Ali J, Naraynsingh V
Department of Surgery, Health Sciences Centre, University of Manitoba, Winnipeg, Canada.
Int Surg. 1987 Jul-Sep;72(3):179-84.
Data from Trinidad and Tobago suggest there is a positive role for the ATLS program in Third World countries. Between 1970-1979 traffic accidents increased from 16,433 to 28,003 while deaths increased from 179 to 252 per year. Sixty-nine per cent of deaths were adult males mainly between 20-30 years old and most fatal accidents occurred between 6:00 and 10:00 p.m. particularly on weekends. Because expert consultants are not always immediately available within the hospital, initial trauma resuscitation is provided by emergency room physicians. Accordingly, 75% of trauma deaths occur in hospital with 65% of those dying within six hours of reaching the hospital alive. Compared to a similar sized North American population the death to injury ratio is at least doubled. The beneficial impact of the ATLS program in Third World countries is assured if ATLS quality control is maintained and can be assessed, as outlined, by comparing pre ATLS with post ATLS data.
来自特立尼达和多巴哥的数据表明，高级创伤生命支持（ATLS）项目在第三世界国家发挥着积极作用。1970年至1979年间，交通事故从16433起增加到28003起，每年死亡人数从179人增加到252人。69%的死亡者为成年男性，主要年龄在20至30岁之间，大多数致命事故发生在晚上6点至10点之间，尤其是在周末。由于医院内并非总能立即找到专家顾问，初始创伤复苏由急诊室医生提供。因此，75%的创伤死亡发生在医院，其中65%的人在抵达医院时尚存生命体征的情况下，在6小时内死亡。与北美规模相当的人口相比，死亡与受伤比例至少翻了一番。如果按照概述的那样，通过比较ATLS实施前和实施后的数据来维持并评估ATLS质量控制，那么ATLS项目在第三世界国家的有益影响将得到保障。
