Brown Joshua, Sajankila Nitin, Claridge Jeffrey A
Department of Surgery, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
Department of Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.
Surg Clin North Am. 2017 Oct;97(5):961-983. doi: 10.1016/j.suc.2017.06.007.
The organization of prehospital care for trauma patients began in the military arena. At the urging of multiple stakeholders and providers, these lessons were applied to the civilian setting and emergency medical services were created across the nation. Advances have taken place in the triage, transport, and management of severely injured patients. Many issues remain in the care of trauma patients in the prehospital environment. Collaboration between stakeholders and providers, regionalization of trauma care, and protocol-driven care may be solutions to some of these issues. Further research is necessary to dictate standard of care in this early phase after injury.
创伤患者的院前护理组织始于军事领域。在多个利益相关者和提供者的敦促下，这些经验被应用于民用环境，全国范围内建立了紧急医疗服务。在重伤患者的分诊、转运和管理方面已经取得了进展。在院前环境中，创伤患者的护理仍存在许多问题。利益相关者与提供者之间的合作、创伤护理的区域化以及基于协议的护理可能是解决其中一些问题的办法。需要进一步研究以确定受伤后这一早期阶段的护理标准。
