@article{ref1,
title="Pre-hospital care to trauma patients in Addis Ababa, Ethiopia: hospital-based cross-sectional study",
journal="Ethiopian journal of health sciences",
year="2021",
author="G/Ananya, Tsegaye and Sultan, Menbeu and Zemede, Biruktawit and Zewdie, Ayalew",
volume="31",
number="5",
pages="1019-1024",
abstract="BACKGROUND: Trauma is a major cause of morbidity and mortality worldwide. Prompt use of pre-hospital care is associated with reduced early and late morbidity and mortality from trauma. This study aimed to assess the time to reach the facility and the pattern of pre-hospital care provided for trauma patients. <br><br>METHODS: A cross-sectional study design with a structured interview questioner was used for patients presenting to Addis Ababa Burn Emergency and Trauma Hospital Emergency Department from April 1 to May 30, 2020. <br><br>RESULT: Out of 238 interviewed patients, the most common means of transportation from the scene to the initial health facility were taxi 77(32.4%) and ambulance 54(22.7%). The time of arrival from the scene to the initial health care facility was within one hour, 133(56.1%) and in 1-3 hours 84(35.5%). Some form of care was provided at the scene in 110(46.2%) of cases. The care provided was bleeding arrest 74(31.1 %), removing from wreck 51(21.4%), splinting/immobilizing injured area 38(16%), position for patient comfort 19(8%), and others. Relatives were the most common care provider 49(45%) followed by bystanders 37(33.9%), trained ambulance staff 19(17.4%), and police 2 (1.8%). The main reasons for not providing care were lack of knowledge 79(61.2%), and lack of equipment 25 (19.4%). <br><br>CONCLUSION: The study showed relatives and bystanders were the first responders during trauma care. However, ambulance utilization for pre-hospital care was low. There was trauma patients delay to arrive to hospital. Only half of the patients presented to the health facility within Golden hour.<p /> <p>Language: en</p>",
language="en",
issn="1029-1857",
doi="10.4314/ejhs.v31i5.14",
url="http://dx.doi.org/10.4314/ejhs.v31i5.14"
}