COMPUTER-ASSISTED TRAUMA MANAGEMENT IN RURAL COMMUNITIES

创伤是农村死亡和残疾的主要原因之一 社区. 如果能够避免这些死亡和残疾， 如果早期发现了重大伤害， 恢复和稳定受伤的病人。 我们提议 开发一个基于微机的程序，特别是一个专家系统， 帮助农村卫生保健专业人员进行诊断、治疗， 稳定和创伤受害者的分类。 这样的计划可以作为 一个教育工具，以及刺激回忆和充当第二个 在实际的医疗紧急情况下。 在第一阶段，拟议的方案将分四个阶段制定： 文献检索，采访了两个国家的六名卫生保健专业人员， 农村诊所和两个区域创伤中心， 专家系统创伤顾问为头部受伤的基础上，这些采访 并与相同的医疗保健专业人员一起评估该计划。 在 第二阶段所有类型的创伤将考虑使用顾问从一个 农村社区更加多样化。 这种类型的程序是一种创新的方法来培训和技能 为那些在农村医疗诊所工作的人提供维修， 这些专业人员在实际的医疗紧急情况下可以随时参考。

Trauma is one of the leading causes of death and disability in rural communities. Many of these fatalities and disabilities could be avoided if significant injuries were detected earlier or if there were improvements in resuscitation and stabilization of the injured patients. We are proposing to develop a microcomputer-based program, specifically an expert system, to aid rural health-care professionals in the diagnosis, treatment, stabilization, and triage of trauma victims. Such a program could serve as an educational tool as well as stimulating recall and acting as a second opinion during actual medical emergencies. During Phase I, the proposed program will be developed in four stages: a literature search, interviews with six health-care professionals in two rural clinics and two regional trauma centers, development of an expert-system trauma advisor for head injuries based on these interviews and evaluation of this program with the same healthcare professionals. In Phase II all types of trauma will be considered using consultants from a greater diversity of rural communities. This type of program is an innovative approach to training and skill maintenance for those who work in rural medical clinics and also offers these professionals a ready reference during actual medical emergencies.