Canadian Forces Health Services, and Sunnybrook Health Sciences Centre, 2075 Bayview Ave., Toronto, Ontario.
Can J Surg. 2011 Dec;54(6):S112-7. doi: 10.1503/cjs.025311.
According to the Trauma Association of Canada, a trauma system is a preplanned, organized and coordinated injury-control effort in a defined geographic area. An effective trauma system engages in comprehensive injury surveillance and prevention programs; delivers trauma care from the time of injury to recovery; engages in research, training and performance improvement; and establishes linkages with an all-hazards emergency preparedness program. To support Canada's combat mission in Afghanistan, the Canadian Forces (CF) developed a comprehensive trauma system based around its trauma hospital--the Role 3 Multinational Medical Unit (R3MMU) at Kandahar Airfield. This article reviews the essential components of a modern trauma system, outlines the evidence that trauma systems improve care to injury victims and describes how the current CF trauma system was developed.
根据加拿大创伤协会的定义,创伤系统是在特定地理区域内进行的一项预先规划、组织和协调的伤害控制工作。一个有效的创伤系统会参与全面的伤害监测和预防计划;提供从受伤到康复的创伤护理;进行研究、培训和绩效改进;并与全灾害应急准备计划建立联系。为了支持加拿大在阿富汗的战斗任务,加拿大军队(CF)在坎大哈机场的第 3 级多国医疗单位(R3MMU)的基础上,建立了一个全面的创伤系统。本文回顾了现代创伤系统的基本组成部分,概述了创伤系统如何改善对受伤者的护理的证据,并描述了当前加拿大军队创伤系统的发展过程。