Assessment of Pre-Hospital Emergency Care and its Associated Factors in Traumatic Patients in North of Iran

Mina Mohseni, Tahereh Khaleghdoust Mohammadi, Zahra Mohtasham-Amiri, Ehsan Kazemnejad, Morteza Rahbar Taramsari, Leila Kouchakinejad-Eramsadati

Abstract

Objective: To determine the status of pre-hospital emergency care and its associated factors in traumatic patients.

Methods: In across-sectional study, 577 traumatic patients who were transferred to Poursina hospital by EMS (Emergency Medical Services) personnel were selected by simple random sampling method. Pre-hospital emergency services were observed. Then the mean of taken measures scores for each domain was determined in percent and evaluated in terms of associated factors (age, working experience of staff and number of missions per day) and compared using Spearman's test.

Results: Out of 577 patients, 454 were men (78.7%) and 123 women (21.3%). Their mean age was 35.1 years old. Accident (82.7%) was the most common mechanism of injury. Most vehicles involved in the accident were light-weight cars (48.5%) and motorcycles (32.2%). A significant relationship was found between age, general domain (p=0.039) and hemodynamic (p=0.019) as well as between work experience and general domain (p=0.018).

Conclusion: Given that pre-hospital emergency services provided in most of the domains are relatively far from world standard, results of this research can provide information for managers to improve strategic planning on care and medical services, appropriation of budget, knowledge of personnel and necessary equipment.

Keywords

Pre-hospital; Emergency service; Trauma

Full Text:

PDF XML HTML