Dagal Armagan, Greer Sarah E, McCunn Maureen
aDepartment of Anesthesiology and Pain Medicine, Department of Orthopaedics and Sport Medicine, Harborview Medical Center, University of Washington, Seattle, Washington bDivision of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania cAnesthesiology and Critical Care Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Curr Opin Anaesthesiol. 2014 Apr;27(2):233-9. doi: 10.1097/ACO.0000000000000049.
Trauma care has been a low priority topic in the global health agenda until recently, despite its social and economic impact. Although prevention is the key, provision and quality of trauma care has been the weakest link in the survival chain. We aim to summarize the differences in global trauma care to propose solutions in this article.
Patients with life-threatening injuries are six times more likely to die following a trauma in a low-income country than in a high-income country. Unintentional injuries currently rank fourth in the global causes of death, resulting in 5.8 million premature deaths and millions more with disability. The WHO member countries started the first global Decade of Action for Road Safety 2011-2020 initiative in May 2011. Governments across the world agreed to take steps to improve the safety of roads and vehicles, enhance the behavior of all road users and strengthen post-trauma care.
Several core strategies have been identified: human resource planning; physical resources (equipment and supplies); and administration (quality improvement and data collection) need to be developed for effective and adaptable prehospital care, patient transfer, in-hospital care and rehabilitation systems for injured persons worldwide. Clear definition of the problem to propose solutions is critical.
尽管创伤护理具有社会和经济影响，但直到最近它在全球卫生议程中一直是一个低优先级的话题。虽然预防是关键，但创伤护理的提供和质量一直是生存链中最薄弱的环节。我们旨在总结全球创伤护理的差异，以便在本文中提出解决方案。
在低收入国家，遭受创伤后有生命危险的患者死亡可能性是高收入国家的六倍。意外伤害目前在全球死因中排名第四，导致580万人过早死亡，另有数百万人残疾。世界卫生组织成员国于2011年5月启动了首个2011 - 2020年全球道路安全行动十年倡议。世界各国政府同意采取措施改善道路和车辆安全，提升所有道路使用者的行为，并加强创伤后护理。
已确定了若干核心战略：需要制定人力资源规划、物质资源（设备和用品）以及行政管理（质量改进和数据收集），以建立有效且适应性强的院前护理、患者转运、院内护理和全球伤者康复系统。明确问题定义以提出解决方案至关重要。
