EPIDEMIOLOGIC APPROACH TO SURGICAL-MANAGEMENT OF THE CASUALTIES OF WAR
EPIDEMIOLOGIC APPROACH TO SURGICAL-MANAGEMENT OF THE CASUALTIES OF WAR
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DOI：
10.1136/bmj.308.6945.1693
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发表时间：
1994-06-25
影响因子：
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通讯作者：
COUPLAND, RM
中科院分区：
文献类型：
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作者：
COUPLAND, RM
现代冲突的性质使得大多数在战争中受伤的人无法获得足够的医疗护理。对战场上的伤员进行梯队救护的传统军事方法的意义有限。我提出了另一种流行病学方法，通过这种方法，一些情感护理可能会惠及更多人。外科设施要利用外科和麻醉能力产生积极影响，就必须能够接触到伤员；工作人员和患者的安全；以及运转良好的医院基础设施。这些都取决于对第一届日内瓦公约的尊重。如果事先有充分的急救，那么尽早入院进行紧急手术并不那么重要。红十字国际委员会的医院满足了这些条件，为数千名伤员提供了手术治疗。如果认识到这些优先事项，并且减少对只惠及少数人的外科护理的更引人注目的方面的重视，现代冲突中受伤的人会过得更好。
The nature of modern conflicts precludes adequate medical care for most people wounded in wars. The traditional military approach of echeloned care for those wounded on the battlefield has limited relevance. I present an alternative, epidemiological approach whereby some affective care may reach many more. For a surgical facility to have a positive impact by using surgical and anaesthetic competence there must be access to the wounded; security for staff and patients; and a functioning hospital infrastructure. These all depend on respect for the first Geneva convention. Early hospital admission for urgent surgery is not so important if there is adequate first aid beforehand. The hospitals of the International Committee of the Red Cross have provided surgical care for thousands of wounded people by fulfilling these conditions. People wounded in modern conflicts would fare better if these priorities were recognised and less emphasis was placed on the more spectacular aspects of surgical care that benefit only a few.