Xiao Yan, Kim Young-Ju, Gardner Sharyn D, Faraj Samer, MacKenzie Colin F
Program in Trauma, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA.
J Emerg Med. 2006 Jan;30(1):21-8. doi: 10.1016/j.jemermed.2005.04.014.
The relationship between information and communication technology (ICT) and trauma work coordination has long been recognized. The purpose of the study was to investigate the type and frequency of use of various ICTs to activate and organize trauma teams in level I/II trauma centers. In a cross-sectional survey, questionnaires were mailed to trauma directors and clinicians in 457 trauma centers in the United States. Responses were received from 254 directors and 767 clinicians. Communication with pre-hospital care providers was conducted predominantly via shortwave radio (67.3%). The primary communication methods used to reach trauma surgeons were manual (56.7%) and computerized group page (36.6%). Computerized group page (53.7%) and regular telephone (49.8%) were cited as the most advantageous devices; e-mail (52.3%) and dry erase whiteboard (52.1%) were selected as the least advantageous. Attending surgeons preferred less overhead paging and more cellular phone communication than did emergency medicine physicians and nurses. Cellular phones have become an important part of hospital-field communication. In high-volume trauma centers, there is a need for more accurate methods of communicating with field personnel and among hospital care providers.
信息通信技术（ICT）与创伤救治工作协调之间的关系早已得到认可。本研究的目的是调查各类信息通信技术在一级/二级创伤中心启动和组织创伤团队时的使用类型和频率。在一项横断面调查中，向美国457家创伤中心的创伤主任和临床医生邮寄了问卷。收到了254位主任和767位临床医生的回复。与院前护理人员的沟通主要通过短波无线电进行（67.3%）。联系创伤外科医生的主要沟通方式是人工方式（56.7%）和电脑群发寻呼（36.6%）。电脑群发寻呼（53.7%）和普通电话（49.8%）被认为是最具优势的设备；电子邮件（52.3%）和擦写白板（52.1%）被选为最不具优势的设备。与急诊医学医生和护士相比，主治外科医生更喜欢减少头顶式寻呼，增加手机通信。手机已成为医院与现场通信的重要组成部分。在高流量创伤中心，需要更准确的与现场人员及医院护理人员之间的通信方法。
