Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Br J Hosp Med (Lond). 2020 Apr 2;81(4):1-3. doi: 10.12968/hmed.2019.0418. Epub 2020 Apr 21.
Major trauma in the UK has changed and can now be thought of as two different diseases: the traditional type of high energy transfer major trauma occurring in younger patients, and low energy transfer major trauma (usually an older person falling on one level). The current NHS trauma system is not well set up to treat low energy transfer major trauma - adapting to the changing disease is the next big challenge.
英国的重大创伤已经发生了变化,现在可以被认为是两种不同的疾病:传统的高能量转移型重大创伤,发生在年轻患者身上,以及低能量转移型重大创伤(通常是老年人在同一平面上摔倒)。目前的国民保健制度(NHS)创伤系统在治疗低能量转移型重大创伤方面设置得不是很好——适应不断变化的疾病是下一个重大挑战。