战术战斗伤病员护理与野外医学：在艰苦环境中推进创伤护理

Tactical Combat Casualty Care and Wilderness Medicine: Advancing Trauma Care in Austere Environments.

作者信息

Butler Frank K, Bennett Brad, Wedmore Colonel Ian

机构信息

Committee on Tactical Combat Casualty Care, Joint Trauma System, US Army Institute of Surgical Research, 3698 Chambers Pass, JBSA Fort Sam Houston, TX 78234-6315, USA.

Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814, USA.

出版信息

Emerg Med Clin North Am. 2017 May;35(2):391-407. doi: 10.1016/j.emc.2016.12.005.

DOI:10.1016/j.emc.2016.12.005

PMID:28411934

Abstract

Tactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. Military units that have trained all of their unit members in TCCC have now documented the lowest incidence of preventable deaths in the history of modern warfare and TCCC is now the standard for battlefield trauma care in the US Military. TCCC and wilderness medicine share the goal of optimizing care for patients with trauma in austere environments that impose significant challenges in both equipment and evacuation capability. This article reviews the current battlefield trauma care recommendations in TCCC and discusses their applicability to the wilderness setting.

摘要

战术战斗伤员护理（TCCC）是一套基于证据的最佳实践院前创伤护理指南，专为战场使用而定制。对所有部队成员进行过TCCC培训的军事单位，现已记录下现代战争史上可预防死亡的最低发生率，TCCC目前是美军战场创伤护理的标准。TCCC与野外医学的共同目标是，在设备和后送能力都面临重大挑战的严峻环境中，优化对创伤患者的护理。本文回顾了TCCC中当前的战场创伤护理建议，并讨论了它们在野外环境中的适用性。