损伤控制医学人才队伍的体系化建设

Building a training system for damage control medicine

  • 摘要: 当前,随着人工智能、大数据、远程医疗等新技术的广泛应用,战伤救治体系正在经历深刻变革。损伤控制(damage control,DC)是应对战场多发伤、复合伤及严重出血等致死性损伤的重要救治策略,其核心在于迅速控制致命性伤情,稳定伤员生命体征,为后续确定性治疗赢得机会。俄乌冲突中大规模伤亡、多发伤复合伤高发、时效救治与资源前置受限等严峻态势,对救治模式、救治人员的能力素质和梯次配置提出了全新挑战。本文针对未来大规模对称性作战态势下批量伤员救治需求,系统阐述损伤控制医学人才队伍建设的战略意义,提出融合国际先进经验、建立多层次梯队、完善模块化训练、强化动态评价及前沿技术赋能的体系化建设思路。结合当代战争案例和未来发展趋势,提出构建高水平、专业化、智慧赋能人才队伍的发展路径,以期为未来战场救治能力提升提供有力的人才保障和技术支撑。

     

    Abstract: Currently, with the widespread application of new technologies such as artificial intelligence, big data and telemedicine, the battlefield casualty management system is undergoing profound transformation. Damage Control (DC) is a vital treatment strategy for addressing life-threatening injuries on the battlefield, such as multiple injuries, complex injuries and severe haemorrhage. Its core principle lies in rapidly stabilizing life-threatening conditions and vital signs, thereby creating an opportunity for subsequent definitive treatment. In the Russia-Ukraine conflict, the severe situation characterized by mass casualties, a high incidence of multiple and complex injuries, as well as limited treatment time and insufficient forward-deployed resources, has posed entirely new challenges to treatment models, the capabilities and qualifications of medical personnel, and the tiered deployment of medical teams. This paper addresses the requirements for the mass treatment of casualties in future large-scale symmetrical warfare scenarios. It systematically elaborates on the strategic significance of building a workforce in damage control medicine and proposes a systematic development approach that integrates international best practices, establishes multi-tiered teams, refines modular training, strengthens dynamic evaluation, and leverages cutting-edge technology. Drawing on contemporary warfare case studies and future trends, this paper proposes a development pathway for building a high-calibre, specialised and technology-enabled workforce, with the aim of providing robust human resource guarantees and technical support for enhancing battlefield medical capabilities in the future.

     

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