...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Prehospital emergency care >Emergency Medical Treatment and Active Labor Act and trauma triage.
【24h】

Emergency Medical Treatment and Active Labor Act and trauma triage.

机译：紧急医疗和积极劳动法和创伤分类。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The Emergency Medical Treatment and Active Labor Act (EMTALA) was conceived as a means to ensure that patients with emergent conditions would receive stabilizing care and to avert the potentially dangerous, economically driven, interhospital transfer of patients. This legislation and its subsequent application arrived near the time that regional and statewide trauma systems were established. Trauma systems were developed to guide optimal resource use for the injured patient regardless of the patient's ability to pay. Unfortunately, when coupled with current economic and litigation threats to community emergency and surgical practitioners, EMTALA represents a threat to the continuation of the trauma system concept. Trauma systems are dependent on a tiered hospital network where severely injured patients are taken to a hospital with resources aligned to manage the worst of injuries. When primary triage from the field cannot accomplish this task, secondary triage from a nondesignated or lower-level hospital to the higher-level trauma center is needed. EMTALA has served as a driver to change the priority for secondary triage from addressing the needs of the severely injured patient to filling community hospital surgical specialist emergency department on-call coverage gaps for less severely injured patients. Further, legal action associated with claims of EMTALA violations has needlessly extended medical examination and "stabilization" efforts at community emergency departments prior to needed secondary triage. Higher-level trauma centers will benefit from codifying system-wide emergency medical services practices related to primary and secondary triage, establishing trauma center capacity and divert practices, and initiating "transfer center" operations that control transfer of patients to these centers.
机译：紧急医疗和积极劳动法（EMTALA）被认为是一种确保紧急情况患者将获得稳定护理并避免潜在的危险，经济驱动的医院间转移的手段。该立法及其随后的应用在建立区域和州范围的创伤系统之时就已经到来。开发了创伤系统以指导受伤患者的最佳资源使用，而不论患者的支付能力如何。不幸的是，当加上当前对社区急诊和外科医师的经济和诉讼威胁时，EMTALA代表着对创伤系统概念的延续的威胁。创伤系统依赖于分层的医院网络，在那里重伤的患者被带到医院，其资源用于管理最严重的伤害。如果现场的初级分类无法完成此任务，则需要从非指定医院或低级医院到较高级创伤中心进行次级分类。 EMTALA一直是推动次要分类优先级的推动者，从满足重伤患者的需求转变为填补重伤较轻患者的社区医院外科专家急诊部门的呼叫覆盖空白。此外，与违反EMTALA的索赔有关的法律诉讼不必要地扩大了社区急诊部门在进行必要的二次分类之前的体检和“稳定”工作。较高级别的创伤中心将受益于将与主要和次要分诊相关的全系统紧急医疗服务规范化，建立创伤中心的能力和转移实践，以及启动控制患者向这些中心转移的“转移中心”操作。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号