Houdelette P
Chaire de Chirurgie de Guerre, Ecole d'Application du Service de Santé des Armées Val-de-Grâce, Paris.
J Chir (Paris). 1996;133(8):363-71.
Sorting casualties is universally accepted as the best means of coordinating a large number of patients with war injuries. Sorting means classifying casualties by characteristic medical and health features according to three types of criteria: diagnosis: gravity of the injury; prognosis: predictable survival; and logistic: evaluation of demand for care and possibilities for evaluation. The sorting process may be systematic or selective. The rules applied in different war situations or in civilian catastrophies vary according to the emergency care system which is called in (French Army, NATO, International Red Cross, GNO). The current role of the intensive care physician as a sorter is underlined. More than a doctrine, surgical sorting is a concept of action to be understood.
伤员分类被公认为是协调大量战争伤员救治的最佳方法。伤员分类是指根据三类标准,即诊断:损伤的严重程度;预后:可预测的生存情况;以及后勤:对护理需求和评估可能性的评估,按照医学和健康特征对伤员进行分类。分类过程可以是系统的或选择性的。在不同的战争情况或平民灾难中应用的规则,会根据所调用的急救系统(法国军队、北约、国际红十字会、GNO)而有所不同。强调了重症监护医师作为分类者的当前作用。外科分类不仅仅是一种学说,更是一个需要理解的行动概念。