SITUATION OF RESPONSE AND TRANSPORT TIME IN PREHOSPITAL TRAUMATIC PATIENTS FROM SCENE TO HOSPITAL IN TABRIZ – IRAN

Dadashzadeh, A and Sadeghi, H and Shams, SH and Dehghannejhad, J and Hassanzadeh, F and Toloie, M and Soheili, A (2016) SITUATION OF RESPONSE AND TRANSPORT TIME IN PREHOSPITAL TRAUMATIC PATIENTS FROM SCENE TO HOSPITAL IN TABRIZ – IRAN. The J Urmia Nurs Midwifery Fac, 14 (8). pp. 728-737.

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Abstract

One of the most important concepts in pre-hospital trauma patients is a rapid response and transfer in order to provide high quality care and reduce injuries and deaths in the emergency situation. Several time indicators affect the process of dispatching ambulances. This study aims to investigate the pre-hospital dispatching time intervals in Tabriz. Materials & Methods: In this descriptive study ،the records of all trauma patients ،which activated Emergency Medical Services (EMS) and led to an emergency dispatch ،studied in 2014 in Tabriz. A four-part checklist consisted of patient characteristics ،patient condition ،scene status and dispatching time intervals used for collecting data. Descriptive and inferential statistics were applied to the data by SPSS v.16 software. Results: A total of 5614 out of 37002 registered missions during a year were related to trauma injuries. The majority of patients (75.88%) were male. Their mean age was 35.54 ± 17.71. 94.5% of patients had stable level of consciousness and no patient had died during their transfer in the ambulance. The average time of activation ،response ،spent at the scene and transfer to hospital were 2.38 ،10.07 ،8.11 and 9.13 minutes ،respectively. Traffic accidents (72.9%) were the most common cause of trauma and blunt trauma (85.6%) were the most common type of trauma among injured patients. The mean of total dispatching time (from call to delivery of patients to the hospital) was 30.16 minutes. There is a significant relationship between the activation time in the various levels of consciousness and mechanism of injury. Also ،there is a significant relationship between the mean of total dispatching time ،level of consciousness ،type of trauma ،and the mechanism of injury. Conclusion: The results indicated that traffic accidents were the leading cause of trauma in Tabriz. Overall dispatching time indicators were better in comparison to other studies and emergency personnel were quick in patients with low GCS and penetrating trauma. Ambulances activation time seems to be higher that requires more planning and modifications to take proper actions in this area

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