How urgent are cases brought to the emergency department by ambulance?

Abstract

Objective: Emergency departments are the first places to which patients present with unexpected or unforeseen health problems. The purpose of this study was to assess the urgency of cases brought by ambulance to the Hospital on the basis of a three-level triage system.

Methods: This study was performed between 01.06.2013 and 31.09.2013 at the Diyarbakır Education and Research Hospital. Our emergency service unit is a third degree service for all adult patient groups and all child trauma types. Triage of patients brought to the emergency department by ambulance was performed by emergency medicine specialists. Patients’ vital findings, identity data and triage categories were assessed.

Results: 712 patients were included, 382 (53.7%) male and 330 (46.3%) female, with a mean age of 45. In this study, 619 (86.9%) patients were transferred from the scene and 93 (13.1) between hospitals, 483 (67.8%) patients were brought by emergency medicine technician (EMT) teams, 107 (15%) by physician-led teams, 107 (15) by paramedic teams and 15 (2.1%) by other teams, 442 (62.1%) patients were assessed as yellow, 141 (19.8%) as green and 129 (19.1%) as red zone. Five hundred eighty (81.5%) patients were discharged and 115 (15.9%) were hospitalized.

Conclusion: Emergency health services are clearly developing rapidly in Turkey. In order for pre-hospital emergency health services not to be abused, we think that these services should be up to the standards of those in developed countries and that public awareness needs to be increased, particularly with regard to triage. J Clin Exp Invest 2015; 6 (2): 126-129

Key words: Emergency medicine, triage, ambulance

Keywords

• Emergency medicine, triage, ambulance

Acil servise ambulans ile getirilen hastalar ne kadar acil?

Öz

Amaç: Acil servisler, beklenmeyen veya öngörülemeyen sağlık sorunlarının çözümü için başvurulan hastanelerin ilk bakı yerlerdir. Bu çalışmanın amacı; Hastane Acil servisine ambulans ile getirilen hastaların üç basamaklı triyaj sistemine göre aciliyet durumunu değerlendirmektir.Yöntemler: Bu çalışma 01.06.2013-31.09.2013 tarihleri arasında Diyarbakır Eğitim ve Araştırma Hastanesindeki acil serviste yapılmıştır. Acil servisimiz, Erişkin tüm hasta grupları ve tüm çocuk travmalarına bakılan 3. basamak bir acil servistir. Acil servise ambulans ile getirilen hastaların triyajı acil tıp uzmanlarınca yapıldı. Hastaların vital bulguları, kimlik bilgileri ve triyaj kategorileri değerlendirildi.Bulgular: Çalışmaya 712 hasta alındı. Hastaların ortalama yaşı 45 olup 382’ si (%53,7) erkek, 330’ u ise (%46,3) kadındı. Bu çalışmada, hastaların 619’u (%86,9) olay yerinden, 93’ ü (%13,1) ise hastaneler arası sevk ile getirildi. Hastaların 483’ü (%67,8) acil tıp teknisyenli (ATT), 107’si (%15) doktorlu, 107’ si (%15) paramedikli ekip ve 15’i (%2,1) ise diğer ekipler aracılığıyla getirildi. Hastaların 442’si (%62,1) sarı, 141’i (%19,8) yeşil ve 129’u (%19,1) kırmızı alan hastası olarak değerlendirildi. Hastaların 580’i (%81,5) taburcu olurken, 115’i (%15,9 ) ise hastaneye yatırıldı.Sonuç: Ülkemizde acil sağlık hizmetlerinin hızlı bir şekilde verilmekte olduğu aşikardır. Hastane öncesi acil sağlık hizmetlerinin suiistimal edilmemesi için, bu hizmetlerin gelişmiş ülkeler standartlarında olması gerektiği ve triyaj uygulaması hakkında eğitim çalışmaları başta olmak üzere toplumun bilgilendirilmesinin faydalı olacağını düşünmekteyiz

Anahtar Kelimeler

• Acil tıp, triyaj, ambulans

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