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

Year 2015, , 126 - 129, 10.07.2015

Melih Yuksel , Caner Saglam Muharrem Çakmak Aynur Altunbay Sultan Baran

https://doi.org/10.5799/ahinjs.01.2015.02.0502

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?

Abstract

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

Keywords

Acil tıp, triyaj, ambulans

References

• 1. Farrohknia N, Castrén M, Ehrenberg A, et al. Emergency department triage scales and their components: A systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 2011;19:1-13.
• 2. Erimşah ME, Yaka E, Yılmaz S, et al. Inter-rater reliability and validity of the Ministry of Health of Turkey’s mandatory emergency triage instrument. Emerg Med Australas 2015;27:210-215.
• 3. Türkdoğan KA, Kapçı M, Akpınar A, et al. Demographic characteristics of patients a state hospital emergency service: meta-analysis of 2011. J Clin Exp Invest 2013;4:274-278.
• 4. Nur N, Demir ÖF, Çetinkaya S, et al. Evaluotion of the 112 emergency service use by older people. Turk J Geriatr 2008;11:7-11.
• 5. Keskinoglu P, Sofuoglu T, Ozmen O, et al. Older people’s use of pre-hospital emergency medical services in Izmir, Turkey. Arch Gerontol Geriatr 2010;50:356-360.
• 6. Burt CW, McCaig LF, Valverde RH. Analysis of ambulance transports and diversions among US emergency departments. Ann Emerg Med 2006;47:317-326.
• 7. Marinovich A, Afilalo J, Afilalo M, et al. Impact of ambulance transportation on resource use in the emergency department. Acad Emerg Med 2004;11:312-15.
• 8. Kawakami C, Ohshige K, Kubota K, et al. Influence calls. BMC Health Serv Res 2007;7:120.
• 9. Seow E, Wong HP, Phe A. The pattern of ambulance arrivals in the emergency department of an acute care hospital in Singapore. Emerg Med J 2001;18:297-299.
• 10. Downing A, Wilson R. Older people’s use of Accident and Emergency services. Age Ageing 2005;34:24-30.
• 11. Yıldız M, Durukan P. Analysis of patients transported to emergency department via ambulance. Turk J Emerg Med 2004;4:144-148.
• 12. Oktay C, Çete Y, Eray O, et al. Are the laws sufficient enough to change the practice? Turk J Emerg Med. 2004;4:96-104.
• 13. Soysal S, Karcıoğlu Ö, Topaçoğlu H, ve ark. Ambulansla acil servise getirilen hastalara uygulanan hastane öncesi acil bakımın değerlendirilmesi. JAEM 2003;1:52-55.
• 14. Snooks H,Wringley H, George S, et al. Appropriateness of use of emergency ambulances. Accid Emerg Med 1998;15:212-218.
• 15. Çelik GK, Karakayalı O, Temrel TA, et al. Evaluation of patients transported to the emergency department by 112. Turk Med J 2012;6:73-76.