Procon debate Is the scoop and run approach the best approach to trauma services organization 英文参考文献.docVIP

Available online /content/12/5/224 Review Pro/con debate: Is the scoop and run approach the best approach to trauma services organization? Barbara Haas and Avery B Nathens Department of Surgery, University of Toronto, St Michael’s Hospital, Queen Wing, 3N-073, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8 Corresponding author: Barbara Haas, barbara.haas@utoronto.ca Published: 10 September 2008 Critical Care 2008, 12:224 (doi:10.1186/cc6980) This article is online at /content/12/5/224 ? 2008 BioMed Central Ltd Abstract ventilation with the aid of a bag–valve–mask system, ALS programs have the capacity to provide definitive airway control with endotracheal intubation and venous access in You are asked to be involved in organizing a trauma service for a major urban center. You are asked to make a decision on whether the services general approach to trauma in the city (which does have a well-established trauma center) will be scoop and run (minimal resuscitation at the scene with a goal to getting the patient to a trauma center as quickly as possible) or on-the-scene resuscitation with transfer following some degree of stabilization. the prehospital setting. Selected programs might also perform more invasive procedures such as tube thoracos- tomy or cricothyroidotomy [5]. ALS-care providers are capable of performing a variety of procedures in the field. The specific interventions provided through ALS programs encompass a wide spectrum and depend not only on the practice environment (rural or urban) and type of personnel, but also on vagaries pertaining to local Emergency Medical Services policies and procedures. In general, ALS paramedics have only endotracheal intubation, Introduction Since the development of organized trauma systems, the importance of simultaneous rapid evaluation and manage- ment of immediately l