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加强资源匮乏地区的创伤复苏教育与培训:呼吁全球参与。

Strengthening trauma resuscitation education and training in low-resource settings: A call for global inclusion.

作者信息

Lulic Ileana, Mesquita Carlos, Lulic Dinka, Simões Romeo Lages, Ferreira Luís, Koleda Piotr, Baptista Sérgio, Alexandrino Henrique, Calderan Thiago Rodrigues, Carvalho Vanessa Henriques, Kruger Vitor Favali, Belem Rodrigo Caselli, López-Mozos Fernando, Yanez Carlos, Saric Jadranka Pavicic, Fraga Gustavo Pereira

机构信息

Department of Anesthesiology, Intensive Care and Pain Medicine, Clinical Hospital Merkur, Zajceva 19, 10 000 Zagreb, Croatia.

Lusitanian Association for Trauma and Emergency Surgery, Rua Fernando Pessoa, 7-1° 3000-170 Santo António dos Olivais, Coimbra, Portugal.

出版信息

Resusc Plus. 2025 Mar 20;23:100935. doi: 10.1016/j.resplu.2025.100935. eCollection 2025 May.


DOI:10.1016/j.resplu.2025.100935
PMID:40235927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11999482/
Abstract

Trauma is a leading cause of preventable death worldwide, disproportionately affecting low-resource settings where access to specialized care is limited. Systemic barriers, including fragmented trauma networks and workforce shortages, contribute to poor outcomes. Strengthening trauma resuscitation through structured education and training is critical to improving survival and reducing disparities. However, traditional trauma training models often fail to address regional constraints, limiting their effectiveness. Brazil has developed a comprehensive trauma resuscitation education model by integrating public awareness campaigns, medical student-led initiatives, digital learning, simulation-based training, and telemedical support. A horizontal approach to trauma patient management, combined with hands-on immersive simulation training, has further enhanced this framework, emphasizing the team approach and non-technical skills essential for high-performance trauma care. This narrative review examines Brazil's trauma resuscitation training strategies and explores their potential to serve as a template for low-resource settings. By analyzing key educational components, we identify cost-effective solutions to strengthen trauma system capacity. To bridge disparities, trauma education must extend beyond well-resourced environments. Faculty development, sustainable mentorship, and access to technology-driven education are critical to equipping providers with the skills needed to manage complex trauma scenarios. Mobile simulation units and telemedicine platforms expand training to remote regions, while scalable digital platforms enable real-time collaboration. Despite these advancements, funding constraints, logistical barriers, and the need for culturally tailored education hinder widespread implementation. Embedding trauma education into national health policies and disaster response systems is essential to ensuring sustainable, high-quality trauma care worldwide.

摘要

创伤是全球可预防死亡的主要原因,对资源匮乏地区影响尤甚,这些地区获得专科护理的机会有限。包括创伤网络分散和劳动力短缺在内的系统性障碍导致了不良后果。通过结构化教育和培训加强创伤复苏对于提高生存率和减少差异至关重要。然而,传统的创伤培训模式往往无法解决区域限制问题,从而限制了其有效性。巴西通过整合公众意识宣传活动、医学生主导的倡议、数字学习、模拟培训和远程医疗支持,开发了一种全面的创伤复苏教育模式。创伤患者管理的横向方法,结合实践沉浸式模拟培训,进一步完善了这一框架,强调了团队方法和高性能创伤护理所必需的非技术技能。本叙述性综述审视了巴西的创伤复苏培训策略,并探讨了其作为资源匮乏地区模板的潜力。通过分析关键教育组成部分,我们确定了加强创伤系统能力的经济有效解决方案。为了弥合差距,创伤教育必须超越资源丰富的环境。教师发展、可持续的指导以及获得技术驱动的教育对于使提供者具备管理复杂创伤情况所需的技能至关重要。移动模拟单元和远程医疗平台将培训扩展到偏远地区,而可扩展的数字平台实现了实时协作。尽管取得了这些进展,但资金限制、后勤障碍以及对文化定制教育的需求阻碍了广泛实施。将创伤教育纳入国家卫生政策和灾害应对系统对于确保全球可持续、高质量的创伤护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6de/11999482/0d02f06bebf7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6de/11999482/ac65a80673ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6de/11999482/0d02f06bebf7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6de/11999482/ac65a80673ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6de/11999482/0d02f06bebf7/gr2.jpg

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本文引用的文献

[1]
The creation of a global neurotrauma registry.

Neurosurg Rev. 2024-9-7

[2]
Saving lives with statistics.

Scand J Trauma Resusc Emerg Med. 2024-9-2

[3]
Teaching team competencies within resuscitation training: A systematic review.

Resusc Plus. 2024-6-18

[4]
Optimizing Advanced Trauma Life Support (ATLS®) to Maximize Readiness.

Mil Med. 2024-8-30

[5]
The European Trauma Course: Transforming systems through training.

Resusc Plus. 2024-3-15

[6]
Building capacity for ATLS trauma education: role of nurse practitioners and physician assistants.

Trauma Surg Acute Care Open. 2024-3-5

[7]
Transforming research to improve therapies for trauma in the twenty-first century.

Crit Care. 2024-2-13

[8]
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Scand J Trauma Resusc Emerg Med. 2023-11-14

[9]
Latin America trauma systems-Mexico and Brazil.

OTA Int. 2023-9-1

[10]
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Lancet Glob Health. 2023-9

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