Abstract
Introduction: Advanced prehospital Trauma Life Support is the standard of care for trauma patients, and it is for rapid approach to the most immediate life-threatening conditions which should be quickly identified and addressed in the order of their risk potential. Aim of work: evaluating the effectiveness of pre hospital assessment and management of the adult poly traumatized patients to improve the outcomes in Suez Canal university hospitals. Patients and methods: This is a descriptive study conducted at Emergency department at Suez Canal University hospital for 12 months from October 2014 to October 2015 to evaluate the pre hospital care delivered to poly trauma patients aiming to improve the effectiveness of pre hospital care conducted to poly trauma patients in the pre hospital phase. Results: In this study, the mean age was 32.6+6.2 years, 53% of them between 31-40 years with male to female ratio 2:1 and the difference between rural and urban 30%.This study showed that delay in arrival is strongly related with percent of mortality, as it was 14.3% with time arrival > 2 hours. This study showed that mortality rate increased in patients with hypotension as 6.15% mortality between cases presented with systolic BP 80 mm hg. Conclusion: There was a relation between number of mortality and absence, ineffective or delayed pre hospital care for adult poly trauma patients.
Highlights
Advanced prehospital Trauma Life Support is the standard of care for trauma patients, and it is for rapid approach to the most immediate life-threatening conditions which should be quickly identified and addressed in the order of their risk potential
The mean age was 32.6+6.2 years, 53% of them between 31-40 years with male to female ratio 2:1.These results match the study by Sukumaran et al in which the mean age was 48.51+5.3 years, 60% of them were males [9]
Our study revealed that 40% of the patients were tachycardiac while 43.3% had systolic blood pressure below 80 mmhg and it showed that just 33.3% of the patients only who had external bleeding all of them managed in the field with direct external compression, unlike Wisborg et al who found that external compression applied to 55% of the patients, 81% with gauze packing of the wounds and 10% with tourniquet
Summary
Advanced prehospital Trauma Life Support is the standard of care for trauma patients, and it is for rapid approach to the most immediate life-threatening conditions which should be quickly identified and addressed in the order of their risk potential. Aim of work: evaluating the effectiveness of pre hospital assessment and management of the adult poly traumatized patients to improve the outcomes in Suez Canal university hospitals. Organized systems for trauma care are interested in the salvage of a patient from early trauma mortality to decrease late mortality [2,3]. Recognition of these patterns led to the development of: prehospital trauma care, prehospital care is commonly provided by well-trained persons, once trained personnel arrive, the injured person is assessed and treated at the scene and may receive one or more of first aid interventions associated with advanced prehospital trauma care, such as endotracheal intubation, intravenous fluids and needle decompression or cricothyroidotomy [4]
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