diagnostic Pathway: The pioneering OPACCUS Standardized Shock Management Pathway, based on visualized information and expert experience, systematically integrates etiology identification, host/organ unregulated response assessment, and hemodynamic management, overcoming limitations of traditional data-fragmented and dogmatic approaches.
2) Technological Integration: Establishing ultrasound-visualized hemodynamic and multi-organ AI dynamic image interpretation models enables simultaneous intelligent analysis of "Structure & Blood Flow & Function." Completed training on over 30,000 image cases and development of multiple automatic recognition models significantly enhance interpretation accuracy and efficiency.
3) System Integration: Developing a visualization-based multi-modal auxiliary decision system integrated with the NASPAS management platform combines AI interpretation, pathway guidance, and structured case management, providing standardized and intelligent support throughout the clinical workflow.
4) Educational Model: Constructing a tripartite training system - "Simulator Platform & Ultrasound Teaching Equipment & AI Case Database", deeply integrates standardized pathways with virtual-real clinical situations, achieving synchronous advancement of clinical behavior guidance and teaching.
4. Promotion Value
This project demonstrates significant clinical, social, and economic value. Clinically, it enhances shock rescue success, reduces mortality and costs, and improves hospital critical care capabilities through integrated pathway-driven, informationized, and intelligent solutions. Socially, it extends high-quality resources to primary care, strengthens medical consortium development and personnel training, and promotes nationwide standardization of shock management. Economically, the system features a clear business model targeting hospitals and research institutions, generating sustainable revenue through software licensing, technical services, and training cooperation. Projected to cover more tertiary hospitals in China within 3 years with gradual international expansion, the project aligns with national intelligent healthcare and critical care development policies, possessing broad industrialization prospects and social impacts.
