Knuth T E
Uniformed Services University of the Health Sciences, Eisenhower Army Medical Center, Department of Surgery, Fort Gordon, GA 30905, USA.
Mil Med. 1996 Mar;161(3):137-42.
To document the ongoing trauma experience of U.S. Army surgeons during peacetime clinical practice.
Surveys were mailed to the trauma directors of military surgical services worldwide. Questions focused on numbers of operative cases and availability of trauma resources. Laparotomy, thoracotomy, and vascular repair for trauma were considered index cases and simple means were computed based on numbers of cases per general surgeon.
Seventy percent of worldwide Army surgical services responded to the survey. In 1992, on the average, a general surgeon in the Army performed 1.3 trauma laparotomies, 0.3 thoracotomies, and 0.3 vascular repairs for trauma. Only 6 of 28 surgical services had an organized "trauma team," 3 held regular trauma conferences, and 1 service kept a registry and could calculate an average injury severity score.
Our data support perceptions concerning lack of an ongoing trauma experience for military surgeons and reinforces the need for collaborative education and training in busy civilian trauma centers. A regional approach is suggested as a viable solution.
记录美国陆军外科医生在和平时期临床实践中的持续创伤经历。
向全球军事外科服务的创伤主任邮寄调查问卷。问题集中在手术病例数量和创伤资源的可用性上。将创伤剖腹术、开胸术和血管修复视为索引病例，并根据每位普通外科医生的病例数计算简单平均值。
全球70%的陆军外科服务机构回复了调查。1992年，陆军普通外科医生平均进行1.3例创伤剖腹术、0.3例开胸术和0.3例创伤血管修复。28个外科服务机构中只有6个有组织的“创伤团队”，3个定期召开创伤会议，1个服务机构有登记册并能计算平均损伤严重程度评分。
我们的数据支持了关于军事外科医生缺乏持续创伤经历的看法，并强化了在繁忙的平民创伤中心进行合作教育和培训的必要性。建议采用区域方法作为可行的解决方案。
