摘要
客观在伊朗的损害的高负担要求一个全面损伤照顾系统的建立。这份报纸的目的是关于部件和功能描述损伤系统的当前的地位。在一个损伤系统的所有部件的损伤系统的当前的地位通过与损伤专家和政策制造者一起的专家面板和半结构化的会见被描述的方法。当前结果，各种各样的组织涉及损害，而是损伤的一条综合系统途径的预防，管理和康复是相当缺乏的。在通过媒介，交通规定加强，医院照顾和 prehospital 服务的公共教育的区域有进行中的进步。同时，关于高风险组资助，立法和教育有差距。教育和前面的训练标准上的问题衬里医疗队和持续教育和评估还有待于被探讨。损伤登记在一些省被驾驶了，但是作为它需要开发得好的基础结构(关于职员，维护，金融资源) ，它还没在我们损伤照顾的系统被建立。看起来，有损伤的问题之一在伊朗在乎的结论是在损伤系统组织之中的协作的缺乏。尽管损伤病人的临床的管理在最近的十年在我们的国家改善了，减少损害的负担在一个损伤系统的上下文要求一条组织途径到损伤的预防和管理。
Objective： The high burden of injuries in Iran necessitates the establishment of a comprehensive trauma care system. The purpose of this paper is to describe the current status of trauma system regarding the components and function. Methods： The current status of trauma system in all components of a trauma system was described through expert panels and semi-structured interviews with trauma specialists and policy makers. Results： Currently, various organizations are involved in prevention, management and rehabilitation of injuries, but an integrative system approach to trauma is rather deficient. There has been ongoing progress in areas of public education through media, traffic regulation reinforcement, hospital care and prehospital services. Meanwhile, there are gaps regarding financing, legislations and education of high risk groups. The issues on education and training standards of the front line medical team and continuing education and evaluation are yet to be addressed. Trauma registry has been piloted in some provinces, but as it needs the well-developed infrastructure （regarding staff, maintenance, financial resources）, it is not yet established in our system of trauma care. Conclusions： It seems that one of the problems with trauma care in Iran is lack of coordination among trauma system organizations. Although the clinical management of trauma patients has improved in our country in the recent decade, decreasing the burden of injuries necessitates an organized approach to prevention and management of trauma in the context of a trauma system.
