TMTraumaMaster Academy

从临床现场到课堂训练From clinical practice to classroom learning

把创伤救治学成一条完整的路线Learn the whole trauma care pathway

先选你的学习层级，再用图解、病例与监督下技能训练，学会评估、协作和持续复评。Choose your level, then learn assessment, teamwork and reassessment through visuals, cases and supervised skills.

选择学习路径Choose your path浏览六门主干课Browse six core courses
Conceptual illustration of trauma teamwork, not patient evidence
教学概念图：预警、交接、初评、协作与复评。Concept illustration: alert, handover, assessment, teamwork and reassessment.

01 · 从这里开始Start here

我现在处于哪个学习阶段？Where am I in my training?

02 · 共享心智模型Shared mental model

创伤救治链地图Trauma care chain map

  1. 院前预警Pre-alert机制与时间Mechanism and timing
  2. 团队启动Team activation角色与准备Roles and readiness
  3. xABCDExABCDE威胁与并行任务Threats and parallel tasks
  4. 复苏与止血Resuscitation措施与反应Actions and response
  5. 二次/三次评估Secondary/tertiary survey防遗漏与复评Missed-injury prevention
  6. 归处交接Disposition handover责任人与待办Owners and pending tasks

x 与 C 使用红色提示致命出血/循环威胁；A、B、D、E 使用深青，并始终保留字母。Red x and C indicate lethal bleeding/circulatory threats; A, B, D and E use deep teal with letters always visible.

x A B C D E

进入救治链课程Open the care-chain course

03 · 主干课程Core courses

六门主干课程Six core courses

按真实救治顺序排好：从走进抢救室，到初评、专科处置，再到批量伤员。共约 8.5 小时，每门课都标出对应的国际指南锚点。Ordered like real care: from the trauma bay to the primary survey, specialty care and mass casualties. About 8.5 hours, each course tied to an international guideline anchor.

  1. 01第一次进入创伤抢救室First day in the trauma bay25 分钟min
  2. 02创伤救治链总览Trauma care chain35 分钟min
  3. 03看懂 xABCDE 创伤初评xABCDE primary survey45 分钟min
  4. 04骨盆创伤临床思维Pelvic trauma reasoning45 分钟min
  5. 05骨科创伤：骨折与脱位Orthopaedics: fractures and dislocations180 分钟min
  6. 06创伤急救与灾难医学Trauma and disaster medicine180 分钟min
Trauma bay team01入门Foundation25 分钟min

第一次进入创伤抢救室First day in the trauma bay

先看懂房间、站对位置，再开口说第一句话。Read the room, take your place, then speak.

学完你能You will be able to

  • 认出抢救室分区与关键站位：气道、操作、记录、组长Identify bay zones and key positions: airway, procedures, scribe, leader
  • 用固定格式听懂院前交接（ATMIST）Receive pre-hospital handover in a fixed format (ATMIST)
  • 患者到达前完成团队简报，明确组长与分工Run a pre-arrival team briefing with a named leader and roles

临床锚点Clinical anchor

一个组长、一个声音：角色在患者进门前分配好，闭环沟通确认每条指令。One leader, one voice: assign roles before arrival and close the loop on every instruction.

ATLS 11 · 团队协作与沟通ATLS 11 · Team function and communication
开始学习Start learning →
Trauma care chain02核心Core35 分钟min

创伤救治链总览Trauma care chain

从院前预警到归处交接，每一环都有责任人。From pre-alert to disposition, every link has an owner.

学完你能You will be able to

  • 串起六个节点：预警、接收、初评、复苏、决策、交接Connect six nodes: pre-alert, reception, survey, resuscitation, decision, handover
  • 说清每一步由谁负责、何时完成State who owns each step and when it is due
  • 找出交接中最容易丢失的信息Spot the information most often lost at handover

临床锚点Clinical anchor

需要确定性治疗时，不要为了完善检查而推迟转运。When definitive care is needed, do not delay transfer for further tests.

ATLS 11 · 转运至确定性治疗ATLS 11 · Transfer to definitive care
开始学习Start learning →
xABCDE primary survey team03核心Core45 分钟min

看懂 xABCDE 创伤初评xABCDE primary survey

先止住会致命的出血，再按顺序一层层排除威胁。Stop the bleeding that kills first, then clear threats in order.

学完你能You will be able to

  • 按 x→A→B→C→D→E 发现并当场处理致命威胁Find and treat life threats in x→A→B→C→D→E order
  • 每次干预后、病情变化时回到 x 重新评估Return to x after every intervention or change
  • 分清初评与二次评估的边界Separate the primary from the secondary survey

临床锚点Clinical anchor

ATLS 第 11 版（2025）把 ABCDE 改为 xABCDE：致命性外出血先控制——直接压迫、止血带、伤口填塞。ATLS 11th ed. (2025) made ABCDE into xABCDE: control exsanguinating external haemorrhage first with pressure, tourniquet or packing.

ACS ATLS 第 11 版 · 2025ACS ATLS 11th edition · 2025
开始学习Start learning →
Pelvic trauma team04专题Focus45 分钟min

骨盆创伤临床思维Pelvic trauma reasoning

骨盆里能藏下大量失血，看不见不等于没有。The pelvis can hide massive bleeding; unseen is not absent.

