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创伤急救一体化的实践与探索
引用本文:沈伟锋,江观玉,干建新.创伤急救一体化的实践与探索[J].中华医院管理杂志,2006,22(2):114-117.
作者姓名:沈伟锋  江观玉  干建新
作者单位:310009,杭州,浙江大学医学院附属第二医院急诊中心
摘    要:论述了创伤救治新理念,阐述了创伤急救从传统模式向现代模式转变,即急诊科创伤急救模式由“全科型”向“专业化”转变、创伤医师培养模式由“通科型”向“专业型”转变。通过我院急诊科在创伤急救的快速临床反应机制、急诊创伤重点救治机制、创伤急救院内衔接机制和协调机制、急诊创伤病房规范化管理机制及创伤急救小组运作机制的实践,探讨了构建基于“三环理论”急诊科创伤急救一体化模式。

关 键 词:创伤急救  三环理论  一体化模式
收稿时间:2005-09-15
修稿时间:2005年9月15日

Practice and explorations in integrated emergency care of trauma
SHEN Wei-feng,JIANG Guan-yu,GAN Jian-xin.Practice and explorations in integrated emergency care of trauma[J].Chinese Journal of Hospital Administration,2006,22(2):114-117.
Authors:SHEN Wei-feng  JIANG Guan-yu  GAN Jian-xin
Institution:Emergency Care Center of the Affiliated Second Hospital of Zhejiang University Medical College, Hangzhou 310009, China
Abstract:The paper gives an account of the new ideas in trauma care and the transition of emergency care of trauma from the traditional model to the modern model,viz.the transition of emergency care of trauma by the emergency department from a paradigm of general practice to a paradigm of specialized care;the transition of trauma physicians training from a paradigm of general practitioners to a paradigm of specialists;and the transition of the flow of emergency care of trauma from a paradigm of "links" to a paradigm of "whole course".Based on the practice of the emergency department of the hospital the authors work with in setting up a quick clinical response mechanism of emergency care of trauma,a mechanism of priority to emergency care of trauma,a hospital-wide linking and coordinating mechanism of emergency care of trauma,a standardized management mechanism of wards for emergency care of trauma,and an operational mechanism of the team of emergency care of trauma,the paper discusses building an integrated model of emergency care of trauma on the basis of the "three links theory" by the emergency department.
Keywords:Emergency care of trauma  The three links theory  An integrated model
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