Objective: This study intended to improve quality of prehospital emergency care for trauma patients by figuring out its current situations and its problems based on run-sheets and questionnaires of 119 emergency medical technicians(EMTs). Methods: This study conducted a research of 425 trauma patien...
Objective: This study intended to improve quality of prehospital emergency care for trauma patients by figuring out its current situations and its problems based on run-sheets and questionnaires of 119 emergency medical technicians(EMTs). Methods: This study conducted a research of 425 trauma patients who be transferred to the 3rd hospital in Gwangju, Jeollanamdo by 119 ambulance from July 1, 2008 to June 30, 2009 through run-sheets. It, as a descriptive study, also utilized 114 copies with questionnaires of 119 EMTs working in Jeollanamdo on trauma patients. With SPSS 18.0, it analyzed the data through frequency analysis, t-test, ANOVA and repeated measures. Results: For the one year, there were 425 trauma patients, 272 men (64.0%), 109 seniors who are more than 60 years old(25.7%). In accordance with types of accidents, there were 269 patients injured by accidents(66.3%) and 137 by traffic accidents(33.7%). When it comes to types of 119 EMTs who delivered cares to patients, there were 206(48.5%) advanced EMTs (termed 1-level EMT), 101(23.8%) basic EMTs(termed 2-level EMT), 50(11.8%) nurses and 43(10.2%) rescue education receivers. Vital sign measured most frequently was pulse(230, 54.1%). Regarding systolic blood pressure, pulse, respiration, there were some significant differences in accordance with 119 EMTs. Prehospital emergency cares accounted for 861, around 2.0 treatments per a patient. Among them, there were 256 cases of comfort promotion (60.2%), 135 cases of hemostasis (31.8%), 122 cases of wound dressing (22.7%), 71 cases of warm keeping (16.7%), 65 cases of cervical spine fixation (15.0%), 59 cases of partial fixation (13.9%). In respect of types of treatment by 119 EMTs, nurses provided manipulation and nonperfusion most. Regarding knowledge level on trauma (full points=10), points of mechanics were 7.64, those of patient evaluation, 7.85, and those of emergency care, 8.86. That is, points of mechanics and patient evaluation were statistically more significant than those of emergency care. However, there were no differences in knowledge level according to qualification, career and clinical career of 119 EMTs. Conclusion: This study suggested that it is necessary to develop detailed guidelines for trauma patients so as to improve quality of trauma patient evaluation and prehospital care as well as to standardize emergency severity index in order to systematically train and regularly educate 119 EMTs, which helps them transfer the patients to proper hospitals in line with injure severity. Furthermore, improvement of emergency care systems will reduce mortality of trauma patients and lead to their good outcome.
Objective: This study intended to improve quality of prehospital emergency care for trauma patients by figuring out its current situations and its problems based on run-sheets and questionnaires of 119 emergency medical technicians(EMTs). Methods: This study conducted a research of 425 trauma patients who be transferred to the 3rd hospital in Gwangju, Jeollanamdo by 119 ambulance from July 1, 2008 to June 30, 2009 through run-sheets. It, as a descriptive study, also utilized 114 copies with questionnaires of 119 EMTs working in Jeollanamdo on trauma patients. With SPSS 18.0, it analyzed the data through frequency analysis, t-test, ANOVA and repeated measures. Results: For the one year, there were 425 trauma patients, 272 men (64.0%), 109 seniors who are more than 60 years old(25.7%). In accordance with types of accidents, there were 269 patients injured by accidents(66.3%) and 137 by traffic accidents(33.7%). When it comes to types of 119 EMTs who delivered cares to patients, there were 206(48.5%) advanced EMTs (termed 1-level EMT), 101(23.8%) basic EMTs(termed 2-level EMT), 50(11.8%) nurses and 43(10.2%) rescue education receivers. Vital sign measured most frequently was pulse(230, 54.1%). Regarding systolic blood pressure, pulse, respiration, there were some significant differences in accordance with 119 EMTs. Prehospital emergency cares accounted for 861, around 2.0 treatments per a patient. Among them, there were 256 cases of comfort promotion (60.2%), 135 cases of hemostasis (31.8%), 122 cases of wound dressing (22.7%), 71 cases of warm keeping (16.7%), 65 cases of cervical spine fixation (15.0%), 59 cases of partial fixation (13.9%). In respect of types of treatment by 119 EMTs, nurses provided manipulation and nonperfusion most. Regarding knowledge level on trauma (full points=10), points of mechanics were 7.64, those of patient evaluation, 7.85, and those of emergency care, 8.86. That is, points of mechanics and patient evaluation were statistically more significant than those of emergency care. However, there were no differences in knowledge level according to qualification, career and clinical career of 119 EMTs. Conclusion: This study suggested that it is necessary to develop detailed guidelines for trauma patients so as to improve quality of trauma patient evaluation and prehospital care as well as to standardize emergency severity index in order to systematically train and regularly educate 119 EMTs, which helps them transfer the patients to proper hospitals in line with injure severity. Furthermore, improvement of emergency care systems will reduce mortality of trauma patients and lead to their good outcome.
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