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目的:探讨创伤评估法在急诊分诊中的应用价值。方法:选择自2013年1月至2014年6月在我院急诊科就诊的684例创伤患者为研究对象,采用创伤评估法(包括cRAMS和创伤评估程序)对所有患者进行创伤评估确定病情分级并指导治疗。结果:684例创伤患者中有286例重度损伤(即CRAMS评分<7分);398例轻度损伤(即CRAMS评分≥7分)。进一步的创伤评估发现重度损伤患者中有212例患者有危及生命的部位损伤,其中重度颅脑损伤52例、多发伤104例、开放性气胸16例、多发性骨折20例、腹腔脏器出血20例。在398例轻度损伤的患者中有18例患者存在危及生命的部位损伤,包括重度颅脑损伤2例、多发伤8例、腹腔内出血6例、脊椎骨折2例。结论:CRAMS联合创伤评估程序可以准确的确定创伤患者的病情分级,可以有效指导急诊分诊使患者得到及时治疗,值得在临床中推广应用。
Objective: To explore the value of trauma assessment in emergency triage. METHODS: A total of 684 traumatic patients from our emergency department in our hospital from January 2013 to June 2014 were selected as the study subjects. Trauma assessment (including cRAMS and trauma assessment program) was used to evaluate the trauma of all the patients. Guiding treatment. RESULTS: Of the 684 traumatic patients, 286 were severe injuries (ie CRAMS score <7) and 398 mild injuries (ie, CRAMS score ≥7). Further trauma assessment found that 212 patients with severe injury had life-threatening injuries, including 52 with severe traumatic brain injury, 104 with multiple trauma, 16 with open pneumothorax, 20 with multiple fractures, and 20 with intra-abdominal organ bleeding example. In 398 mildly injured patients, 18 had life-threatening injuries, including 2 with severe craniocerebral injury, 8 with multiple trauma, 6 with intraperitoneal hemorrhage and 2 with vertebral fracture. Conclusion: The CRAMS combined trauma assessment program can accurately determine the grading of trauma patients, which can effectively guide the emergency triage patients to get timely treatment, which is worth to be popularized in clinic.