Sakellariou A, McDonald P J, Lane R H
Department of Surgery, Royal Hampshire County Hospital, Winchester.
Ann R Coll Surg Engl. 1995 Jan;77(1):45-52.
A trauma team approach to the initial assessment, investigation and treatment of potentially seriously injured patients has been implemented at a district general hospital. Team members are mobilised by an emergency paging system which is activated when a patient fulfils one or more of a predetermined list of historical, pathophysiological and anatomical criteria. Aspects of the function of the trauma team were assessed after 10 months of operation. The problems encountered and solutions implemented are discussed. As a result, the structure and function of the trauma team has been modified and improved. Although hospitals differ in workload and staffing, the trauma team concept is possible and achievable at no extra cost. Trauma teams maximise existing resources and constitute a valid approach to the early management of the irregular presentation of the severely injured patient to district general hospitals. The establishment of such teams with members who should be ATLS trained, should be a current priority in district general hospitals in the UK.
一家地区综合医院已采用创伤团队方法对可能受重伤的患者进行初始评估、检查和治疗。当患者符合预先确定的一系列病史、病理生理和解剖学标准中的一项或多项时，通过紧急传呼系统调动团队成员。在运行10个月后对创伤团队的功能进行了评估。讨论了遇到的问题及实施的解决方案。结果，创伤团队的结构和功能得到了改进。尽管不同医院的工作量和人员配备有所不同，但创伤团队理念切实可行且无需额外成本。创伤团队可最大限度地利用现有资源，是对严重受伤患者不定期送往地区综合医院进行早期管理的有效方法。组建由接受过高级创伤生命支持（ATLS）培训的人员组成的此类团队，应是英国地区综合医院当前的优先事项。
