Boesen M P, Larsen C F, Lippert F K, Larsen M S, Röck N D, Lang-Jensen T
H:S Rigshospitalet, HovedOrtoCentret, TraumeCenter.
Ugeskr Laeger. 2001 Oct 22;163(43):5963-6.
The aim of this study was to describe the initial care and management of trauma patients in Denmark.
A questionnaire was sent to all 64 hospitals in Denmark in July 1999. All responded. The questionnaire covered 81 questions.
The number of severely injured patients received by the hospitals was evenly distributed. Nine hospitals received more than 50 severely injured patients/year. Protocols for trauma care were available in 46 hospitals. Monitoring with ECG and pulse oximetry in the emergency room was possible in most hospitals. Most hospitals were also equipped to perform endotracheal intubation, chest tube drainage, surgical airway, and peritoneal lavage. Radiological and clinical laboratory services were available round the clock in most hospitals. Ultrasonography could be performed in 41 and CT in 36 hospitals. Three hospitals did not transfer patients to other facilities. An estimated quarter of the severely traumatised patients are transferred to a hospital with a higher level of trauma treatment.
Many Danish hospitals receive trauma patients. However, a number of hospitals do not have the necessary organisation, clinical capabilities, or resources for trauma care. There is a need for regional and national guidelines for trauma care with recommendations ensuring early recognition of patients who may be sufficiently cared for in the local hospital, and those who require transfer to trauma centres for definitive care.
本研究的目的是描述丹麦创伤患者的初始护理与管理情况。
1999年7月，向丹麦所有64家医院发放了一份调查问卷。所有医院均作出了回应。该问卷涵盖81个问题。
各医院接收的重伤患者数量分布均匀。有9家医院每年接收超过50名重伤患者。46家医院有创伤护理方案。大多数医院在急诊室能够进行心电图和脉搏血氧饱和度监测。大多数医院还具备进行气管插管、胸腔闭式引流、手术气道建立及腹腔灌洗的能力。大多数医院提供全天候的放射学和临床实验室服务。41家医院可进行超声检查，36家医院可进行CT检查。有3家医院不将患者转至其他机构。估计有四分之一的重伤患者被转至创伤治疗水平更高的医院。
许多丹麦医院接收创伤患者。然而，一些医院在创伤护理方面缺乏必要的组织、临床能力或资源。需要制定区域和国家创伤护理指南，并提出相关建议，以确保能尽早识别出可在当地医院得到充分护理的患者，以及那些需要转至创伤中心接受确定性治疗的患者。
