Goosen Jacques, Morris Peter, Kobusingye Olive, Mock Charles
Johannesburg Hospital, Johannesburg, South Africa.
World J Surg. 2006 Jun;30(6):940-5. doi: 10.1007/s00268-005-0767-5.
The publication Guidelines for Essential Trauma Care offers an opportunity to improve trauma care services in an affordable and sustainable fashion, primarily through improved organization and planning. The publication will be useful, however, only if it actually catalyzes improvements in trauma care in health care facilities in individual countries, especially those low- and middle-income countries with the greatest needs. There is much that can be done to make this happen on the part of the partners that created these recommendations, including IATSIC (International Association for Trauma Surgery and Intensive Care); ISS-SIC (International Society of Surgery-Société Internationale de Chirurgie); and WHO (World Health Organization). This includes such activities as organizing multi-sectoral stakeholders' meetings to adapt the Essential Trauma Care (EsTC) criteria to local needs; conducting trauma care needs assessments to identify priorities for low-cost improvements; having surgical colleges and societies throughout the world endorse the Guidelines; lobbying ministries of health to incorporate the EsTC recommendations into health policy; and seeking to integrate the EsTC recommendations into the 2-year action plans of WHO country offices. In all of these activities, surgeons and others who care for the injured can play a pivotal role, especially working collaboratively with their own ministries of health and WHO country offices.
《基本创伤护理出版指南》提供了一个机会,主要通过改善组织和规划,以经济实惠且可持续的方式改进创伤护理服务。然而,只有当该出版物切实推动各个国家,尤其是需求最为迫切的低收入和中等收入国家的医疗机构改善创伤护理时,它才会发挥作用。对于提出这些建议的合作伙伴,包括国际创伤外科学与重症医学协会(IATSIC)、国际外科学会-国际外科学会(ISS-SIC)以及世界卫生组织(WHO)而言,有很多工作可做以促成此事。这包括组织多部门利益相关者会议,使基本创伤护理(EsTC)标准适应当地需求;开展创伤护理需求评估,以确定低成本改进的优先事项;让世界各地的外科学院和学会认可该指南;游说各国卫生部将EsTC建议纳入卫生政策;以及力求将EsTC建议纳入世卫组织国家办事处的两年行动计划。在所有这些活动中,外科医生和其他救治伤者的人员可发挥关键作用,尤其是与本国卫生部和世卫组织国家办事处合作开展工作时。