战斗伤员护理研究中至关重要的军民联系：参加科学会议的影响。

The vital civilian-military link in combat casualty care research: Impact of attendance at scientific conferences.

作者信息

Cancio Leopoldo C, Rasmussen Todd E, Cannon Jeremy W, Dubick Michael A

机构信息

From the US Army Institute of Surgical Research (L.C.C., M.A.D.), and Department of Surgery (J.W.C.), San Antonio Military Medical Center, JBSA Fort Sam Houston, San Antonio, Texas; US Army Medical Research and Materiel Command (T.E.R.), Fort Detrick; and Department of Surgery (T.E.R., J.W.C.), Uniformed Services University of the Health Sciences, Bethesda, Maryland.

出版信息

J Trauma Acute Care Surg. 2015 Oct;79(4 Suppl 2):S221-6. doi: 10.1097/TA.0000000000000754.

DOI:10.1097/TA.0000000000000754

PMID:26406434

Abstract

BACKGROUND

Attendance by military medical personnel (MMP) at scientific meetings (SMs) of civilian associations has been centrally managed since 2012. We aimed to document the importance of civilian-military interaction to and the impact of this change on combat casualty care (CCC) research.

METHODS

(1) We identified 25 clinically significant CCC articles published by MMP between 2005 and 2014; we determined whether these articles were preceded by presentation by MMP at an SM. (2) We examined the changing civilian-military mix of publications on "damage control resuscitation" (DCR). (3) We analyzed the number of presentations by MMP each year at the American Association for the Surgery of Trauma. (4) We reviewed whether past presidents of the AAST (for 1992-2014) had military experience.

RESULTS

(1) Ninety-two percent of the CCC articles were previously presented at an SM; 66% were presented at civilian association venues such as AAST. (2) DCR was first described in 2006; the civilian-military mix of publications rose steadily from 0 in 2006 to 80% in 2014. (3) The number of MMP oral presentations at AAST peaked during 2005 to 2007 and has declined to one to two per year since 2012. (4) Thirty-three percent of recent AAST presidents had military experience, versus 100% for the previous era.

CONCLUSION

Recent conflicts led to intense civilian-military collaboration in CCC research and to the spread of ideas such as DCR from military to civilian care. However, long-term trends (e.g., declining rates of military service nationally) place such collaboration at risk. Vigorous efforts to foster the vital civilian-military link in CCC are needed.

摘要

背景

自2012年以来，军队医务人员（MMP）参加民间协会科学会议（SM）的活动一直由中央统一管理。我们旨在记录军民互动对战斗伤员救治（CCC）研究的重要性以及这一变化对其产生的影响。

方法

（1）我们确定了2005年至2014年间MMP发表的25篇具有临床意义的CCC文章；我们确定这些文章之前MMP是否在SM上进行过展示。（2）我们研究了“损伤控制复苏”（DCR）相关出版物中军民混合比例的变化。（3）我们分析了MMP每年在美国创伤外科协会会议上的展示次数。（4）我们回顾了美国创伤外科协会（1992 - 2014年）历任主席是否有军事经历。

结果

（1）92%的CCC文章之前在SM上进行过展示；66%在民间协会场所（如美国创伤外科协会）进行过展示。（2）DCR于2006年首次被描述；相关出版物的军民混合比例从2006年的0稳步上升至2014年的80%。（3）MMP在美国创伤外科协会会议上的口头展示次数在2005年至2007年达到峰值，自2012年以来已降至每年一至两次。（4）近期美国创伤外科协会主席中有33%有军事经历，而前一时期这一比例为100%。