Currie D J
Can Med Assoc J. 1966 Oct 22;95(17):862-70.
A plan for the early management of the critically injured patient is described with emphasis on the priorities of management of injuries to certain organ-systems. The most important priorities are the establishment and maintenance of adequate ventilation and adequate circulation. The general surgeon is best qualified to assume full responsibility for the proper care of the critically injured, of patients with multiple injuries, and of patients in traumatic shock. He must assume the risk of transfusing unmatched whole blood and of deferring non-essential radiographs. The emergency and radiology departments may have to be by-passed to save the life of the critically injured patient. The measures required to establish a clear airway, to treat complications which can impair ventilation, to manage shock and hemorrhage and the possible complications of massive transfusions of blood are reviewed.
本文描述了危重伤员的早期处理方案，重点是某些器官系统损伤的处理优先级。最重要的优先级是建立并维持充足的通气和充足的循环。普通外科医生最有资格全面负责危重伤员、多发伤患者和创伤性休克患者的妥善护理。他必须承担输注不匹配全血以及推迟非必要X光检查的风险。为挽救危重伤员的生命，可能需要绕过急诊科和放射科。本文还回顾了建立通畅气道、治疗可能损害通气的并发症、处理休克和出血以及大量输血可能出现的并发症所需的措施。
