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  1. Rural trauma care : Role of the general surgeon.

    Article, Communication - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0066557

    Code Inist : 002B16K. Création : 21/05/1997.