SHAW E B, THELANDER H E
Calif Med. 1952 Jul;77(1):32-3.
Medical skills should be developed by the staffs of smaller hospitals for the differential study of patients with symptoms resembling those of poliomyelitis in order to provide the rudiments of care for the occasional patient with mild poliomyelitis, to recognize the indications which point to the necessity of superior technical assistance, and to decide when it is appropriate to move patients to better equipped centers. The impetuous acquisition of mechanical aids for the treatment of special problems will be effective in small communities only to the extent that this equipment is kept serviceable and is operated by persons of sufficient skill. Epidemic situations in a small community can be met only by mobilization of facilities under adequate direction and by integration of care with that provided by larger treatment centers.
小型医院的工作人员应提高医疗技能，以便对症状类似小儿麻痹症的患者进行鉴别研究，从而为偶尔出现的轻度小儿麻痹症患者提供基本护理，识别表明需要上级技术援助的迹象，并决定何时将患者转至设备更完善的中心。只有在设备保持可用且由具备足够技能的人员操作的情况下，匆忙购置用于治疗特殊问题的机械设备才会在小社区中发挥作用。小社区应对疫情的唯一办法是在充分指导下调动各种设施，并将护理与大型治疗中心提供的护理相结合。
