TY  - JOUR
PY  - 2020//
TI  - The effects of prehospital care on on-scene time in patients with major trauma
JO  - Korean journal of emergency medical services
A1  - Yang, Jin-Cheol
A1  - Moon, Jun-Dong
A1  - Yang, Jin-Cheol
A1  - Moon, Jun-Dong
SP  - 67
EP  - 76
VL  - 24
IS  - 1
N2  - PURPOSE  Effective time management, as well as life-saving care, are important in maximizing the prognosis of patients who have sustained major traumas. This study evaluated the appropriateness of emergency medical system (EMS) provider's essential care and how this care impacted on-scene time in patients with major traumas.     Methods  This retrospective observational study analyzed the EMS major trauma documents, classified according to the physiological criteria (Glasgow coma scale <14, systolic blood pressure <90mmHg, Respiration rate <10 or >29) in Daejeon, from January, 2015 to December, 2018.     Results  Of the 707 major trauma cases, the mean on-scene time was 7.75±4.64 minutes. According to EMS guidelines, essential care accuracy was 67.5% for basic airway, 36.4% for advanced airway, 91.2% for cervical collar, 81.5% for supplemental oxygen, 47.0% for positive pressure ventilation, 19.9% for intravenous access and fluid administration, and 96.0% for external hemorrhage control. Factors affecting on-scene time were positive pressure ventilation (p.004), and intravenous access and fluid administration (p.002).     Conclusion  Adherence to guidelines was low during advanced airway procedures, positive pressure ventilation, intravenous access, and fluid administration. In addition, the on-scene time was prolonged when the practitioner provided positive pressure ventilation, intravenous access, and fluid administration; however, these durations did not exceed the recommended 10 minutes.     Keywords: Major trauma. Prehospital care. On-scene time<p />  <p>Language: en</p>
LA  - en
SN  - 1738-1606
UR  - http://dx.doi.org/10.14408/KJEMS.2020.24.1.067
ID  - ref1
ER  -