Slagel S A, Skiendzielewski J J, Martyak G G, Brotman S
Ann Emerg Med. 1986 Jan;15(1):28-32. doi: 10.1016/s0196-0644(86)80482-6.
Although many emergency medicine residency programs are located in major trauma centers, trauma often is managed by a multispecialty team. In order to define the role of the emergency medicine resident at such centers, we sent surveys to the directors of all 64 approved emergency medicine residency programs. Of the 54 programs (84%) responding, 39 (72%) had trauma teams. Trauma team composition varied widely. Only 54% included general surgery staff physicians, and 38% included an anesthesiologist. Ninety percent of the teams included an emergency medicine resident. Overall emergency medicine residents serve as trauma captains 50% of the time and share the role with a general surgery resident 23% of the time. With the exceptions of peritoneal lavage and intubation, resuscitation procedures were shared between the general surgery and emergency medicine residents. Thirty-one percent of the respondents had air ambulances, 70% of which were staffed by emergency physicians. We conclude that emergency medicine residents are active trauma team leaders and providers.
尽管许多急诊医学住院医师培训项目设在主要创伤中心，但创伤治疗通常由多专业团队负责。为了明确急诊医学住院医师在这些中心的作用，我们向所有64个获批的急诊医学住院医师培训项目的主任发放了调查问卷。在回复的54个项目（84%）中，39个（72%）设有创伤团队。创伤团队的组成差异很大。只有54%的团队包括普通外科主治医师，38%的团队包括麻醉医师。90%的团队有急诊医学住院医师。总体而言，急诊医学住院医师有50%的时间担任创伤团队队长，23%的时间与普通外科住院医师共同担任这一角色。除了腹腔灌洗和插管外，复苏程序由普通外科和急诊医学住院医师共同完成。31%的受访者配备了空中救护车，其中70%由急诊医师担任工作人员。我们得出结论，急诊医学住院医师是创伤团队的积极领导者和提供者。
