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Specialty coverage at non-tertiary care centers.

机译:非三级护理中心的专业服务。

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摘要

The fundamental tenet of a trauma system is to get the right patient to the right hospital at the right time. Although most injuries are minor or moderate and can be managed at local community hospitals, a significant minority of injured patients require extensive and expensive care to survive or minimize injury. Most prehospital trauma triage criteria address a combination of factors to consider, but this approach sometimes fails to identify patients with severe injuries and often burdens trauma centers with patients suffering minor injuries. It is critical to utilize a method to differentiate those injury victims who need the specialized expertise and resources available in trauma centers from those who can be adequately cared for locally. Although trauma centers assume the leadership role, in a truly inclusive system, all health care providers (prehospital, community hospitals, and trauma centers) have a defined role in providing care to patients with trauma. All these institutions should establish and maintain transfer agreements for the transfer of patients meeting system trauma triage criteria. Because prehospital triage criteria are not 100% sensitive, there should be a mechanism in place for the secondary triage of patients. Initial management of patients should continue while efforts are made to transfer the patient.
机译:创伤系统的基本宗旨是在正确的时间将正确的患者送往正确的医院。尽管大多数伤害是轻度或中度的,可以在当地社区医院进行管理,但相当一部分受伤的患者需要广泛而昂贵的护理才能生存或将伤害降到最低。大多数院前创伤分诊标准都考虑了要综合考虑的因素,但是这种方法有时无法识别出严重受伤的患者,并且经常给轻伤患者带来重创。至关重要的是,采用一种方法来区分那些需要创伤中心需要专门知识和资源的受伤受害者和那些可以在当地得到充分照顾的受害者。尽管创伤中心承担着领导角色,但在一个真正的包容性系统中,所有医疗服务提供者(院前,社区医院和创伤中心)在为创伤患者提供护理方面都具有明确的作用。所有这些机构都应建立并维护转移协议,以转移符合系统创伤分类标准的患者。由于院前分诊标准不是100%敏感的,因此应该对患者进行第二次分诊。在努力转移患者的同时,应继续对患者进行初始管理。

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