目的旨在通过文献计量可视化分析,深入探讨战伤救治研究的现状、热点和发展趋势。方法检索中国知网、维普、万方数据库和Web of Science(WOS)数据库自2004年1月1日至2023年9月1日收录的战伤救治相关文献。应用CiteSpace软件分别对中文...目的旨在通过文献计量可视化分析,深入探讨战伤救治研究的现状、热点和发展趋势。方法检索中国知网、维普、万方数据库和Web of Science(WOS)数据库自2004年1月1日至2023年9月1日收录的战伤救治相关文献。应用CiteSpace软件分别对中文数据库和WOS数据库进行战伤救治文献计量可视化分析。结果中文数据库共纳入2957篇文献,WOS共纳入3606篇文献,两个数据库发文量均呈整体增长趋势。中文数据库分析呈现的研究重点为战伤救治、卫勤保障、训练等组织管理方向。WOS数据库的研究重点在战伤、创伤后应激障碍、精神健康等战伤并发症救治上。两个数据库时间线图和聚类分析呈现出不同的特点。结论当前研究热点主要集中在卫勤保障、模拟训练、战伤并发症救治等方面,并趋向于救治技术创新、创伤后心理健康、多学科合作与综合治疗以及战伤救治系统的改进与应急响应等。展开更多
Ultrasonography used by practicing clinicians has been shown to be of utility in the evaluation of time-sensitive and critical illnesses in a range of environments,including pre-hospital triage,emergency department,an...Ultrasonography used by practicing clinicians has been shown to be of utility in the evaluation of time-sensitive and critical illnesses in a range of environments,including pre-hospital triage,emergency department,and critical care settings.The increasing availability of lightweight,robust,user-friendly,and low-cost portable ultrasound equipment is particularly suited for use in the physically and temporally challenging environment of a multiple casualty incident(MCI).Currently established ultrasound applications used to identify potentially lethal thoracic or abdominal conditions offer a base upon which rapid,focused protocols using hand-carried emergency ultrasonography could be developed.Following a detailed review of the current use of portable ultrasonography in military and civilian MCI settings,we propose a protocol for sonographic evaluation of the chest,abdomen,vena cava,and extremities for acute triage.The protocol is two-tiered,based on the urgency and technical difficulty of the sonographic examination.In addition to utilization of well-established bedside abdominal and thoracic sonography applications,this protocol incorporates extremity assessment for long-bone fractures.Studies of the proposed protocol will need to be conducted to determine its utility in simulated and actual MCI settings.展开更多
The role of point-of-care ultrasound in mass casualty incidents(MCIs)is still evolving.Occasionally,hospitals can be destroyed by disasters resulting in large number of trauma patients.CAVEAT and FASTER ultrasound pro...The role of point-of-care ultrasound in mass casualty incidents(MCIs)is still evolving.Occasionally,hospitals can be destroyed by disasters resulting in large number of trauma patients.CAVEAT and FASTER ultrasound protocols,which are used in MCIs,included extremity ultrasound examination as part of them.The literature supports the use of ultrasound in diagnosing extremity fractures both in hospitals and MCIs.The most recent systematic review which was reported by Douma-den Hamer et al in 2016 showed that the pooled ultrasound sensitivity and specificity for detecting distal forearm fractures was 97% and 95% respectively.Nevertheless,majority of these studies were in children and they had very high heterogeneity.The portability,safety,repeatability,and cost-effectiveness of ultrasound are great advantages when treating multiply injured patients in MCIs.Its potential in managing fractures in MCIs needs to be further defined.The operator should master the technique,understand its limitations,and most importantly correlate the sonographic findings with the clinical ones to be useful.This editorial critically reviews the literature on this topic,describes its principles and techniques,and includes the author’s personal learned lessons so that trauma surgeons will be encouraged to use ultrasound to diagnose fractures in their own clinical practice.展开更多
目的分析美军在延续现场救护(prolonged field care,PFC)中医疗文书记录的经验做法,为促进我军战伤救治理论体系发展提供借鉴。方法通过查阅文献资料,梳理美军在PFC中常用的医疗文书记录类型、内容及作用。结果美军PFC医疗文书记录主要...目的分析美军在延续现场救护(prolonged field care,PFC)中医疗文书记录的经验做法,为促进我军战伤救治理论体系发展提供借鉴。方法通过查阅文献资料,梳理美军在PFC中常用的医疗文书记录类型、内容及作用。结果美军PFC医疗文书记录主要包括:DD1380 TCCC卡、PFC流程图、交接报告、行动报告和远程医疗服务指南等,且美军在PFC临床实践指南中,给出了PFC救护的基本策略(即应遵循“最低”“更高”“最佳”的原则),并提供了相应的PFC记录文书建议。结论我军可参考美军医疗文书记录的内容,优化设计伤票和野战病历,提高战伤救治能力。展开更多
