DiBrito Sandra R, Jones Christian
A general surgery resident at the Johns Hopkins Hospital and a PhD candidate in clinical investigations at the Johns Hopkins Bloomberg School of Public Health in Baltimore.
An assistant professor in the Department of Surgery at the Johns Hopkins University School of Medicine in Baltimore.
AMA J Ethics. 2018 May 1;20(5):439-446. doi: 10.1001/journalofethics.2018.20.5.ecas3-1805.
Outcomes for severely injured patients are improved when they are treated at trauma centers. However, interfacility transfers can delay time-sensitive treatments not requiring the resources of tertiary institutions. Regionalized trauma systems allow physicians to decrease delays in care, prevent inadequate treatment, and ultimately reduce preventable deaths. Although precise risks and benefits of triage choices are unknowable, estimating them is a process well known to surgeons. Recognizing patient transfers as integral to optimal care delivery systems, rather than as detracting from them, is essential.
严重受伤患者在创伤中心接受治疗时，其治疗效果会得到改善。然而，机构间的转运可能会延迟那些不需要三级医疗机构资源的时间敏感性治疗。区域化创伤系统使医生能够减少护理延迟，防止治疗不足，并最终减少可预防的死亡。尽管分诊选择的确切风险和益处尚不可知，但外科医生对评估这些风险和益处的过程并不陌生。认识到患者转运是最佳护理提供系统不可或缺的一部分，而不是对其造成损害，这一点至关重要。
