收稿日期: 2024-12-31
网络出版日期: 2025-09-02
Research progress on hospital secondary triage of massive critical burn injuries
赵佳义 , 王淑君 , 祝红娟 . 批量危重烧伤患者院内二次检伤分诊管理的研究进展[J]. 中华急危重症护理杂志, 2025 , 6(9) : 1089 -1093 . DOI: 10.3761/j.issn.2096-7446.2025.09.010
As secondary triage constitutes a critical component in the management of mass burn casualties. Efficient secondary triage can maximize life-saving potential，improve prognosis，and ensure stable operation of healthcare systems during mass critical burn casualty management. This article will provide a review from four aspects：an overview of secondary triage for mass critically burned patients，a specialty-led multidisciplinary secondary triage collaboration model，an injury assessment method based on mortality and burn prognosis risk，and a secondary triage decision-making process driven by a multi-dimensional theoretical framework. Future research should focus on establishing standardized treatment protocols and guideline systems that are compatible with China’s national conditions and clinical practice.
| [1] | Fuzaylov G, Dabek RJ, Bojovic B, et al. Experience of outreach in a resource-constrained environment:10 years of outcomes in burn care[J]. Burns, 2021, 47(7):1656-1664. |
| [2] | Perez KG, Eskridge SL, Clouser MC, et al. Burn injuries in US service members:2001-2018[J]. Burns, 2023, 49(2):461-466. |
| [3] | 冯苹, 刘晓彬, 唐洪泰, 等. 成批烧伤救治时护理工作模式[J]. 中华烧伤杂志, 2021, 37(1):79-81. |
| Feng P, Liu XB, Tang HT, et al. Nursing work mode in the treatment of massive burn casualties[J]. Chin J Burns, 2021, 37(1):79-81. | |
| [4] | 唐乾利. 新中国烧伤治疗技术70年发展与展望[J]. 中国烧伤创疡杂志, 2019, 31(5):305-311. |
| Tang QL. Development and prospect of burn treatment technologies over the past 70 years[J]. Chin J Burns Wounds Surf Ulcers, 2019, 31(5):305-311. | |
| [5] | Fuchko D, King-Shier K, Gabriel V. Burn mass casualty incident planning in Alberta:a case study[J]. Burns, 2024, 50(5):1128-1137. |
| [6] | Hughes A, Almeland SK, Leclerc T, et al. Recommendations for burns care in mass casualty incidents:WHO Emergency Medical Teams Technical Working Group on Burns(WHO TWGB) 2017-2020[J]. Burns, 2021, 47(2):349-370. |
| [7] | Leclerc T, Sj?berg F, Jennes S, et al. European Burns Association guidelines for the management of burn mass casualty incidents within a European response plan[J]. Burns, 2023, 49(2):275-303. |
| [8] | Curtis EE, Yenikomshian HA, Carrougher GJ, et al. Early patient deaths after transfer to a regional burn center[J]. Burns, 2020, 46(1):97-103. |
| [9] | Al-Shamsi M, Moitinho de Almeida M, Nyanchoka L, et al. Assessment of the capacity and capability of burn centers to respond to burn disasters in Belgium:a mixed-method study[J]. J Burn Care Res, 2019, 40(6):869-877. |
| [10] | 贺全勇. 成批烧伤的应急救治进展[J]. 中国烧伤创疡杂志, 2021, 33(4):229-232. |
| He QY. Progress in emergency treatment for mass burns[J]. Chin J Burns Wounds Surf Ulcers, 2021, 33(4):229-232. | |
| [11] | 王晓洁, 高红梅. SBAR沟通模式在患者转运交接中的研究现状[J]. 护理实践与研究, 2018, 15(14):18-21. |
| Wang XJ, Gao HM. Research status of the SBAR communication model in patient transport handover[J]. Nurs Pract Res, 2018, 15(14):18-21. | |
| [12] | Usmani A, Pipal DK, Bagla H, et al. Prediction of mortality in acute thermal burn patients using the abbreviated burn severity index score:a single-center experience[J]. Cureus, 2022, 14(6):e26161. |
| [13] | Saadat GH, Toor R, Mazhar F, et al. Severe burn injury:body mass index and the Baux score[J]. Burns, 2021, 47(1):72-77. |
| [14] | 陈华勇, 辛国华. 烧伤患者预后相关预测模型的研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(9):891-895. |
| Chen HY, Xin GH. Research progress on prognostic prediction models for burn patients[J]. Chin J Burns Wound Repair, 2023, 39(9):891-895. | |
| [15] | Surowiecka-Pastewka A, Witkowski W, Kawecki M. A new triage method for burn disasters:fast triage in burns(FTB)[J]. Med Sci Monit, 2018, 24:1894-1901. |
| [16] | 谢滔. 自建《烧创伤伤情评估表》在批量烧创伤伤员急诊救治中的应用[J]. 国际护理学杂志, 2020, 39(6):1117-1120. |
| Xie T. Application of a self-developed “Burn and trauma assessment form” in emergency treatment of mass burn and trauma casualties[J]. Int J Nurs, 2020, 39(6):1117-1120. | |
| [17] | 马超群, 赖锦佳, 文工圳, 等. 广东省新入职护士灾害护理核心能力潜在剖面及影响因素分析[J]. 军事护理, 2024, 41(11):21-25. |
| Ma CQ, Lai JJ, Wen GZ, et al. Latent profiles and influencing factors of core disaster nursing competencies among newly employed nurses in Guangdong province[J]. Nurs J Chin PLA, 2024, 41(11):21-25. | |
| [18] | International Council of Nurses. ICN disaster competency report[EB/OL].(2019-11-15)[2020-08-15]. https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB.pdf. |
| [19] | 舒勤. 中国重症创伤护理:回顾与展望[J]. 创伤外科杂志, 2025, 27(2):81-89. |
| Shu Q. Intensive trauma nursing in China:review and prospects[J]. J Trauma Surg, 2025, 27(2):81-89. | |
| [20] | 武作家, 王钰炜, 程晶, 等. 创伤救治护理培训的改革与实践成效[J]. 中华护理教育, 2025, 22(1):85-90. |
| Wu ZJ, Wang YW, Cheng J, et al. Reform and practical effectiveness of trauma care training[J]. Chin J Nurs Edu, 2025, 22(1):85-90. | |
| [21] | 张芳兰. 急危重症护理相关理论与实践应用[J]. 中国防痨杂志, 2024, 46(3):368. |
| Zhang FL. Theories and practical applications of critical care nursing[J]. Chin J Antituberc, 2024, 46(3):368. | |
| [22] | April MD, Bridwell RE, Jones J, et al. Descriptive analysis of casualties rapidly returned to the fight after injury:reverse triage implications for large scale combat operations[J]. Med J(Ft Sam Houst Tex), 2022:3-9. |
| [23] | Remondelli MH, Remick KN, Shackelford SA, et al. Casualty care implications of large-scale combat operations[J]. J Trauma Acute Care Surg, 2023, 95(2S Suppl 1):S180-S184. |
/
| 〈 |
|
〉 |