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首页> 外文期刊>Emergency medicine journal: EMJ >The casualty profile from the Reading train crash, November 2004: proposals for improved major incident reporting and the application of trauma scoring systems.
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The casualty profile from the Reading train crash, November 2004: proposals for improved major incident reporting and the application of trauma scoring systems.

机译：2004年11月Reading火车车祸中的人员伤亡情况：改进重大事故报告和应用创伤评分系统的建议。

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OBJECTIVE: To report the casualty profile of the major incident at the Royal Berkshire Hospital, Reading, following the Ufton Nervet Train crash, November 2004. To make further proposals regarding major incident reporting and implementation of trauma-scoring systems. METHOD: Retrospective analysis of emergency department and hospital notes. Calculation of index Injury Severity Score (ISS) and Trauma and Injury Severity Score (TRISS) in all patients. RESULTS: Of 61 casualties, the majority (74%) were seen in the minors area of our emergency department with a mixture of blunt impact and penetrating glass injuries. One died and 16 were admitted. 10% had an ISS >16. All surviving patients had a TRISS predicted probability of survival >90%. CONCLUSION: We propose mandatory major incident reporting within 6 months of a major incident to aid development of a national database. As previously proposed, this will aid education and facilitate future major incident planning. We further propose the widespread use of trauma scoring systems to facilitate comparative analysis between major incidents, perhaps extrapolating this to develop a major incident score.
机译：目的：在2004年11月Ufton Nervet火车失事后，报告雷丁皇家伯克郡医院重大事件的人员伤亡情况。就重大事件报告和实施创伤评分系统提出进一步建议。方法：回顾性分析急诊科和医院笔记。计算所有患者的指数损伤严重度评分（ISS）和创伤及损伤严重度评分（TRISS）。结果：在61名伤员中，大多数（74％）被发现在我们急诊室的未成年人区域，混合着钝器撞击和穿透性玻璃伤。一人死亡，十六人被接纳。 10％的ISS大于16。所有存活的患者均具有TRISS预测的存活率> 90％。结论：我们建议在重大事件发生后的6个月内进行强制性重大事件报告，以帮助开发国家数据库。如先前建议的那样，这将有助于教育并促进将来的重大事件规划。我们进一步建议广泛使用创伤评分系统，以促进重大事件之间的比较分析，也许可以通过推断得出重大事件得分。

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