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首页> 外文期刊>European journal of trauma: official publication of the European Trauma Society >Medical Specialties Assuming the Role of Trauma Team Leader in Canadian Trauma Centers
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Medical Specialties Assuming the Role of Trauma Team Leader in Canadian Trauma Centers

机译:医疗专业在加拿大创伤中心担任创伤小组负责人

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摘要

The use of medical staff from various medical specialties as trauma team leaders (TTL) is a subject of debate and varies from one region to another. This survey reports the current situation among Canadian trauma centers. Trauma centers were identified on the Internet through the provincial health ministry and regional health authority websites and the Trauma Association of Canada (TAC). Provincially designated or TAC-accred-ited trauma centers were surveyed by telephone and mail to obtain and confirm information regarding hospital designation and the medical specialties assuming the role of TTL.30 trauma centers in nine of the ten Canadian provinces were identified. Surgeons were assigned the role of TTL in 25 of 30 hospitals (83%), and assumed this role an average of 59.4% (+-39%) of the time. The use of emergency medicine physicians as TTL was reported in 18 hospitals (60%), and 34.4% (+- 38%) of the time. Other specialties were reported as TTL in seven hospitals (23%) for 6.2% (± 19%) of the time.Surgeon involvement as TTL remains the most frequent approach used at major Canadian trauma centers, however nonsurgeon specialists, particularly emergency medicine physicians, lead a nonnegligible proportion of trauma team resuscitations.
机译:使用不同医学专业领域的医务人员作为创伤小组负责人(TTL)是一个争论的话题,并且在一个地区到另一个地区都有所不同。该调查报告了加拿大创伤中心的当前状况。通过省卫生部和地区卫生局网站以及加拿大创伤协会(TAC)在互联网上确定了创伤中心。通过电话和邮件对省级指定或TAC认可的创伤中心进行了调查,以获取并确认有关医院指定和医疗专业的信息,并假设TTL的作用。确定了加拿大十个省中的九个省中的30个创伤中心。外科医生在30所医院中的25所中被分配了TTL的角色(占83%),并且平均占该时间的59.4%(+-39%)。在18家医院(60%)中,有34.4%(+-38%)的医院报告了使用急诊医学医生作为TTL的情况。在7家医院(23%)中,其他专业的报道为TTL,占时间的6.2%(±19%)。由于TTL仍然是加拿大主要创伤中心使用最频繁的方法,但是非外科专家,特别是急诊医学医师,导致创伤小组复苏的比例不可忽略。

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