Pai Ajit B, Jasper Nicholas R, Cifu David X
Physical Medicine and Rehabilitation Service, Hunter Holmes McGuire VA Medical Center, 1201 Broad Rock Blvd, PM&RS (652/117), Richmond, VA 23249, USA.
J Rehabil Res Dev. 2012;49(8):1191-6. doi: 10.1682/jrrd.2011.11.0224.
The complexity of injuries that can arise from combat situations, specifically as a result of the Operation Iraqi Freedom/Operation Enduring Freedom conflicts, is challenging. As injured troops leave the war zone early for medical care, they are treated by an interwoven system of care that includes both the Department of Defense and Veterans Health Administration. Physicians across these settings are increasingly faced with patients who have multiple rehabilitation diagnoses as a result of the severity of blast injuries; therefore, the importance of active communication across the system must be highlighted. This case describes the seamless transition of an injured soldier across the continuum of care.
战斗环境中可能出现的损伤情况十分复杂,尤其是伊拉克自由行动/持久自由行动冲突所导致的损伤,极具挑战性。随着受伤士兵提前离开战区接受治疗,他们会由一个包括国防部和退伍军人健康管理局在内的交织的医疗体系进行救治。由于爆炸伤的严重性,这些医疗机构的医生越来越多地面对患有多种康复诊断的患者;因此,必须强调整个医疗体系中积极沟通的重要性。本病例描述了一名受伤士兵在连续医疗过程中的无缝衔接。