Prehospital Care and In-hospital Mortality of Trauma Patients in Iran

Paravar, Mohammad; Hosseinpour, Mehrdad; Mohammadzadeh, Mahdi; Mirzadeh, Azadeh Sadat

doi:10.1017/s1049023x14000879

Cited by 19 publications

(24 citation statements)

References 15 publications

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“…While the most seriously injured patients received ALS interventions and died, these interventions were associated with positive survival trends, when performed in locations distant from the trauma center (20) .…”

Section: Discussionmentioning

confidence: 97%

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

Schweitzer

Nascimento

et al. 2017

Rev. Bras. Enferm.

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Objective: to analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims. Method: This was a descriptive, correlational and quantitative study, conducted from October of 2014 to December of 2015. Six nurses participated, completing an instrument containing emergency interventions performed in the care of victims after the occurrence of trauma. The sample consisted of 97 treatments. Results: Among the 97 for whom care was provided, peripheral venipuncture was performed in 97.94% of the cases; immobilization, including a backboard, was used in 89.70% of cases. The most commonly used medications were dipyrone in 44.33%, and ondansetron in 76.29%. The time on the scene showed signifi cance with the severity of the victims. The Glasgow Coma scores were inversely related to time on the scene. Conclusion: Further studies are necessary, focused on care protocols for trauma victims

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Section: Discussionmentioning

confidence: 97%

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

Schweitzer

Nascimento

et al. 2017

Rev. Bras. Enferm.

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“…On a worldwide basis and most significantly in spacious areas,[ 24 ] the described emergency call support system (ECSS) will reduce the overall time from onset to final treatment. The average time to activate the emergency response system in case of disorientation or language barrier of 21 min (0.38 h) is longer than a successful communication to the local alarm center.…”

Section: Discussionmentioning

confidence: 99%

Significant acceleration of emergency response using smartphone geolocation data and a worldwide emergency call support system

et al. 2018

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ImportanceWhen patients are disorientated or experience language barriers, it is impossible to activate the emergency response system. In these cases, the delay for receiving appropriate help can extend to several hours.ObjectivesA worldwide emergency call support system (ECSS), including geolocation of modern smartphones (GPS, WLAN and LBS), was established referring to E911 and eCall systems. The system was tested for relevance in quickly forwarding abroad emergency calls to emergency medical services (EMS).DesignTo verify that geolocation data from smartphones are exact enough to be used for emergency cases, the accuracy of GPS (global positioning system), Wi-Fi (wireless LAN network) and LBS (location based system) was tested in eleven different countries and compared to actual location. The main objective was analyzed by simulation of emergencies in different countries. The time delay in receiving help in unsuccessful emergency call cases by using the worldwide emergency call support system (ECSS) was measured.ResultsGPS is the gold standard to locate patients with an average accuracy of 2.0 ± 3.3 m. Wi-Fi can be used within buildings with an accuracy of 7.0 ± 24.1 m. Using ECSS, the emergency call leads to a successful activation of EMS in 22.8 ± 10.8 min (Median 21 min). The use of a simple app with one button to touch did never cause any delay.Conclusions and relevanceThe worldwide emergency call support system (ECSS) significantly improves the emergency response in cases of disorientated patients or language barriers. Under circumstances without ECSS, help can be delayed by 2 or more hours and might have relevant lifesaving effects. This is the first time that Wi-Fi geolocation could prove to be a useful improvement in emergencies to enhance GPS, especially within or close to buildings.

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“…Also in many centers no standard advice leaflet is available to inform the patient for possible return. In suburban and rural road locations, long transport times cause a delay in a return to the hospital, which could result in mortality and morbidity (40). …”

Section: Discussionmentioning

confidence: 99%

Adaptation of Traumatic Brain Injury Guidelines in Iran

et al. 2016

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ContextThe National institute for health and care excellence (NICE) and scottish intercollegiate guidelines network (SIGN) are two well-known sources of clinical guideline development. In the past years, they have developed clinical guidelines for the management of head injury. In this report, we will highlight our modifications to these guidelines according to the domestic situation in a developing country.Evidence AcquisitionThe guidelines were appraised using the appraisal of guidelines for research and evaluation (AGREE) instrument. All key recommendations were reviewed by 14 prominent Iranian neurosurgeons; levels of evidence were evaluated and items with limited evidence were determined. Available evidence for selected items were reviewed and discussed.ResultsThe following items were the most challenging when accounting for the domestic situation in Iran: age as a risk factor for referral, computed tomography scan, the impact of medical comorbidities, pregnancy, consultation, referral to a neurosurgical unit, and teleconsulting and observation before discharge.ConclusionsThe evidence in the discussed topics was limited and controversial. This report is important because it exposes the current knowledge gap in head trauma studies in Iran.

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Prehospital Care and In-hospital Mortality of Trauma Patients in Iran

Cited by 19 publications

References 15 publications

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

Intervenções de emergência realizadas nas vítimas de trauma de um serviço aeromédico

Significant acceleration of emergency response using smartphone geolocation data and a worldwide emergency call support system

Adaptation of Traumatic Brain Injury Guidelines in Iran

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