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Prat Intarasaksit

Association between stop bleeding and adverse outcome of patients from road traffic accident by first response unit and basic life support unit. Prat Intarasaksit. Background. background. Emergency Medical Service (EMS). Dispatch Center. Advance Life support. First response.

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Prat Intarasaksit

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  1. Association between stop bleeding and adverse outcome of patients from road traffic accident by first response unit and basic life support unit Prat Intarasaksit

  2. Background

  3. background • Emergency Medical Service (EMS) Dispatch Center Advance Life support First response Intermediate Life support Basic Life support

  4. Objective • To determine whether type of emergency medical units and other factor are association with of stop bleeding outcome of road traffic accident patients Basic Life support First response

  5. Variables • Independent variables • EMS units (FR, BLS) • Type of wound Dependent Variables Stop bleeding outcome

  6. Methods

  7. Baseline characteristics of road traffic accident Gender Region male male FR BLS

  8. Baseline characteristics of road traffic accident Wound (Abrasion ) Stop bleeding inappropriate

  9. Multivariable analysis

  10. DISCUSSIONS • Another finding in this study was that the number of male injury victims is significantly higher than their female. Because man has aggressive driving in men.

  11. DISCUSSIONS • Southern region had ratio of stop bleeding inappropriate higher than other region in both EMS units because • first trauma case for BLS treatment has severer than FR units therefore it had mistake occur in BLS units than FR unit

  12. DISCUSSIONS • Second, stop bleeding inappropriate caused from lack of EMS team, result from NIEMS shown that southern region had slightest EMS team in Thailand, 55.2% EMS team coverage in southern region, but more than 60% of EMS team in each region for help patients, it’s caused to inefficient for stop bleeding or other trauma management

  13. Strength of the study • This study is the first to our knowledge to analyze data that is a nationallyrepresentative sample from the real practice. Limitation of the study • Case record form in EMS doesn’t generate for research thereby that might missing some data or value and has duplicate in each variables.

  14. Conclusion • According to results both EMS units (First response unit and Basic life support unit) has each stop bleeding inappropriate, higher in FR unit • Because staff in BLS units has more training hours than FR units. Therefore, should be increased another program and hours of training for improve both team for trauma management skill.

  15. Recommendations • Should determine the outcome on other trauma management in patients from other case and compare with other EMS units.

  16. Recommendations • Should assess accuracy in EMS documentary. Because EMS documentation is often performed in chaotic and complex settings: in the dark, rain, and cold, under time pressure, and sometimes under threat to personal safety that maybe error in data record

  17. Acknowledgment • Thank you Assoc. Dr. Bandit Thinkhamrop • Dr. Camerons Hurst • Thank you for all my classmate and EMS -KKU-Facebook group

  18. Thank you for your attention

  19. Bivariate analysis 26 – 35 36 - 48 1.05 0.78 – 1.41 1.17 48-99 0.72 – 1.92 1.69 Male Male 2.20 South 1.55 South 1.73 0.86 – 1.28 Abrasion Contusion 1.28 2.30 0.73 -2.27 Haematoma

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