Krob M J, Cram A E, Vargish T, Kassell N F, Davis J W, Airola S
Ann Emerg Med. 1984 Oct;13(10):891-5. doi: 10.1016/s0196-0644(84)80663-0.
Motor vehicle-related trauma deaths in a 21-county rural emergency medical services (EMS) system are reviewed. Injury severity scores (ISS) and Glasgow coma scores (GCS) were recorded to provide baseline data for future comparison as the system progresses. The majority of deaths (67%) were related to CNS injuries. ISS in this series was similar to data reported from Orange County, California. The average GCS for all patients in this series was 5, indicating the high prevalence and severity of head injuries in motor vehicle deaths. Patients treated only in community hospitals had a low average ISS of 28.5. Those transferred from community hospitals to the regional tertiary care center had an average ISS of 36.2. Those admitted directly to the tertiary center had an ISS of 38.9. The data suggest that the rural trauma system might improve if there were training programs that promote recognition of significant injury, more aggressive resuscitation, and expeditious transfer of the injured patients.
对一个涵盖21个县的农村紧急医疗服务（EMS）系统中与机动车相关的创伤死亡情况进行了回顾。记录损伤严重程度评分（ISS）和格拉斯哥昏迷评分（GCS），以便在系统发展过程中提供基线数据用于未来比较。大多数死亡（67%）与中枢神经系统损伤有关。本系列中的ISS与加利福尼亚州奥兰治县报告的数据相似。本系列所有患者的平均GCS为5，表明机动车死亡中头部损伤的高发生率和严重程度。仅在社区医院接受治疗的患者平均ISS较低，为28.5。从社区医院转至区域三级护理中心的患者平均ISS为36.2。直接入住三级中心的患者ISS为38.9。数据表明，如果有促进识别严重损伤、更积极复苏以及快速转运受伤患者的培训项目，农村创伤系统可能会得到改善。
