Reducing time to urgent surgery by transporting resources to the trauma patient
Reducing time to urgent surgery by transporting resources to the trauma patient
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DOI：
10.1111/j.1445-2197.2007.04026.x
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发表时间：
2007-04-01
影响因子：
1.7
通讯作者：
Sugrue, Michael
中科院分区：
文献类型：
--
作者：
McMonagle, Morgan P.;Flabouris, Arthas;Sugrue, Michael
背景：最终创伤护理的时间直接影响患者的生存。患者运输（检索）服务对于将偏远的创伤患者运送到主要创伤中心至关重要。创伤外科专业知识可以与通常的恢复反应（手术支持反应）相结合，并在患者转运之前交付给患者。我们确定了此类手术支持的检索的频率和情况。方法：对 1999 年至 2003 年间由澳大利亚新南威尔士州医疗检索服务 NRMA CareFlight 转运的创伤患者进行回顾性审查，确定在将患者转运到主要创伤中心之前具有手术支持检索反应和进行紧急外科手术的患者。结果：确定了 749 例创伤院间患者转运，其中 511 例(68%) 被归类为紧急事项，其中 64% 属于农村地区。三名 (0.4%) 患者有手术支持的检索反应，并在患者转运前进行了紧急外科手术。所有患者均受益于早期手术干预。结论：手术支持的恢复反应可以更及时地提供紧急手术护理。患者可能会从这种反应中受益。然而，在提供手术支持的检索反应时，有一些重要的操作考虑因素。
Background: Time to definitive trauma care directly influences patient survival. Patient transport (retrieval) services are essential for the transportation of remotely located trauma patients to a major trauma centre. Trauma surgical expertise can potentially be combined with the usual retrieval response (surgically supported response) and delivered to the patient before patient transportation. We identified the frequency and circumstances of such surgically supported retrievals.Methods: Retrospective review of trauma patients transported by the NRMA CareFlight, New South Wales Medical Retrieval Service, Australia, from 1999 to 2003, identifying patients who had a surgically supported retrieval response and an urgent surgical procedure carried out before patient transportation to an major trauma centre.Results: Seven hundred and forty-nine trauma interhospital patient transfers were identified of which 511 (68%) were categorized as urgent and 64% of which were rural based. Three (0.4%) patients had a surgically supported retrieval response and had an urgent surgical procedure carried out before patient transportation. All patients benefited from that early surgical intervention.Conclusion: A surgically supported retrieval response allows for the more timely delivery of urgent surgical care. Patients can potentially benefit from such a response. There are, however, important operational considerations in providing a surgically supported retrieval response.