For debate: the Operational Patient Care Pathway
For debate: the Operational Patient Care Pathway
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DOI：
10.1136/jramc-2013-000228
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发表时间：
2014-03-01
影响因子：
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通讯作者：
Bricknell, Martin
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文献类型：
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作者：
Bricknell, Martin
本文介绍了作战患者护理路径，这是对所有作战患者进行临床护理的统一方法，这些患者是由于在军事行动中部署时暴露于“所有危险环境”的国防高危人群（PAR）而产生的。它包含三种组织模式：医疗保健周期、护理链和患者护理运营路径。它得到许多关键定义的支持，包括：“所有危险环境”、防御 PAR 和七项运营医疗能力。主要的新临床概念包括：战术现场护理、火力护理、增强现场护理、长期现场护理、渐进式复苏和增强诊断。引入操作性患者护理途径，将过去十年军事行动的医学经验教训融入未来国防医疗服务的概念和条令中。我们鼓励该杂志的读者就《操作患者护理路径》论文进行辩论，以便在《联合医学学说》的下一个修订版中发布最终版本。
This paper introduces the Operational Patient Care Pathway which is a unified approach for clinical care to all operational patients arising from the Defence population at risk (PAR) exposed to the 'all-hazards environment' while deployed on military operations. It comprises three organisational models: the Healthcare Cycle, the Chain of Care and the Operational Patient Care Pathway. It is supported by a number key definitions including: the 'All-Hazards Environment', the Defence PAR, and the seven Capabilities of Operational Healthcare. Key new clinical concepts include: Tactical Field Care, Care under Fire, Enhanced Field Care, Prolonged Field Care, Progressive Resuscitation and Enhanced Diagnostics. The Operational Patient Care Pathway has been introduced to embed the medical lessons from the last decade of military operations into concepts and doctrine for the Defence Medical Services of the future. Readers of this journal are encouraged to debate the Operational Patient Care Pathway paper in order to enable a final version to be published in the next revision of Joint Medical Doctrine.