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军事医学:战场上的创伤麻醉与重症监护

Military medicine: trauma anesthesia and critical care on the battlefield.

作者信息

Donchin Y, Wiener M, Grande C M, Cotev S

机构信息

Department of Anesthesia, Hadassah University Hospital, Jerusalem, Israel.

出版信息

Crit Care Clin. 1990 Jan;6(1):185-202.

PMID:2404547
Abstract

This article presents a few of the basic guidelines that must be considered once a decision is made to provide anesthesia and advanced surgical care in the battlefield--or in civilian catastrophes (for example, terrorist incidents, and man-made or natural disasters) that resemble the battlefield. However, it must be stressed that the most central consideration in battlefield anesthesia is the selection, training, and experience of the battlefield anesthesiologist. There are strict guidelines for providing safe anesthesia under the dire circumstances of war or similar civilian circumstances; the properly trained and experienced TA/CCS, however, will be best able to deliver battlefield anesthesia and to improvise equipment and agents for its safest delivery in those circumstances.

摘要

本文介绍了一些基本准则,一旦决定在战场——或类似战场的平民灾难(例如恐怖袭击事件以及人为或自然灾害)中提供麻醉和高级外科护理,就必须考虑这些准则。然而,必须强调的是,战场麻醉最核心的考量因素是战场麻醉医生的选拔、培训和经验。在战争的严峻形势或类似的平民情况下提供安全麻醉有严格的准则;然而,经过适当培训且经验丰富的战术战地麻醉护理人员(TA/CCS)将最有能力实施战场麻醉,并在这些情况下临时准备设备和药剂以最安全地进行麻醉。

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