Cryer H Gill
Department of Surgery, Section of Trauma and Critical Care, University of California Los Angeles Medical Center, Los Angeles, CA 90095, USA.
J Trauma. 2005 Sep;59(3 Suppl):S104-11; discussion S124-33. doi: 10.1097/01.ta.0000179898.12138.48.
There is clear evidence that trauma-related serious injuries and fatalities can be directly linked to alcohol misuse. Because alcohol is a factor in many motor vehicle crashes (the leading cause of death for persons up to age 49), the National Highway Traffic and Safety Administration has set a high priority on decreasing alcohol-related motor vehicle crash injuries. Research now recognizes that most alcohol-impaired drivers who are injured are binge drinkers, not alcoholics. During the past decade, public health and substance treatment researchers have begun to focus on screening and early intervention in clinical settings as a means of reducing alcohol-related injuries. Trauma centers are uniquely positioned to address this problem because of the high percentage of alcohol-impaired patients admitted after motor vehicle crashes. This article discusses the barriers to implementing alcohol screening and intervention programs in trauma centers from the trauma surgeon's perspective.
有明确证据表明，与创伤相关的重伤和死亡可直接归因于酒精滥用。由于酒精是许多机动车碰撞事故（49岁及以下人群的主要死因）的一个因素，美国国家公路交通安全管理局将减少与酒精相关的机动车碰撞事故伤害作为高度优先事项。现在的研究认识到，大多数受伤的酒精影响下的驾驶者是狂饮者，而非酗酒者。在过去十年中，公共卫生和药物治疗研究人员已开始将临床环境中的筛查和早期干预作为减少与酒精相关伤害的一种手段。由于机动车碰撞事故后入院的酒精影响下的患者比例很高，创伤中心在解决这一问题方面具有独特的优势。本文从创伤外科医生的角度讨论了在创伤中心实施酒精筛查和干预项目的障碍。
