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农村及偏远地区急性神经创伤的管理:一套头部和脊柱损伤护理指南。

The management of acute neurotrauma in rural and remote locations: A set of guidelines for the care of head and spinal injuries.

作者信息

Newcombe R, Merry G

机构信息

Trauma Committee, Neurosurgical Society of Australasia, Australia

出版信息

J Clin Neurosci. 1999 Jan;6(1):85-93. doi: 10.1054/jocn.1997.0188.

DOI:10.1054/jocn.1997.0188
PMID:10833574
Abstract

The Neurosurgical Society of Australasia through its Trauma Committee has a long involvement in the problem of neurotrauma. The management of acute neurotrauma in rural and remote locations is of particular interest and is part of a general policy which includes education, prevention, organization of an integrated neurotrauma system and support for the Early Management of Severe Trauma (EMST) programme instituted by the Royal Australasian College of Surgeons. The management of acute neurotrauma requires a consultative approach especially in the multiple injured patient and where transfer or retrieval is necessary. As acute neurotrauma may present to general practitioners, rural surgeons or emergency departments in country hospitals, a set of guidelines has been developed to assist in the early management of acute neurotrauma. These guidelines have been previously published by the Neurosurgical Society of Australasia and the Royal Australasian College of Surgeons. They have been extensively used since 1992 by rural health and distance education groups, Royal Flying Doctor Service Emergency Management of Severe Trauma Course of the Royal Australasian College of Surgeons and by overseas education programs for neurotrauma care. This revision updates the guidelines and makes them accessible through the Journal. Reprints are available for practitioners in rural and remote settings, trauma course participants and others. Copyright 1999 Harcourt Publishers Ltd.

摘要

澳大利亚神经外科学会通过其创伤委员会长期致力于神经创伤问题。农村和偏远地区急性神经创伤的管理尤其受到关注,并且是一项总体政策的一部分,该政策包括教育、预防、建立综合神经创伤系统以及支持由皇家澳大利亚外科学院发起的严重创伤早期管理(EMST)项目。急性神经创伤的管理需要采用协商方法,尤其是在多发伤患者以及需要转运或救援的情况下。由于急性神经创伤可能出现在全科医生、农村外科医生或乡村医院的急诊科,因此制定了一套指南以协助急性神经创伤的早期管理。这些指南先前已由澳大利亚神经外科学会和皇家澳大利亚外科学院发布。自1992年以来,农村卫生和远程教育团体、皇家澳大利亚外科学院皇家飞行医生服务严重创伤紧急管理课程以及海外神经创伤护理教育项目广泛使用了这些指南。本次修订更新了指南,并使其可通过该期刊获取。农村和偏远地区的从业者、创伤课程参与者及其他人员可获取重印本。版权所有1999年哈考特出版有限公司。

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