Stürmer K M
Klinik für Unfallchirurgie, Plastische und Wiederherstellungschirurgie, Universitätsklinikum, Zentrum Chirurgie, Göttingen.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:114-22.
The German Society of Trauma Surgery decided in November 1995 to pass a resolution on trauma diagnosis and therapy guidelines. The first eight guidelines, dealing with the Diagnosis Related groups relevant for trauma patients, have now been completed by the scientific committee of the society and is published as a pocket book in July 1997. The content is clearly classified, and each guideline is described shortly. This book does not serve as a substitute for textbooks and surgical manuals. Guidelines have to be open to new innovative trends and should not compel certain diagnostic or therapeutic procedures to be used. Instructions may help to reduce costs and to establish necessary procedures. Legally these guidelines describe the medical standard and, therefore, can not be ignored. They do not replace the medical expert. Guidelines require a high degree of expert knowledge. Therefore, they should only be published and modified by a scientific society. As guidelines may endanger the medical freedom of treatment and development of innovative trends, they need to be carefully defined for a wide range of application.
德国创伤外科学会于1995年11月决定通过一项关于创伤诊断和治疗指南的决议。该学会的科学委员会现已完成了首批八项涉及创伤患者相关诊断相关组别的指南，并于1997年7月以袖珍手册的形式出版。内容分类清晰，每项指南都有简要描述。本书并非教科书和外科手册的替代品。指南必须顺应新的创新趋势，不应强制使用某些诊断或治疗程序。指南有助于降低成本并确立必要的程序。从法律角度讲，这些指南描述了医疗标准，因此不容忽视。它们不能取代医学专家。指南需要高度的专业知识。因此，它们应由科学学会发布和修订。由于指南可能危及治疗的医疗自由度和创新趋势的发展，所以需要针对广泛的应用范围进行仔细界定。
