Hamman B L, Cué J I, Miller F B, O'Brien D A, House T, Polk H C, Richardson J D
Department of Surgery, University of Louisville School of Medicine, Kentucky.
J Trauma. 1991 Apr;31(4):490-4. doi: 10.1097/00005373-199104000-00007.
We studied the impact of physician presence on helicopter transportation of trauma victims during two periods; when physicians were part of the flight team and when they were not. Our data failed to demonstrate that physician participation in flights had an impact on patient outcome. The groups were comparable in average distance traveled, initial Trauma Scores, number of organ systems injured, and the final Injury Severity Scores. Each group showed an improved survival over that predicted by comparison with the Multiple Trauma Outcome Study cohort. No difference was found in the number of procedures performed at the scene, en route, or on arrival at the hospital. Untreated injuries were slightly higher in the physician-present group. It appears that experienced nurses and paramedics, operating with well-established protocols, can provide aggressive care that yields equal outcome results compared with those of a flight team that includes a physician.
我们研究了两个时期内科医生在场对创伤患者直升机转运的影响，一个时期是医生作为飞行团队的一员，另一个时期是医生不在飞行团队中。我们的数据未能表明医生参与飞行对患者的治疗结果有影响。两组在平均飞行距离、初始创伤评分、受伤的器官系统数量以及最终损伤严重程度评分方面具有可比性。与多创伤结果研究队列相比，每组的实际生存率均高于预测生存率。在现场、途中或到达医院时所实施的治疗程序数量上未发现差异。有医生在场的组中未得到治疗的损伤略多。看来，经验丰富的护士和护理人员按照完善的方案进行操作，能够提供积极的治疗，其效果与包含医生的飞行团队相当。
