Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd (Jan 2006)
Evaluation of prehospital care in management of traumatic patients referred to Shahid Rahnemoun and Afshar Hospitals of Yazd
Abstract
Introduction: Trauma is the most common cause of mortality in the 1 to 44 years age group and third leading cause of mortality in the world. In general, determination of defects caused by trauma has an essential role in management of traumatic patients. Use of scoring systems for evaluation of static and dynamic states of traumatic events can decrease the mortality and morbidity rates. Different methods are used to decrease the mortality and morbidity rates of trauma in the world. The purpose of this study was to asses the prehospital care of various helper groups, (acquaintances, strangers and 115 service men) and its outcome in traumatic patients. Methods: The study was descriptive- analytic, cross – sectional one that was done from the Iranian calendar year 1379 to 1380. 120 patients with multiple traumas were entered in the study. Sampling method in this study was census. The first step was completion of the first page of the questionnaire by interviewing the patient and the accompanying person. After that, according to injury severity score, all defects of the patients were evaluated. RTS (Revised Trauma Score) and TRISS (Trauma Injury Severity Score) were calculated. After filling the questionnaires, data was collected and analyzed by SPSS software. Results: 120 patients with multiple traumas were entered in the study.(107 male and 13 female). Mean age was 29.6 years, 85.8% had blunt trauma, while 14.2% had penetrating trauma. The average ISS was 10.38, RTS was 7.53, TRSS-B was 93.64 and TRSS-P was92.56. 12 patients required intubations which was done correctly in 5 patients, but was not good in 7 of them. Also, 55 patients required serum therapy that was done appropriately in 45 patients.. From all of the 78 patients who needed bleeding control, it was done well for 62 of them. The maximum RTS in patients who died was 6.90. Conclusion: In most situations, helper groups are not trained properly resulting in higher mortality rate. Even though the number of cases was small in the study, it is felt that continual education is needed for on call personnel so that patients in bad condition transported by them are given better care and attention.
