Clemmer T P, Orme J F, Thomas F O, Brooks K A
Crit Care Med. 1985 Oct;13(10):861-3. doi: 10.1097/00003246-198510000-00019.
Critically injured patients were identified by a CRAMS (circulation, respiration, abdomen, motor, speech) score of 6 or less while still in the field. They were prospectively followed as they received their care at the nearest medical facility according to the then-existing district Emergency Medical Services protocols. Those cared for by Level I trauma centers had a significantly reduced mortality rate compared to those treated at the other large full-service community hospitals. The commitment to Level I trauma care improves outcome of the critically injured, and field triage of the critically injured patient to these centers is indicated.
在现场时，通过CRAMS（循环、呼吸、腹部、运动、言语）评分为6分及以下来识别重伤患者。根据当时现有的地区紧急医疗服务协议，当他们在最近的医疗机构接受治疗时，对他们进行前瞻性跟踪。与在其他大型综合性社区医院接受治疗的患者相比，由一级创伤中心治疗的患者死亡率显著降低。对一级创伤护理的投入改善了重伤患者的治疗结果，因此建议将重伤患者现场分诊到这些中心。
