Zarei Mohammad-Reza, Yarandi Kourosh-Karimi, Rasouli Mohammad-Reza, Rahimi-Movaghar Vafa
Sina Trauma and Surgery Research Center, Department of Emergency Medicine, Tehran University of Medical Sciences.
Chin J Traumatol. 2013;16(3):169-75.
Multiple variables can influence triage decision in multiple trauma. Recognition of priorities and selection of the destination can be successfully achieved by field triage and individualized clinical judgment. This narrative review summarizes the new options and protocols for transport of injured subjects. There are four levels of emergency medical providers including first responders and three levels of emergency medical technicians. Two distinct accepted protocols for transport are known as scoop and run and treat and then transfer. The former provides minimum lifesaving treatment at the scene of accident followed by transferring the patient(s) as soon as possible, and the latter mainly emphasizes the need for complete stabilization as a prerequisite for safe transport. The destination and mode of transport are selected according to clinical capabilities of the receiving hospital, transfer time from the scene to the facility, patient's medical condition, accessibility of the scene, and weather. Two common methods of transfer are ground transport, including various type of ambulances, and air medical transport, i.e. helicopter and airplane.
多种变量会影响多发伤的分诊决策。通过现场分诊和个体化临床判断，能够成功确定优先事项并选择转运目的地。本叙述性综述总结了受伤患者转运的新选择和方案。有四级紧急医疗服务人员，包括急救人员和三级急救医疗技术员。两种不同的公认转运方案分别是“快速搬运”和“治疗后转运”。前者是在事故现场提供最低限度的救生治疗，然后尽快转运患者，而后者主要强调需要进行全面稳定治疗作为安全转运的前提条件。根据接收医院的临床能力、从现场到医疗机构的转运时间、患者的病情、现场的可达性和天气情况来选择转运目的地和转运方式。两种常见的转运方法是地面转运，包括各种类型的救护车，以及空中医疗转运，即直升机和飞机。
