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[创伤患者的院前分诊；救护车护理及移动医疗队的部署]

[Prehospital triage in trauma patients; ambulance care and deployment of a mobile medical team].

作者信息

van Heijl M, den Hartog D

机构信息

UMC Utrecht, afd. Traumachirurgie, Utrecht en AMC, afd. Traumachirurgie, Amsterdam.

出版信息

Ned Tijdschr Geneeskd. 2017;161:D1579.

PMID:28513414
Abstract
  • The prehospital trauma triage system consisting of regional ambulance services and overarching availability of mobile medical teams, the level criteria for trauma centres and in-hospital care for trauma patients are well-organised in the Netherlands.- However, the quality of prehospital triage in the Netherlands is inadequate at the moment, with an average under-triage rate of more than 30%. There is, thus, much room for improvement in the quality of prehospital triage.- Research in this area is now taking off, partly because of the arrival of a new quality indicator from the Netherlands National Health Care Institute, which states that at least 90% of multiple-trauma patients should be primarily taken to a level 1 trauma centre.
摘要

  • 由地区救护车服务和移动医疗队的总体可用性组成的院前创伤分诊系统、创伤中心的级别标准以及创伤患者的院内护理在荷兰组织完善。

  • 然而，目前荷兰院前分诊的质量不足，平均分诊不足率超过30%。因此，院前分诊质量有很大的改进空间。

  • 该领域的研究目前正在兴起，部分原因是荷兰国家医疗保健研究所出台了一项新的质量指标，该指标规定至少90%的多发伤患者应首先被送往一级创伤中心。

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