TAILIEUCHUNG - Báo cáo y học: " Field triage in trauma – do the data really justify the conclusions?"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Field triage in trauma – do the data really justify the conclusions? | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Letter to the Editor Field triage in trauma - do the data really justify the conclusions Mârten Sandberg Open Access Address Air Ambulance Department Oslo University Hospital - Ullevâl Oslo Norway Email Mârten Sandberg - Published 29 May 2009 Received 14 May 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 24 doi l757-724l -17-24 Accepted 29 May 2009 This article is available from http content l7 l 24 2009 Sandberg licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Letter Dear Sir I read with interest the recently published paper by Rehn and coworkers about field triage in trauma 1 . The topic is interesting and improved quality of the work and information flow from the scene-of-the-accident to the emergency department can save lives. However some of the conclusions drawn by the authors can be challenged. First the authors compared undertriage and overtriage of the traumatized patients and found 2 and 17 undertriage and 35 and 66 overtriage for anaesthetists and paramedics respectively. They conclude that anaesthetists perform precise trauma triage whereas paramedics have potential for improvement although the authors themselves state that skewed mission profiles make comparison of differences in triage precision difficult 1 . The ground ambulances staffed with paramedics are used locally while the helicopters staffed with anaesthetists are a regional resource. The helicopters are dispatched when major trauma is suspected while ground ambulances are dispatched to any sort of incidence. In Oslo an anaesthetist-staffed ground ambulance operates alongside ordinary .

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