Hematology-Oncology Service, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA.
Surg Clin North Am. 2012 Aug;92(4):1041-54, x. doi: 10.1016/j.suc.2012.04.004. Epub 2012 May 31.
Throughout history, wars have resulted in medical advancements, especially in trauma. Once clinical challenges are identified, they require documentation and analysis before changes to care are introduced. The wars in Afghanistan and Iraq led to the collection of clinically relevant data from the entire medical system into a formal trauma registry. Improvements in data collection and human research oversight have allowed more effective and efficient techniques to capture and analyze trauma data, which has enabled rapid development and dissemination of clinical practice guidelines in the midst of war. These data-driven experiences are influencing trauma practice patterns in the civilian community.
纵观历史,战争推动了医学的进步,尤其是在创伤医学领域。一旦临床挑战被确定,就需要对其进行记录和分析,然后才能对治疗方案进行更改。阿富汗和伊拉克战争促使人们从整个医疗体系中收集与临床相关的数据,并将其纳入正式的创伤登记系统。数据收集和人类研究监督方面的改进,使得更有效的技术得以用于捕获和分析创伤数据,从而能够在战争期间迅速制定和传播临床实践指南。这些基于数据的经验正在影响着平民社区的创伤实践模式。