Brennan R, Cohen S S, Chambers J A, Andrews C
Provenant St Anthony Hospital Central, Denver.
AORN J. 1994 Oct;60(4):576-7, 580-4. doi: 10.1016/s0001-2092(07)63295-5.
Trauma is the fourth leading cause of death in the United States, and trauma injuries affect more than 50 million Americans annually. Inadequate care of trauma patients can cause unnecessary patient deaths. To decrease death and disability caused by trauma, one Denver hospital developed a trauma OR based on the "Golden Hour" principle (ie, the sooner a patient receives treatment, the more likely the patient will survive). Since 1977, this hospital has performed 1,838 trauma resuscitations in the trauma OR suite. This article discusses the importance of triage and recants the history of trauma patient transportation. The authors detail the trauma procedures at their hospital, including the specific roles of trauma team members and the necessary equipment, and provide demographic information on the trauma resuscitations performed at the hospital since 1988. The article also discusses the extensive and continuous orientation necessary for trauma team members and explains the quality improvement strategies implemented by this hospital.
创伤是美国第四大死因，每年有超过5000万美国人受到创伤伤害。对创伤患者的护理不当会导致不必要的患者死亡。为了减少创伤导致的死亡和残疾，丹佛的一家医院基于“黄金一小时”原则（即患者接受治疗越早，存活的可能性就越大）设立了创伤手术室。自1977年以来，这家医院已在创伤手术室进行了1838次创伤复苏手术。本文讨论了分诊的重要性，并讲述了创伤患者转运的历史。作者详细介绍了他们医院的创伤手术流程，包括创伤团队成员的具体职责和所需设备，并提供了自1988年以来在该医院进行的创伤复苏手术的人口统计学信息。文章还讨论了创伤团队成员所需的广泛而持续的培训，并解释了这家医院实施的质量改进策略。
