Wick J M, Wade J, Datena S J, Long W B
Legacy Emanuel Hospital and Health Center, Portland, OR, USA.
AORN J. 1998 Feb;67(2):346-52, 354. doi: 10.1016/s0001-2092(06)62882-2.
The "golden hour" of trauma is based on the principle that severely injured patients are more likely to survive with rapid, appropriate resuscitation and treatment. An inequality exists between sophisticated urban trauma centers and rural/community hospitals in their efforts and abilities to treat severely injured patients. A level I trauma center developed a unique program in an attempt to equalize this inequality--a mobile surgical transport team (MSTT). This article explains the origin of the MSTT, how and why the MSTT is activated, and the roles and responsibility of MSTT members. To further explain the MSTT, two contrasting case studies on trauma patients are presented.
创伤的“黄金一小时”基于这样一个原则，即重伤患者若能得到快速、恰当的复苏和治疗，存活的可能性更大。在治疗重伤患者的努力和能力方面，先进的城市创伤中心与农村/社区医院之间存在差距。一家一级创伤中心制定了一项独特计划，试图消除这种差距——组建了一个移动手术运输团队（MSTT）。本文解释了MSTT的起源、激活方式及原因，以及MSTT成员的角色和职责。为进一步说明MSTT，还介绍了两个形成对比的创伤患者案例研究。
