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距那场改变全球创伤治疗方式的事件已过去四十年:四十年前的那个夜晚究竟发生了什么?

Forty Years on From an Event That Changed the Management of Trauma Around the World: What Actually Happened That Night Forty Years Ago?

作者信息

Bridgewater Franklin H G

机构信息

The Queen Elizabeth Hospital, 11 Woodville Road, Woodville, South Australia 5011.

出版信息

Mil Med. 2016 Oct;181(10):1176-1181. doi: 10.7205/MILMED-D-15-00554.

DOI:10.7205/MILMED-D-15-00554
PMID:27753548
Abstract

The management of trauma has evolved significantly over the last 40 years. Seminal to this process was the development in Nebraska of a concept of trauma management that was promulgated as Advanced Trauma Life Support (ATLS). It has achieved global support and is considered by many to be the acme in trauma management. Every participant in an ATLS course remembers that an aviation accident in rural Nebraska was responsible for the nascence of the program but very few know the details of the crash. February 17, 2016, was the 40th anniversary of the accident. This article extracts the details of the flight, the crash, the search, the extrication, the reception at the nearby rural hospital, and the injuries from both the official report and the published, personal records of survivors of the crash. The effect of ATLS can be debated elsewhere and its future questioned. However, the article concludes by highlighting the fortitude and resilience of the human spirit that were demonstrated that night under incredible circumstances.

摘要

在过去40年里,创伤管理发生了显著演变。这一过程的关键是内布拉斯加州发展出一种创伤管理理念,并以高级创伤生命支持(ATLS)的形式推广开来。它获得了全球的支持,被许多人视为创伤管理的巅峰之作。参加ATLS课程的每一个人都记得,内布拉斯加州农村的一起航空事故催生了这个项目,但很少有人知道坠机的细节。2016年2月17日是该事故的40周年纪念日。本文从官方报告以及坠机幸存者公开的个人记录中提取了飞行、坠机、搜索、救援、附近乡村医院的救治情况以及受伤情况等细节。ATLS的效果可以在其他地方进行讨论,其未来也可以质疑。然而,本文最后强调了当晚在令人难以置信的情况下所展现出的人类精神的坚韧和顽强。

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