بررسي كفايت اقدامات اورژانس پيش بيمارستاني در بيماران ترومايي ارجاعي به اورژانس بيمارستان سينا از شهريور 1382 تا شهريور 1383

The Efficacy of Pre-Hospital Care in Traumatic Patients referred to Emergency Ward of "Sina Hospital" between September 2003 and September 2004

Background: The accuracy of the pre-hospital care has not been evaluated in Iran so that the purpose of the present study was to evaluate the efficacy of the pre-hospital care performed by Tehran Emergency Service in traumatic patients referred to "Sina Hospital". Materials and Methods: This prospective study was conducted on traumatic patients referred to emergency department of "Sina hospital" by Tehran Emergency Service from September 2003 to September 2004. The accuracy of the pre-hospital care performed by Tehran Emergency technicians, regarding the patientsʹ general condition was evaluated. The on-call physicians in emergency department of "Sina hospital" were responsible for gathering the data and filling the questionnaires based on their observation and the EMS forms. Results: 994 patients were enrolled in the study. Wound bandage and homeostasis were done correctly in 80% of the cases. Splint was applied correctly in 50% of the patients, while other therapeutic procedures such as collar and spinal bed were not performed among 80% of the cases. IV-line was obtained in 91.2% of the patients, while serum infusion was initiated in only 20% of patients. Conclusion: It is recommended to compile evidence-based protocols for the pre-hospital procedures and train the emergency technicians to follow the rules, in order to improve the efficacy and the accuracy of the pre-hospital care. According to the principal changes recently made in the quality and quantity of the care offered by Iranʹs Emergency Service, it is necessary to perform a new study to evaluate the present condition and compare the results of these qualitative and quantitative changes with the current study.