Annual Meeting of the Western Trauma Association. Alta, Wyoming (USA), 1996/02/26.
Care of the patient injured in the rural setting poses many unique challenges.
This report profiles the experience of a solo, rural general surgeon with patients with multiple injuries during a 7-year period.
Emergency department (ED) contact sheets for 43,308 patients treated from September 1,1988 through August 31,1995 were reviewed.
Eighty-four patients met selection criteria based on injuries with Abbreviated Injury Scale score<3 in a single body region or = 2 in two or more body regions.
Prehospital and hospital records were reviewed.
Injury Severity Score ranged from 8 to 43 (mean, 16).
Four patients died in the ED, 54 (64%) were transferred to a referral trauma center, and 26 (31%) were admitted to the community hospital.
Roles of the general surgeon in the management of multiple trauma in the rural hospital are :
(1) to coordinate trauma care in the community, including educational and organizational efforts ;
(2) to perform the necessary techniques in the ED to achieve optimal resuscitation and stabilization ;
(3) to rationally prioritize patients for transfer to a referral trauma center based upon assessment of patient injuries and institutional capabilities ;
and (4) to provide definitive care for a subset of patients with no need for subspecialty intervention.
Mots-clés Pascal : Polytraumatisme, Traumatisme, Homme, Milieu rural, Pratique professionnelle, Chirurgien, Wisconsin, Etats Unis, Amérique du Nord, Amérique, Chirurgie, Personnel sanitaire, Organisation, Système santé, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Multiple injury, Trauma, Human, Rural environment, Professional practice, Surgeon, Wisconsin, United States, North America, America, Surgery, Health staff, Organization, Health system, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0066557
Code Inist : 002B16K. Création : 21/05/1997.