Chiapuzio Clayton, Dang Thomas, Meagher Shannon, Woodward Brandon, Neeki Michael
Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.
Surgery, Arrowhead Regional Medical Center, Colton, USA.
Cureus. 2020 Sep 12;12(9):e10405. doi: 10.7759/cureus.10405.
Trauma is the leading cause of morbidity and mortality for those under 45 years of age in the United States with half of the deaths in trauma being attributed to hemorrhagic shock. The use of enhanced care teams (ECTs) that include physicians in selective prehospital settings has allowed the delivery of advanced critical care interventions in the field. We present a unique case where a young driver involved in a motor vehicle accident was trapped under the weight of his vehicle, causing extended extrication time. An ECT from the closest trauma center was able to deliver massive transfusion and definitive airway care while the patient was being extricated. While previous literature regarding the benefit of ECTs has been debated, this case suggests a unique niche where rapid deployment of an ECT to the scene made a pronounced difference in survival of the patient.
在美国，创伤是45岁以下人群发病和死亡的主要原因，创伤死亡病例中有一半归因于失血性休克。在选择性的院前环境中使用包括医生在内的强化护理团队（ECTs），使得在现场能够提供高级重症护理干预措施。我们呈现一个独特的案例，一名年轻司机在机动车事故中被困在车辆下方，导致解救时间延长。来自最近创伤中心的一个强化护理团队在患者解救过程中能够进行大量输血和确定性气道护理。虽然之前关于强化护理团队益处的文献存在争议，但这个案例表明了一个独特领域，即快速将强化护理团队部署到现场对患者的存活产生了显著影响。
