Howells N R, Dunne N, Reddy S
Department of Orthopaedics, Royal Berkshire Hospital, Reading, Berkshire, UK.
Emerg Med J. 2006 Jul;23(7):530-3. doi: 10.1136/emj.2005.028373.
To report the casualty profile of the major incident at the Royal Berkshire Hospital, Reading, following the Ufton Nervet Train crash, November 2004. To make further proposals regarding major incident reporting and implementation of trauma-scoring systems.
Retrospective analysis of emergency department and hospital notes. Calculation of index Injury Severity Score (ISS) and Trauma and Injury Severity Score (TRISS) in all patients.
Of 61 casualties, the majority (74%) were seen in the minors area of our emergency department with a mixture of blunt impact and penetrating glass injuries. One died and 16 were admitted. 10% had an ISS >16. All surviving patients had a TRISS predicted probability of survival >90%.
We propose mandatory major incident reporting within 6 months of a major incident to aid development of a national database. As previously proposed, this will aid education and facilitate future major incident planning. We further propose the widespread use of trauma scoring systems to facilitate comparative analysis between major incidents, perhaps extrapolating this to develop a major incident score.
报告2004年11月乌夫顿内维特火车相撞事故后，雷丁皇家伯克郡医院重大事件的伤亡情况。就重大事件报告及创伤评分系统的实施提出进一步建议。
对急诊科和医院记录进行回顾性分析。计算所有患者的损伤严重度评分（ISS）和创伤与损伤严重度评分（TRISS）。
61名伤亡人员中，大多数（74%）在我院急诊科的未成年人区域就诊，有钝器伤和穿透性玻璃伤。1人死亡，16人住院。10%的患者ISS>16。所有存活患者的TRISS预测生存率>90%。
我们建议在重大事件发生后6个月内进行强制性重大事件报告，以帮助建立国家数据库。如先前提议的那样，这将有助于教育并促进未来的重大事件规划。我们还建议广泛使用创伤评分系统，以促进重大事件之间的比较分析，或许可据此开发重大事件评分。
