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[Multiple trauma: preclinical needs, transportation, time sequences].

作者信息

Bouillon B, Krämer M, Lechleuthner A, Tiling T

机构信息

II Chirurgischer Lehrstuhl Universität zu Köln.

出版信息

Unfallchirurgie. 1992 Apr;18(2):85-90. doi: 10.1007/BF02588292.

DOI:10.1007/BF02588292
PMID:1580025
Abstract

Compared to the magnitude of the trauma problem few precise data exist on prehospital care of trauma patients. The aim of the study was the collection and careful evaluation of prehospital data on trauma patients concerning time sequences, patients' status and prehospital interventions. From 1. 1. 1987 to 31. 12. 1990 all 49,045 prehospital emergencies in Cologne were prospectively registered. 8792 trauma patients were treated by an emergency physician in the field. 9.5% were severely injured, defined by a trauma score less than or equal to 12. 9.9% of the trauma patients were intubated, 54.9% received an i.v. line, and 20.6% were triaged to a trauma center. Our data form a valid base for analysis of the effectiveness of prehospital trauma care.

摘要

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本文引用的文献

1
[Medical care of the severely injured at the scene of the accident and during transport (Experiences with emergency ambulance service)].[事故现场及转运途中重伤员的医疗救治(紧急救护服务经验)]
Munch Med Wochenschr. 1959 Aug 28;101:1430-7.
2
[First surgical aid at the place of traffic accidents].[交通事故现场的急救]
Hefte Unfallheilkd. 1958;56:9-16.
3
Trauma score.创伤评分
Crit Care Med. 1981 Sep;9(9):672-6. doi: 10.1097/00003246-198109000-00015.
4
The importance of prompt transport of salvage of patients with penetrating heart wounds.及时转运穿透性心脏创伤患者进行抢救的重要性。
J Trauma. 1982 Jun;22(6):443-8. doi: 10.1097/00005373-198206000-00001.
5
Panel: prehospital trauma care--stabilize or scoop and run.小组讨论:院前创伤护理——稳定病情还是快速转运。
J Trauma. 1983 Aug;23(8):708-11.
6
Is ALS necessary for pre-hospital trauma care?
J Trauma. 1984 Jan;24(1):86-7. doi: 10.1097/00005373-198401000-00017.
7
Trauma. Accidental and intentional injuries account for more years of life lost in the U.S. than cancer and heart disease. Among the prescribed remedies are improved preventive efforts, speedier surgery and further research.创伤。在美国,意外和故意伤害导致的寿命损失年数比癌症和心脏病更多。规定的补救措施包括加强预防工作、加快手术速度以及进一步开展研究。
Sci Am. 1983 Aug;249(2):28-35.
8
The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care.损伤严重度评分:一种描述多发伤患者及评估急诊治疗的方法。
J Trauma. 1974 Mar;14(3):187-96.
9
Assessment of coma and impaired consciousness. A practical scale.昏迷与意识障碍评估。实用量表。
Lancet. 1974 Jul 13;2(7872):81-4. doi: 10.1016/s0140-6736(74)91639-0.
10
[Significance of preclinical emergency treatment for the prognosis of patients with severe craniocerebral trauma].[临床前急救治疗对重型颅脑创伤患者预后的意义]
Anasth Intensivther Notfallmed. 1985 Oct;20(5):251-60.