Eiseman Ben, Chandler James G
Department of Surgery, University of Colorado Health Sciences Center, 4200 East Ninth Avenue, Denver, CO 80262, USA.
J Trauma. 2006 Jan;60(1):237-9. doi: 10.1097/01.ta.0000197856.83234.e1.
The military medical services need demand-based strategies to ensure the best possible care of the injured in combat and natural disasters without compromising peacetime health care commitments at home and abroad.
A review of steps that have already been taken suggests that they are being used to their fullest extent commensurate with the public will. In fact, the situation has driven preliminary exploration of a special health care personnel draft. We believe the answer lies not in expanding the full-time, active duty US medical and nursing corps, but rather in tapping identifiable reservoirs of trained trauma care physicians, nurses, and allied health care workers in the United States and elsewhere.
A rudimentary analysis suggests the most promising novel considerations are: developing special, trauma-trained reserve units within the US civilian trauma care community; seeking temporary attachments of an allied country's military medical officers, or a complete medical battalion; and contracting with US and foreign trauma surgeons, nurses and allied health personnel through a medical private military firm, analogous to those that have provided food, housing, transportation, and special combat units in support of our major military campaigns and peacekeeping operations.
These considerations have important pros and cons that deserve in-depth evaluation by the best military and civilian trauma/critical care and organizational minds within a structured organization committed to the needs of military medicine. We believe that a Military Medical Think Tank within the Uniformed Services University's postgraduate division should be that organization.
军事医疗服务需要基于需求的战略，以确保在不影响国内外和平时期医疗保健承诺的前提下，为战斗和自然灾害中的伤员提供尽可能最佳的护理。
对已采取的措施进行审查表明，这些措施正在根据公众意愿得到充分利用。事实上，这种情况促使对特殊医护人员征召进行了初步探索。我们认为答案不在于扩大美国全职现役医疗和护理部队，而在于挖掘美国及其他地区经过培训的创伤护理医生、护士和相关医护人员的可识别储备资源。
初步分析表明，最有前景的新设想包括：在美国民用创伤护理社区内组建经过创伤培训的特殊后备部队；寻求盟国军事医务人员或一个完整医疗营的临时借调；通过一家军事医疗私营公司与美国及外国创伤外科医生、护士和相关医护人员签约，类似于那些为我们的主要军事行动和维和行动提供食品、住房、运输和特种作战部队的公司。
这些设想有重要的利弊，值得致力于军事医学需求的结构化组织内最优秀的军事和民用创伤/重症护理及组织专家进行深入评估。我们认为，美国军医大学研究生部内的军事医学智囊团应是这样一个组织。
