Handolin L, Leppäniemi A, Vihtonen K, Lakovaara M, Lindahl J
Töölö Hospital, Department of Orthopaedics and Traumatology, University of Helsinki, Topeliuksenkatu 5, FIN-00260 Helsinki, Finland.
Injury. 2006 Jul;37(7):622-5. doi: 10.1016/j.injury.2006.03.019.
There is great variation in the organisation of trauma care in European countries. The state of trauma care in Finnish hospitals has not been appropriately reviewed in the past. The aim of the present study conducted by the Finnish Trauma Association (FTA) was to assess the number of Finnish hospitals admitting severe trauma patients, and to evaluate the organisation and training of trauma care in those hospitals. In 2004, a telephone survey to all the Finnish hospitals was conducted, and information on the number of severe trauma patients treated per month, the organisation of acute trauma care, and the existence of multidisciplinary trauma care training was collected. Thirty-six Finnish hospitals admitted trauma patients. The range of estimated number of severely injured trauma patients treated in individual hospitals per month varied from 0.5 to 12, resulting in an estimated number of 1000-1300 patients with severe trauma treated in Finland every year (19-25/100.000 inhabitants). About 20% of the hospitals had a trauma team, and 25% had a systematic trauma education program. Only one hospital had established multidisciplinary and systematic trauma team training. The case load of severe trauma patients is low in most Finnish hospitals making it difficult to obtain and maintain sufficient experience. Too many hospitals admit too few patients, and only a few hospitals have been working on updating their trauma management protocols and education. There is an obvious need for leadership, discussion, legislation and initiatives by the professional organisations and the government to establish a modern trauma system in Finland.
欧洲各国在创伤护理的组织安排上存在很大差异。芬兰医院的创伤护理状况过去未得到适当评估。芬兰创伤协会（FTA）开展的本研究旨在评估收治严重创伤患者的芬兰医院数量，并评估这些医院的创伤护理组织和培训情况。2004年，对芬兰所有医院进行了电话调查，收集了每月治疗的严重创伤患者数量、急性创伤护理的组织安排以及多学科创伤护理培训情况等信息。36家芬兰医院收治创伤患者。各医院每月收治的严重受伤创伤患者估计数量在0.5至12例之间，据此估计芬兰每年有1000 - 1300例严重创伤患者接受治疗（每10万居民中有19 - 25例）。约20%的医院有创伤团队，25%的医院有系统的创伤教育项目。只有一家医院开展了多学科和系统性的创伤团队培训。大多数芬兰医院严重创伤患者的病例量较低，难以获得并保持足够的经验。太多医院收治的患者太少，只有少数医院一直在努力更新其创伤管理方案和教育。专业组织和政府显然需要发挥领导作用、展开讨论、制定立法并采取举措，以在芬兰建立一个现代创伤系统。
