Emergency Medicine: Open Access
Open Access

Abstract

Evaluation of Prehospital Care Delivered to Adult Poly-traumatized Patients in Suez Canal University Hospital

Mohamed Saleh Mostafa, Hany Abbas ELLouly, Ghada Said Fouda, Mahmoud Abdel Naser Abdel Hady, Osama Moustafa Zayed and Mohamed ElSayed ElShinawi

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 versus 1.25% mortality between patients with systolic >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.