Yale University School of Medicine, New Haven, CT, USA.
Acad Emerg Med. 2010 Dec;17(12):1337-45. doi: 10.1111/j.1553-2712.2010.00935.x.
This article summarizes the discussions of the emergency medical services (EMS) breakout session at the June 2010 Academic Emergency Medicine consensus conference "Beyond Regionalization: Integrated Networks of Emergency Care." The group focused on prehospital issues such as the identification of patients by EMS personnel, protocol-driven destination selection, bypassing closer nondesignated centers to transport patients directly to more distant designated specialty centers, and the modes of transport to be used as they relate to the regionalization of emergency care. It is our hope that the proposed research agenda will be advanced in a way that begins to rigorously approach the unanswered research questions and that these answers, in turn, will lead to an evidence-based, cohesive, comprehensive, and more uniform set of guidelines that govern the delivery and practice of prehospital emergency care.
本文总结了 2010 年 6 月学术急诊医学共识会议“超越区域化：急诊护理综合网络”中紧急医疗服务（EMS）分组会议的讨论情况。该小组重点讨论了院前问题，如 EMS 人员对患者的识别、基于协议的目的地选择、绕过较近的非指定中心直接将患者转运到更远的指定专科中心，以及与急诊护理区域化相关的运输方式。我们希望提出的研究议程能够以一种严谨的方式推进，开始认真对待尚未解答的研究问题，而这些答案反过来又将导致一套基于证据、有凝聚力、全面和更统一的准则，规范院前急救护理的提供和实践。