学完你能You will be able to

  • 识别血流动力学不稳定的骨盆骨折Recognise haemodynamically unstable pelvic fractures
  • 正确放置骨盆带并确认效果Apply a pelvic binder correctly and confirm its effect
  • 按分级路径决定填塞、栓塞或手术，启动 MDTChoose packing, angioembolisation or surgery by pathway, with MDT

临床锚点Clinical anchor

骨盆带以股骨大转子为中心，而不是髂嵴；怀疑骨盆骨折出血即尽早使用。Centre the binder on the greater trochanters, not the iliac crests; apply early when pelvic bleeding is suspected.

WSES 骨盆创伤指南 · 欧洲大出血指南 2023WSES pelvic trauma guidelines · European bleeding guideline 2023
开始学习Start learning →
Orthopaedic trauma team05专题Focus180 分钟min

骨科创伤：骨折与脱位Orthopaedics: fractures and dislocations

十二个成人单元，先保肢体，再谈对位。Twelve adult units: save the limb before alignment.

学完你能You will be able to

  • 复位或上夹板前后，各查一次远端神经血管Check distal neurovascular status before and after reduction or splinting
  • 认出四类急症：开放骨折、血管损伤、骨筋膜室综合征、难复脱位Spot four emergencies: open fracture, vascular injury, compartment syndrome, irreducible dislocation
  • 按部位比较解剖结构与稳定性Compare anatomy and stability by region

临床锚点Clinical anchor

开放骨折：伤后 1 小时内静脉抗生素；伤口拍照后用生理盐水敷料覆盖，避免反复暴露。Open fractures: IV antibiotics within 1 hour; photograph, then cover with saline-soaked dressing and avoid re-exposure.

BOAST 开放骨折标准 · ATLS 11 肌骨创伤BOAST open fractures · ATLS 11 musculoskeletal trauma
开始学习Start learning →
Disaster medicine response06系统System180 分钟min

创伤急救与灾难医学Trauma and disaster medicine

伤员多于资源时，目标从救一个人变成救最多的人。When casualties exceed resources, save the most, not just one.

学完你能You will be able to

  • 切换到批量伤员思维：指挥、通信、资源Switch to mass-casualty thinking: command, communication, resources
  • 用 START 快速检伤分类：红、黄、绿、黑Triage fast with START: red, yellow, green, black
  • 四个学时，最后一课综合推演Four lessons ending in a full simulation

临床锚点Clinical anchor

START：能走为绿；呼吸 >30 次/分、桡动脉搏动消失或再充盈 >2 秒、不能听从指令，任一项即为红。START: walking is green; RR >30, absent radial pulse or refill >2 s, or cannot follow commands means red.

START 检伤分类START triage
开始学习Start learning →

教学用途：内容依据 ATLS 第 11 版（2025）、欧洲大出血与凝血病管理指南（2023）、WSES 骨盆创伤指南、BOAST 开放骨折标准等整理；临床实践请以最新指南与本院流程为准。For teaching. Based on ATLS 11th ed. (2025), the European guideline on bleeding and coagulopathy (2023), WSES pelvic trauma guidelines and BOAST open-fracture standards; follow current guidelines and local protocols in practice.

补齐临床闭环Complete the clinical learning loop

损伤控制复苏Damage control resuscitation

止血、TXA、输血策略与数字锚点。Hemorrhage control, TXA, transfusion and four numeric anchors.

二次/三次评估与漏诊Secondary/tertiary survey

AMPLE、头到脚查体和防遗漏闭环。AMPLE, head-to-toe examination and missed-injury prevention.

老年、儿童、孕妇与烧伤Special populations and burns

关注普通成人路径不能覆盖的风险。Assess risks beyond routine adult pathways.

文书、告知与交接Documentation and handover

把评估、沟通和未解问题留在记录里。Record assessment, communication and unresolved concerns.

04 · 监督下练习Supervised practice

九项技能，把知识练成行为Nine skills: turn knowledge into action

每项按识别、准备、模型演练、效果确认和失败升级组织，配可打印 OSCE 核对单。Each skill covers recognition, preparation, trainer practice, effect confirmation and failure escalation, with a printable OSCE checklist.

进入技能地图Open skill map手机 / 打印口袋卡Mobile / printable pocket cards打印九项 OSCE 表Print nine OSCE sheets

05 · 病例与专题Cases and focused lessons

把新信息放回复评循环Return new information to reassessment

颅脑损伤Traumatic brain injury

意识、瞳孔与继发性损伤预防。Consciousness, pupils and secondary injury prevention.

胸部创伤Chest trauma

胸廓、呼吸趋势与胸部技能衔接。Chest movement, breathing trends and thoracic skills.

腹部损伤Abdominal injury

隐匿出血、FAST 边界和连续查体。Occult bleeding, FAST limits and serial examination.

多发伤整合Integrated polytrauma

解剖、生理和并行任务。Anatomy, physiology and parallel tasks.

开放性骨盆伤 MDT 复盘Open pelvic injury MDT debrief

真实病例脱敏改编，逐步释放和风险复查。Adapted de-identified real case with staged release and risk review.

休克机制再评估Shock-mechanism reassessment

识别锚定偏差，整合未解问题。Recognize anchoring and integrate unresolved concerns.

更多病例讨论More case discussions

腹部持续出血复盘Ongoing abdominal hemorrhage debrief · 颈椎风险与髋脱位C-spine risk and hip dislocation

关于这套课程About these courses

用于医学教育、课堂讨论和监督下模拟训练。真实患者的决策与操作由具备相应资质、授权的团队依据本地规范完成。For medical education, classroom discussion and supervised simulation. Real-patient decisions and procedures require appropriately credentialed and authorized teams following local policy.

查看来源、分层范围与质量治理View sources, tier scope and quality governance