The situation of pre-hospital care on emergency in hanoi through traumatic patients have been treated at Dong Da General Hospital in 2022

Abstract

Introductions: Pre-hospital care, especially for severe trauma which contributes to reduce the risk of morbidities and mortalities. We conducted a study for having an over view of the situation of pre-hospital emergency in Hanoi city through traumatic patients have been treated at Dong Da General Hospital, one of the second level hospitals in Hanoi. Materials and methods: All traumatic patients have been admitted at the emergency department of Dong Da General Hospital during the period from March 2022 to October 2022, regardless of gender, age, had complete medical records, and including severe cases were discharged to die or dead in hospital. Data were collected by Epidata 3.1 and processed using SPSS 20.0 software. Results: Characteristics of target population: A total of 236 cases of traumatic patients were enrolled, of them, the ISS scores in the mild range accounted for the majority of 97.0%; Lesion located in limbs and pelvis accounts for the largest proportion of 43.1%. Current situation of pre-hospital care: Patients who did not receive first aid before coming to the hospital accounted for 71.6%, the first aid people were mainly accompanied by the person next to patient at the scene (65.7%). Transportation by ambulance accounts for only 1.7%, the average waiting time was 4.54 7.68 minutes. Patients receiving first aid to step Disability (D) accounted for the largest proportion with 59.7%, 34.3% of patients received first aid to step Exposure (E). Wound washing and bandaging are the two most commonly used techniques, accounting for 28.6%, with 1 patient requiring CPR accounting for 1.0%. Conclusions and recommendations: Through the study of pre-hospital care for trauma showed that most patients were initially managed by the person accompanying the patient. A low percentage of ambulance transportation can be potentially high risk for the patient. We recommend strengthening the network of collaborators and communities for pre-hospital care in emergency.