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[高级创伤生命支持(ATLS)在急诊室中的重要性]

[The importance of Advanced Trauma Life Support (ATLS) in the emergency room].

作者信息

Bouillon B, Kanz K G, Lackner C K, Mutschler W, Sturm J

机构信息

Klinik für Unfallchirurgie am Klinikum Köln-Merheim, Lehrstuhl der Universität Witten/Herdecke.

出版信息

Unfallchirurg. 2004 Oct;107(10):844-50. doi: 10.1007/s00113-004-0847-2.

Abstract

INTRODUCTION

There is clinical evidence, that a standardized management of trauma patients in the emergency room improves outcome.

METHODS

The ATLS training course teaches a systematic approach to the trauma patient in the emergency room. The aim is a rapid and accurate assessment of the patient's physiologic status, the treatment according to priorities and the decision making if transfer to a trauma center is necessary. The German Trauma Society has taken over the course concept from the American College of Surgeons (ACS) and is authorized to organize ATLS courses in Germany.

RESULTS

A standardized management in the emergency room helps to prevent secondary injury, to realize timing as a relevant factor in the initial treatment and to assure a high standard of care. The ATLS course provides the participant with knowledge, skills and attitudes and is open to doctors of all specialties involved in the initial management of severely injured patients.

CONCLUSION

ATLS teaches a standardized and established approach to the trauma patient in the emergency room. It has been transferred to 46 countries and the content is reviewed regularly to consider new scientific evidence. Germany has the chance to participate in this international standard of care and to introduce own experiences into the review process.

摘要

引言

临床证据表明,急诊室中对创伤患者进行标准化管理可改善治疗结果。

方法

高级创伤生命支持(ATLS)培训课程教授急诊室中对创伤患者的系统处理方法。目的是快速准确地评估患者的生理状态,根据优先级进行治疗,并决定是否需要转至创伤中心。德国创伤学会采用了美国外科医师学会(ACS)的课程理念,并被授权在德国组织ATLS课程。

结果

急诊室中的标准化管理有助于预防二次损伤,认识到时机是初始治疗中的一个相关因素,并确保高标准的护理。ATLS课程为参与者提供知识、技能和态度,并且对参与严重受伤患者初始管理的所有专科医生开放。

结论

ATLS教授急诊室中对创伤患者的标准化既定处理方法。它已被推广到46个国家,并且定期对内容进行审查以纳入新的科学证据。德国有机会参与这一国际护理标准,并将自身经验引入审查过程。

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