112 Ambulansı ile Çocuk Acile Getirilen Hastaların Değerlendirilmesi

Abstract

Objective: In this study, it was aimed to determine the evaluation of appropriate and necessary interventions and treatments which were made for patients admitted to pediatric emergency department by 112 ambulance. Materials and Methods: Patients which were admitted to Pediatric Emergency Medicine Department by 112 ambulance between November 1st., 2011 – November 30th., 2013 were included in this study retrospectively. Gender of the patients, date and time of admittance, time during transport, place where cases were taken, reason for hospital admittance, if the patient was referred, whether the given information is provided, the ambulance case record form was filled completely, treatment in ambulance, intubation was performed, diagnoses in emergency department, consultation, outcome of the patients, diagnoses and departments of the patients who were hospitalised were recorded. Results: Total 7425 patients were included in the study. Of 55.7% patients were male and 44.3% were female. It was determined that most of the patients were taken from the place of scene (45.7%). Most of the patients were transported between 08:00 am to 17:00 pm (44.4%). Of the 85.3% patients were transported because of diagnosis and treatment. It was determined that IV line were applied to 87.2% of the patients, vital signs were obtained 90.2% of the patients, pulse oximetry were applied 91.3% of the patients, treatment were initiated 67.7% of the patients during transport. The most common diagnoses were trauma (34,1%) but 90,4% of all trauma patient discharged with diagnosis of minor trauma. Most of the patients were consultated to pediatric surgery and hospitalised to the department of pediatrics (61.2%). It was found that 84.5% of the patients were discharged from the emergency department, 15% of them were hospitalised and 0.1% of them were died. Conclusion: The most common cause of admittance was trauma. Necessary medical interventions were during ambulance transport. Because of the high discharge ratio, it might be said that the ambulance personal should pay more attention to the triage.