Departments of Anesthesiology and Surgery, Division of Critical Care Medicine, University of Virginia Health System, Box 800710, Charlottesville, VA 22908, USA.
Department of Anesthesiology, Division of Critical Care Medicine, University of Virginia Health System, Box 800710, Charlottesville, VA 22908, USA.
Anesthesiol Clin. 2021 Jun;39(2):321-336. doi: 10.1016/j.anclin.2021.03.002.
The US Military Joint Trauma System has been developed to mitigate the harsh conditions under which medical providers care for combat casualties and provide continuity of care from the battlefield to US medical centers. We review the components of this system with emphasis on combat trauma care under fire and the role of the anesthesiologist and intensivist in this continuum of care. An important link in the chain of survival is the Air Force Critical Care Aeromedical Transport Team, which provides critical care while transporting casualties from the theater to higher levels of care outside the war zone and home.
美国军事联合创伤系统旨在减轻医疗提供者在照顾战斗伤员时所处的恶劣条件,并为从战场到美国医疗中心的医疗提供连续性。我们回顾了该系统的组成部分,重点介绍了火力下的战斗创伤护理以及麻醉师和重症监护专家在这一连续护理中的作用。生存链中的一个重要环节是空军重症监护航空医疗运输小组,该小组在将伤员从战区运送到战区外更高层次的医疗中心和国内的同时提供重症监护。