Robertson K
University of Prince Edward Island School of Nursing.
Can Nurse. 1999 Apr;95(4):18-22.
Trauma is the leading cause of death in people less than 40 years of age. Blunt or penetrating trauma injuries may be a result of gunshot wounds, stabbings, head injuries,burns, falls or motor vehicle collisions. Unlike other patients entering the health care system, trauma victims have no time for hospital preparation. The physiologic and psychosocial complications resulting directly from the traumatic incident provide response patterns not typical of other patients. Further to this unpredictability, the trauma patient usually sustains multiple system injuries, making it difficult to design critical pathways in care plans. The complexity is heightened by the patient's unique perception of the traumatic event, which can be even more important than the physical injury in determining the ultimate impact of the trauma.
创伤是40岁以下人群的主要死因。钝器伤或穿透伤可能由枪伤、刺伤、头部损伤、烧伤、跌倒或机动车碰撞引起。与其他进入医疗系统的患者不同，创伤受害者没有时间进行住院准备。创伤事件直接导致的生理和心理社会并发症呈现出与其他患者不同的反应模式。除了这种不可预测性之外，创伤患者通常会遭受多系统损伤，这使得在护理计划中设计关键路径变得困难。患者对创伤事件的独特认知进一步加剧了复杂性，在确定创伤的最终影响方面，这种认知可能比身体损伤更为重要。
