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Field triage, and the fragile supply of 'optimal resources' for the care of the injured patient.

机译：现场分诊，以及脆弱的“最佳资源”供应，难以照顾受伤的患者。

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摘要

Conventional field triage schemes, including those discussed in this series of reports, assume a high degree of consistency in the availability of resources at designated receiving hospitals. In an organized trauma system, designated trauma receiving facilities of all levels are typically required to maintain a high level of consistency in terms of available facility and human resources for the care of the injured patient. These resources, both facility and provider, are becoming increasingly vulnerable to gaps in availability, however, for a variety of reasons. When gaps in resource availability do occur, their often unpredictable nature nullifies the effectiveness of any established triage protocol, may result in trauma center closures or downgrades, and undermines the entire system of care. It may be necessary in some regions to develop more flexible triage processes, creating a time-sensitive responsiveness to fluctuations in resource availability in a way that dynamically minimizes overtriage and undertriage.
机译：常规的现场分流方案（包括本系列报告中讨论的方案）在指定的接收医院中在资源可用性方面假设高度一致。在有组织的创伤系统中，通常需要所有级别的指定创伤接收设施，以在护理受伤患者的可用设施和人力资源方面保持高度的一致性。但是，由于各种原因，设施和提供者这些资源变得越来越容易受到可用性缺口的影响。当资源可用性确实出现缺口时，它们通常不可预测的性质使任何已建立的分类方案无效，可能导致创伤中心关闭或降级，并破坏整个护理系统。在某些地区可能有必要开发更灵活的分类流程，以动态最小化过度分类和不足分类的方式，对资源可用性的波动创建时间敏感型响应。

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