The trauma 'A' team: advanced trauma life support training enhances ED & hospital trauma decisions and care.

摘要

In February 1976, Jim Styner, MD, FACS, an orthopedic surgeon, crashed his small airplane in rural Nebraska. One of his children had only minor trauma, but three were critically injured. Styner's wife was killed instantly, and he was severely injured. They all received inadequate care at the receiving hospital, stemming from the lack of proper education of the receiving emergency department (ED) staff regarding early trauma management.It may be hard to believe, but when Styner and several family members were finally rescued and taken to the closest hospital, the ED door was locked and the "night nurse" had to call in doctors who were on call from home.