多发性创伤患者的医疗处理——德国乌尔姆市联邦国防军医院的资源、标准和培训(英文)

Management of polytraumatized patients in the resuscitation room Resources,standards and training at the German Armed Forces Hospital in Ulm,Germany

德国乌尔姆市联邦国防军医疗中心复苏病房对患者实行连续质量控制的医疗处理,此项措施使得该中心的医疗处理工作质量达到了国内和国际先进水平,该院最近被认证为跨地区的创伤医疗中心。医院始终不渝地坚持多学科性建设并保持医疗技术处于国内和国际先进水平。按照国内和国际标准制定的ATLS■和PHTLS■规则系统,例如全身多层CT检查、血栓弹性描记法已被用来满足最新的技术需求。在这样的技术背景下,当部队被派往需要高度的灵活性和适应能力的国外部署时,医务人员和非现役军官就能够充分地运用他们在乌尔姆中心医院获得的知识和技能来完成他们所承担的任务。本文介绍了在复苏病房中对多发性创伤患者进行预处理、为复苏医疗组成员提供培训所需要的现有资源,以及对患者的预处理可获得最佳效果的规则方法,此外还介绍了近十年来为达到现有质量标准所做的改进措施。

Continuous quality control of patient management in the resuscitation room has enabled the Federal Armed Forces Medical Centre Ulm to achieve quality standards that are recognized at both the national and the international levels. This is shown in the fact that the hospital is currently being certified as a supraregional trauma center. A major focus has invariably been placed on interdisciplinarity and compliance with nationally and internationally agreed standards. ATLS and PHTLS algorithms, which are recogntzed both nationally and internationally, have been successfully adapted to meet the latest requirements such as a multi-slice OF examination of the whole body and thromboelastography. With this background, medical service officers and non-commissioned officers are able to use the knowledge and skills they have acquired in Ulm also on foreign deployments, which require a particularly high level of flexibility and adaptability.