Frenchay Hospital, Bristol BS16 1LE, UK.
Scand J Trauma Resusc Emerg Med. 2010 Dec 13;18:66. doi: 10.1186/1757-7241-18-66.
The purpose of the trauma team is to provide advanced simultaneous care from relevant specialists to the seriously injured trauma patient. When functioning well, the outcome of the trauma team performance should be greater than the sum of its parts. Trauma teams have been shown to reduce the time taken for resuscitation, as well as time to CT scan, to emergency department discharge and to the operating room. These benefits are demonstrated by improved survival rates, particularly for the most severely injured patients, both within and outside of dedicated trauma centres. In order to ensure the best possible performance of the team, the leadership skills of the trauma team leader are essential and their non-technical skills have been shown to be particularly important. Team performance can be enhanced through a process of audit and assessment of the workings of the team and the evidence currently available suggests that this is best facilitated through the process of video review of the trauma resuscitation. The use of human patient simulators to train and assess trauma teams is becoming more commonplace and this technique offers a safe environment for the future education of trauma team staff. Trauma teams are a key component of most programmes which set out to improve trauma care. This article reviews the background of trauma teams, the evidence for benefit and potential techniques of performance assessment. The review was written after a PubMed, Ovid, Athens, Cochrane and guideline literature review of English language articles on trauma teams and their performance and hand searching of references from the relevant searched articles.
创伤团队的目的是为严重创伤患者提供来自相关专科医生的高级同步治疗。当运作良好时，创伤团队的表现结果应该大于其各部分的总和。创伤团队已被证明可以缩短复苏时间，以及进行 CT 扫描、到急诊室出院和进入手术室的时间。这些益处通过提高生存率来证明，特别是对于最严重的创伤患者，无论是在专门的创伤中心内部还是外部。为了确保团队尽可能发挥出最佳表现，创伤团队负责人的领导技能至关重要，他们的非技术技能也被证明尤为重要。通过对团队运作情况进行审核和评估，可以提高团队表现，目前的证据表明，通过对创伤复苏进行视频审查，最有利于实现这一目标。使用人体模拟患者来培训和评估创伤团队越来越普遍，这种技术为创伤团队人员的未来教育提供了安全的环境。创伤团队是大多数旨在改善创伤护理的计划的关键组成部分。本文回顾了创伤团队的背景、获益证据以及潜在的表现评估技术。这篇综述是在对有关创伤团队及其表现的英文文献进行 PubMed、Ovid、Athens、Cochrane 和指南文献检索，并对相关检索文章的参考文献进行手工检索后撰写的。
