Cannell H, Silvester K C, O'Regan M B
Department of Oral and Maxillofacial Surgery, Royal London Hospital, Whitechapel.
Br J Oral Maxillofac Surg. 1993 Aug;31(4):207-12. doi: 10.1016/0266-4356(93)90140-r.
It has been suggested that early intensive medical treatment will improve the outcome for trauma patients with severe injuries. A Helicopter Emergency Medical Service (HEMS) based in an urban area was inaugurated by The Royal London Hospital. Specially trained medical and paramedical personnel flew with the helicopter to accident scenes. On return to the hospital, multi-disciplinary teams, including maxillofacial, were called to manage the patients. Operations from its own helipad commenced from the end of August 1990. A retrospective study of 192 patients transferred by HEMS to the Royal London Hospital during 16 months was undertaken. 18% (34) patients had facial injuries recognised at primary and secondary surveys according to Advanced Trauma Life Support (ATLS) protocols. The problems of early management are described and routine techniques for the control of haemorrhage from the maxillofacial area were developed.
有人提出，早期强化医疗治疗将改善重伤创伤患者的治疗结果。伦敦皇家医院启用了一家位于市区的直升机紧急医疗服务（HEMS）。经过专门培训的医疗和辅助医疗人员随直升机飞往事故现场。返回医院后，包括颌面外科在内的多学科团队被召集来管理患者。1990年8月底开始从其自己的直升机停机坪开展行动。对16个月内由HEMS转至伦敦皇家医院的192例患者进行了回顾性研究。根据高级创伤生命支持（ATLS）方案，18%（34例）患者在初次和二次检查时被诊断为面部损伤。本文描述了早期管理的问题，并制定了控制颌面区域出血的常规技术。
