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拉斯维加斯军民伙伴关系:起源故事与行动呼吁。

The Las Vegas military-civilian partnership: An origin story and call to action.

机构信息

From the University of Nevada Las Vegas Kirk Kerkorian School of Medicine (J.P.K., S.S., M.G., D.R.F., J.F.), Las Vegas, Nevada; Headquarters Air Force (J.J.D.), Arlington, Virginia; and University Medical Center of Southern Nevada (A.A.), Las Vegas, Nevada.

出版信息

J Trauma Acute Care Surg. 2022 Aug 1;93(2S Suppl 1):S169-S173. doi: 10.1097/TA.0000000000003701. Epub 2022 May 23.

DOI:10.1097/TA.0000000000003701
PMID:35617460
Abstract

Military-civilian partnerships (MCPs) in urban American trauma centers have existed for more than 60 years to assist in the development and maintenance of wartime skills of military medical professionals. In the last 5 years, MCPs have gained congressional support, and their number and variety have grown substantially. The historical impact of these flagship trauma MCPs is well documented, with bidirectional benefit in the advancement of trauma care during the wars in Iraq and Afghanistan both deployed and stateside, and the future aim of MCPs lies primarily in mitigating the "peacetime effect." The majority of data regarding MCPs; however, focus on trauma care and are biased toward surgeons specifically. The Las Vegas (LV) MCP began in 2002 with the similar goal of sustaining Air Force (AF) expeditionary medical skills by embedding AF medics from nearby Nellis Air Force Base (AFB) into University Medical Center of Southern Nevada (UMC), the only Level 1 Trauma Center in Nevada. Over nearly 20 years, the LV-MCP has evolved into an innovative market-based collaboration composed of numerous relationships and programs that are designed to develop and sustain critical skills for military medical personnel in all aspects of expeditionary medicine. This includes AF medical personnel providing care to federal beneficiaries as well as civilian patients in a variety of medical settings. The partnership's central coordinating authority, the Office of Military Medicine-Las Vegas (OMM-LV), brings together military and civilian organizations with distinct and intersecting missions to support the greater LV population and the DoD mission of readiness. The LV-MCP is presented here as a model for the future of MCPs within the integrated local and national trauma and medical systems.

摘要

军民合作(MCP)在美国城市创伤中心已经存在了 60 多年,旨在协助军事医疗专业人员发展和维持战时技能。在过去的 5 年中,MCP 获得了国会的支持,其数量和种类都有了实质性的增长。这些标志性创伤 MCP 的历史影响得到了充分的记录,在伊拉克和阿富汗战争期间,部署和国内的创伤护理都得到了双向的推进,MCP 的未来目标主要在于减轻“和平时期的影响”。然而,大多数关于 MCP 的数据都集中在创伤护理上,并且偏向于特定的外科医生。拉斯维加斯(LV)MCP 始于 2002 年,其目标是通过将来自附近内利斯空军基地(AFB)的空军医务人员嵌入南内华达州大学医学中心(UMC),维持空军的远征医疗技能,该中心是内华达州唯一的一级创伤中心。近 20 年来,LV-MCP 已经发展成为一个创新的基于市场的合作关系,由众多关系和项目组成,旨在发展和维持军事医务人员在远征医学各个方面的关键技能。这包括空军医务人员在各种医疗环境中为联邦受益人以及平民患者提供护理。该伙伴关系的中央协调机构,即拉斯维加斯军事医学办公室(OMM-LV),汇集了具有不同和交叉任务的军事和民用组织,以支持更大的 LV 人口和国防部的战备任务。这里提出的 LV-MCP 是未来创伤和医疗系统内的 MCP 模型。

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