理解的对吗？

While developing guidelines for trauma airway management, medical directors must focus on common barriers to their application and adoption by clinicians. Barriers include limitations on airway management practice opportunities including the ideal, hospital-based live patient clinicals, or even cadaver training. While high fidelity simulation helps with critical thinking and technical skills, the nuances of live experiences are invaluable in providing experience for actual patient management. Guidelines that are specific to the agency and take agency’s clinician expertise and experience into consideration are paramount and have documented positive effects on the actual use of a guideline (50). Guidelines should describe when to escalate, what airway goals are targeted, choice of appropriate patient destination, and potentially mode of transport when applicable.

在制定创伤气道管理指南时，医务主任必须重点关注妨碍临床医生应用和采用这些指南的常见障碍。这些障碍包括限制气道管理实践的机会，如理想的、以医院为基础的现场患者临床（甚至是尸体上的）培训。虽然高保真模拟有助于培养关键性思维和技术技能，但现场气道管理的细微差别在为实际患者管理方面提供经验是无价的。特定于该机构并考虑该机构临床医生专业知识和经验的指导意见至关重要，指导意见也记录了其出台后实际使用所产生的积极影响。指导意见应描述何时气道管理要升级、气道管理的目标是什么、选择合适的患者目的地、以及适时可能的运输方式。

patient destination患者目的地、potentially mode of transport可能的运输方式

这两个是指患者插管后的运送吗？