目的探讨乌克兰战时军队人员心理急救(psychological first aid,PFA)模式和流程,为我军PFA的开展及培训提供借鉴。方法重点介绍乌克兰战时PFA三级结构模式,梳理其具体任务、实施者、PFA的不同时间、地点以及内容。结果乌克兰军队PFA模...目的探讨乌克兰战时军队人员心理急救(psychological first aid,PFA)模式和流程,为我军PFA的开展及培训提供借鉴。方法重点介绍乌克兰战时PFA三级结构模式,梳理其具体任务、实施者、PFA的不同时间、地点以及内容。结果乌克兰军队PFA模式和流程已经过顿巴斯战争(2016~2019年)和当前俄乌冲突的实践检验,对我军未来战场PFA工作具有启示作用。结论通过研究乌克兰战时PFA模式,本文从培养一线救援力量、确立基本原则和策略、构建阶梯后送体系三个方面提出了对我军PFA的启示;并指出培养一线救援力量是提高战场心理急救时效的前提,确立基本原则和策略是开展战场心理急救工作的关键,构建阶梯后送体系是实施战场心理急救任务的保证。展开更多
文摘目的旨在通过文献计量可视化分析,深入探讨战伤救治研究的现状、热点和发展趋势。方法检索中国知网、维普、万方数据库和Web of Science(WOS)数据库自2004年1月1日至2023年9月1日收录的战伤救治相关文献。应用CiteSpace软件分别对中文数据库和WOS数据库进行战伤救治文献计量可视化分析。结果中文数据库共纳入2957篇文献,WOS共纳入3606篇文献,两个数据库发文量均呈整体增长趋势。中文数据库分析呈现的研究重点为战伤救治、卫勤保障、训练等组织管理方向。WOS数据库的研究重点在战伤、创伤后应激障碍、精神健康等战伤并发症救治上。两个数据库时间线图和聚类分析呈现出不同的特点。结论当前研究热点主要集中在卫勤保障、模拟训练、战伤并发症救治等方面,并趋向于救治技术创新、创伤后心理健康、多学科合作与综合治疗以及战伤救治系统的改进与应急响应等。
文摘Ultrasonography used by practicing clinicians has been shown to be of utility in the evaluation of time-sensitive and critical illnesses in a range of environments,including pre-hospital triage,emergency department,and critical care settings.The increasing availability of lightweight,robust,user-friendly,and low-cost portable ultrasound equipment is particularly suited for use in the physically and temporally challenging environment of a multiple casualty incident(MCI).Currently established ultrasound applications used to identify potentially lethal thoracic or abdominal conditions offer a base upon which rapid,focused protocols using hand-carried emergency ultrasonography could be developed.Following a detailed review of the current use of portable ultrasonography in military and civilian MCI settings,we propose a protocol for sonographic evaluation of the chest,abdomen,vena cava,and extremities for acute triage.The protocol is two-tiered,based on the urgency and technical difficulty of the sonographic examination.In addition to utilization of well-established bedside abdominal and thoracic sonography applications,this protocol incorporates extremity assessment for long-bone fractures.Studies of the proposed protocol will need to be conducted to determine its utility in simulated and actual MCI settings.
文摘The role of point-of-care ultrasound in mass casualty incidents(MCIs)is still evolving.Occasionally,hospitals can be destroyed by disasters resulting in large number of trauma patients.CAVEAT and FASTER ultrasound protocols,which are used in MCIs,included extremity ultrasound examination as part of them.The literature supports the use of ultrasound in diagnosing extremity fractures both in hospitals and MCIs.The most recent systematic review which was reported by Douma-den Hamer et al in 2016 showed that the pooled ultrasound sensitivity and specificity for detecting distal forearm fractures was 97% and 95% respectively.Nevertheless,majority of these studies were in children and they had very high heterogeneity.The portability,safety,repeatability,and cost-effectiveness of ultrasound are great advantages when treating multiply injured patients in MCIs.Its potential in managing fractures in MCIs needs to be further defined.The operator should master the technique,understand its limitations,and most importantly correlate the sonographic findings with the clinical ones to be useful.This editorial critically reviews the literature on this topic,describes its principles and techniques,and includes the author’s personal learned lessons so that trauma surgeons will be encouraged to use ultrasound to diagnose fractures in their own clinical practice.
文摘目的分析美军在延续现场救护(prolonged field care,PFC)中医疗文书记录的经验做法,为促进我军战伤救治理论体系发展提供借鉴。方法通过查阅文献资料,梳理美军在PFC中常用的医疗文书记录类型、内容及作用。结果美军PFC医疗文书记录主要包括:DD1380 TCCC卡、PFC流程图、交接报告、行动报告和远程医疗服务指南等,且美军在PFC临床实践指南中,给出了PFC救护的基本策略(即应遵循“最低”“更高”“最佳”的原则),并提供了相应的PFC记录文书建议。结论我军可参考美军医疗文书记录的内容,优化设计伤票和野战病历,提高战伤救治能力。
文摘目的探讨乌克兰战时军队人员心理急救(psychological first aid,PFA)模式和流程,为我军PFA的开展及培训提供借鉴。方法重点介绍乌克兰战时PFA三级结构模式,梳理其具体任务、实施者、PFA的不同时间、地点以及内容。结果乌克兰军队PFA模式和流程已经过顿巴斯战争(2016~2019年)和当前俄乌冲突的实践检验,对我军未来战场PFA工作具有启示作用。结论通过研究乌克兰战时PFA模式,本文从培养一线救援力量、确立基本原则和策略、构建阶梯后送体系三个方面提出了对我军PFA的启示;并指出培养一线救援力量是提高战场心理急救时效的前提,确立基本原则和策略是开展战场心理急救工作的关键,构建阶梯后送体系是实施战场心理急救任务的保证。
