Pre Hospital Cutting-Punching Tool Injuries At Emergency Health Services: Konya Sample

Abstract

Introduction: Pre-hospital emergency healthcare workers are teams that go to thescene in case of emergency illness or injuryand start medicalcare.The reasons including the necessity to intervene in a narrow area, the movement of the ambulance and the rapid behavior increase the risk of injury with a cutting tool compared to the health care professionals.Objective of our study is to determine penetrating stab wound rate and reasons of health personnel employed at pre-hospital emergency health services. Material/Method: This descriptive study was performed between January and April 2017.Konya 112 emergency service personnel were composed the universe of the study. The study data were prepared by researches without composing any sample was applied to 246 people who accepted to attend survey. SPSS 20 program was used to analyze the data.Significance level was determined as 0.05. Findings and Conclusion: Totally 246 people attended to the study.15.0% of attendants to the survey had penetrating stab wounds.Women have more wounding risk than men(p=0,038);employed personnel at the centers have more wounding risk than employed personnel at the district center(p=0,010). No significant relation was found among age group, profession and wounding situation.43,2% personnel having penetrating stab wounds had only once,32.4% had twice,24.7% had injured more times.43.2% of wounds occurred in the vehicle is mobile.Branule caused wound in 56.7% rate and its 75.7% was contaminated. Ambulance personnel’s wounding rate was found considerably high.Wounding occurred mostly in ambulance.At the provided trainings, it should be emphasized that interventions should be done at the scene then the vehicle should move.

Keywords

• Sharp objects
• Injuring
• Emergency Health Services

References

1. 1. Tabak RS., İ. Somyürek. Temel İlk Yardım ve Acil Bakım, 2. Baskı. Palme Yayıncılık: Ankara; 2008.
2. 2. İl Ambulans Servisi Çalışma Yönergesi, 24.01.2005
3. 3. Tokuç B, Y. Turunç, G. Ekuklu. Edirne’de ambulans çalışanlarının anksiyete, depresyon ve işe bağlı gerginlik düzeyleri, Mesleki Sağlık ve Güvenlik Dergisi. 2011; 42: 39-44.
4. 4. TTB Sağlık çalışanlarının mesleki riskleri, TTB Yayınları; Ankara; 2008.
5. 5. https://www.who.int/violence_injury_prevention/violence/workplace/en/ (Access 21.02.2020)
6. 6. Arsal Yıldırım S., S. Gerdan. Hastane öncesi acil sağlık çalışanlarının iş sağlığı ve güvenliği kapsamındaki mesleki riskleri, Hastane Öncesi Dergisi. 2017; 2(1): 37-49.
7. 7. Kahya E., S. Sakarya, H. Özkan, N. Anık. Work related injuries and exposures among emergency medical service personnel due to interior design of ambulance, Estüdam Halk Sağlığı Dergisi. 2020; 5 (2) : 257-269.
8. 8. Gülen B., M. Serinken, C. Hatipoğlu, D. Özaşır, E. Sönmez, G. Kaya, G. Akpınar. Work-Related injuries sustained by emergency medical technicians and paramedics in Turkey, Ulusal Travma Aci lCerrahi Dergisi. 2016; 22(2): 145-149.

9. 9. Akkaya S., G. Şengöz, F. Pehlivanoğlu, EG. Özdemir, ŞA. Tek. Kesici ve delici alet yaralanmalarıyla ilgili anket sonuçlarının değerlendirilmesi, Klimik Dergisi. 2014; 27: 95-8
10. 10. Uysal Ü., H. Ellidokuz, E. Ucan. Dokuz Eylül Üniversitesi Uygulama ve Araştırma Hastanesi çalışanlarında kesici delici cisim yaralanma sıklığı, Kocatepe Tıp Dergisi. 2002; 3 43-49.
11. 11. Merih YD., MY. Kocabey, F. Çırpı, Z. Bolca, AC. Celayir. Bir devlet hastanesinde 3 yıl içerisinde görülen kesici-delici aletyaralanmalarının epidemiyolojisi ve korunmaya yönelik önlemler, Zeynep Kamil Tıp Bülteni. 2009; 40 (1): 11-15.
12. 12. Goel V., D. Kumar, R. Lingaiah, S. Singh. Occurrence of needlestick and injuries among health-care workers of a tertiary care teaching hospital in North India, Journal of Laboratory Physicians. 2017; 9(1): 20-25.
13. 13. Isara A., K. Oguzie, O. Okpogoro. Prevalence of needlestick injuries among healthcare workers in the accident and emergency department of a teaching hospital in Nigeria, Annals of Medical and Health Sciences Research. 2015; 5(6): 392- 396.
14. 14. Amini M., MJ. Behzadnia, F. Saboori, M. Bahadori, R. Ravangard. Needle-stick injuries among healthcare workers in a teaching hospital, Trauma Monthly. 2015; 20(4): e18829.