A well-established trauma care system based on local conditions is imperative

Today the world is unstable with frequent incidence of local military conflicts, terrorist attacks, traffic accidents, and natural disasters, thus trauma has become the most important modern diseases threatening human health. With the concept of golden 1 hour and platinum 10 minutes, trauma care has been closely concerned in the field of disaster medicine, trauma medicine, and even modern medicine. In the narrow sense, trauma first aid includes pre-hospital first aid and emergency treatment in the hospital. However, in a broad sense, trauma treatment includes not only emergency treatment of trauma, but also intensive care of severe trauma, functional rehabilitation of trauma patients, and psychological rehabilitation of trauma patients. This series has published a series of articles on the construction of trauma first aid system, including German trauma first aid mode, American third-level trauma center mode, China Chongqing trauma first aid mode, China Wuhan trauma first aid mode, China Beijing trauma regional rescue mode, China Zhejiang trauma first aid mode, etc. . Obviously, due to the different types of trauma, the differences in geographical forms of traumatic areas, and the degree of economic development, there is no standard unified model for the construction of trauma first aid system, and it is appropriate to construct local trauma first aid systems, especially pre-hospital first aid. The system should be the focus of current research, and the implementation of standardized one-stop hospital trauma treatment process should also be the subject of current attention. In addition, intensive care of severely traumatized patients, functional rehabilitation of trauma patients, especially for post-traumatic stress disorder, and corresponding psychological interventions should also be included in the planning of future trauma treatment system construction.

本刊连续刊载了系列创伤急救体系建设文章，包括德国创伤急救模式，美国三级创伤中心模式，中国重庆创伤急救模式，中国武汉创伤急救模式，中国北京创伤区域救治模式，中国浙江创伤急救模式等。显然，由于创伤种类不同，创伤发生地区地理形态的差异，以及经济发展程度不同，创伤急救体系的建设至今尚无标准统一的模式，因地制宜地建设适合于当地的创伤急救体系，特别是院前急救体系应是当前研究的重点，实施标准化一站式的院内创伤救治流程也应是当前应当关注的课题。此外，严重创伤患者的重症监护，创伤患者功能康复，特别是针对创伤后应激障碍，开展相应的心理干预治疗，也应该包涵在未来创伤救治体系建设的规划当中。