Okul ve Yurtlar Tarafından Hastane Öncesi Acil Sağlık Hizmetlerine Yapılan Acil Başvuruların Değerlendirilmesi

Yıl 2023, , 737 - 745, 18.06.2023

Afşin Ahmet Kaya , Nilgün Ulutaşdemir , Bereket Bülent Ayker , Meryem Akbulut , İbrahim Kıymış , Kadir Çavuş

https://doi.org/10.37989/gumussagbil.1272443

Öz

Bu çalışmanın amacı hastane öncesi acil sağlık hizmetlerine okul ve yurtlar tarafından yapılan acil başvuruların değerlendirilmesidir. Materyal ve Metot: Bu çalışma retrospektif, tanımlayıcı ve kesitsel bir çalışmadır. Araştırma verileri, 2010-2019 yılları arasında Gümüşhane İl Ambulans Servisi Başhekimliğine anaokulu, ilkokul, ortaokul, lise ve yurtlara başvuran öğrencilerin kayıtları retrospektif olarak incelenerek toplandı. Toplam 4731 ilgili tıbbi kayda ulaşıldı. Bulgular: Hastane öncesi acil sağlık hizmetlerine okul ve yurtlar tarafından yapılan acil başvuruların %53,2'si lise yurtlarından, %28,3'ü liselerden, %15,2'si ilköğretim okullarından, %3,3'ü yatılı ilköğretim bölge okullarından ve %0,1’i anaokullarından oluşmaktadır. Sonuç: Gümüşhane İl Ambulans Servisi Başhekimliğine en fazla acil başvurunun 2015 ve 2016 yılı Ekim ayında ve travmaya bağlı olgular nedeniyle yapıldığı belirlendi.

Anahtar Kelimeler

Acil Uygulamalar, Hastane Öncesi Acil Sağlık Hizmetleri, Okullar

Evaluation of Emergency Applications Made to Pre-Hospital Emergency Health Services by Schools and Dormitories

Öz

The aim of this study is to evaluate the emergency applications made to the pre-hospital emergency health services by schools and dormitories. Material and Methods: This study is a retrospective, descriptive and cross-sectional record review study. The research data were collected by retrospectively reviewing the records of students who applied to Gümüşhane Provincial Ambulance Service Chief Physician from kindergartens, elementary schools, middle schools, high schools and dormitories thereof between 2010 and 2019. A total of 4731 relevant medical record were accessed. Results: Of the emergency applications made to the pre-hospital emergency health services by schools and dormitories, 53,2% were made from high school dormitories, 28,3% from high schools, 15,2% from elementary schools, 3,3% from regional boarding elementary schools, and 0,1% from kindergartens. Conclusion: It was determined that the highest number of emergency applications to the Gümüşhane Provincial Ambulance Service Chief Physician were made in the month of October in 2015 and 2016 and due to trauma-related cases.

Anahtar Kelimeler

Emergency Applications, Pre-Hospital Emergency Health, Schools

Kaynakça

• 1. Owens, P.L, Barrett, M.L, Gibson, T.B, Andrews, R.M, Weinick, R.N. and Mutter, R.L. (2010). “Emergency Department Care in the United States: A Profile of National Data Sources”. Annals of Emergency Medicine, 56 (2), 150-165. https://doi.org/10.1016/j.annemergmed.2009.11.022
• 2. Pediatric Emergency Medicine and Intensive Care Association. (2008). “Child Emergency Situation and Well in Turkey and in the World”. Erişim adresi: http://cayd.org.tr/gorseller/files/raporlar/TURKIYE_ve_ DUNYA_COCUK_ACIL.pdf (Erişim tarihi: 05.03.2020).
• 3. Phattharapornjaroen, P, Sittichanbuncha, Y, Atiksawedparit, P. and Sawanyawisuth, K. (2021). “Characteristics of Pediatric Emergency and Risk Factors For Life-Saving Interventions”. Global Pediatric Health, 8, 1-4. https://doi.org/10.1177/2333794X21990340
• 4. Günhan, G. (2020). Çocuk Acil Servisine 112 Ambulansı ile Getirilen Vakaların Klinik ve Demografik Özellikleri. Uzmanlık Tezi. Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Dahili Tıp Bilimleri Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Türkiye/Konya.
• 5. Lutz, N, Vandermensbrugghe, N.G, Dolci, M, Amiet, V, Racine, L. and Carron, P.N. (2014). “Pediatric Emergencies Admitted in the Resuscitation Room of a Swiss University Hospital”. Pediatric Emergency Care, 30 (10), 699-704. https://doi.org/10.1097/PEC.0000000000000231
• 6. Moore, B.J, Stocks, C. and Owens, P.L. (2017). “Trends in Emergency Department Visits, 2006–2014”. Agency for Healthcare Research and Quality, Rockville, MD. Erişim adresi: https://hcup-us.ahrq.gov/reports/statbriefs/sb227-Emergency-Department-Visit-Trends.pdf (Erişim tarihi: 07.03.2020).
• 7. Wier, L.M, Yu, H, Owens, P.L. and Washington, R. (2013). “Overview of Children the Emergency Department, 2010. Healthcare Cost and Utilization Project (HCUP) Statistical Brief # 157;1-12”. Agency for Healthcare Research and Quality. Erişim adresi: https://www.ncbi.nlm.nih.gov/books/NBK154386/ (Erişim tarihi: 07.03.2020).
• 8. Silbereisen, C. and Hoffmann, F. (2015). “Pediatric Emergencies in the Emergency Medical Service”. Der Anaesthesist, 61 (1), 73-84. https://doi.org/10.1007/s00101-014-2383-y
• 9. Bruce, B.S. and McGrathi, P.J. (2005) “Group Intervention for the Prevention of Injuries in Young Children: A Systemic Review”. Injury Prevention, 11, 143-147. http://dx.doi.org/10.1136/ip.2004.007971
• 10. Catherine, A.T. and Olympia, R.P. (2016). “EMS Activations for School-Aged Children From Public Buildings, Places of Recreation or Sport, and Health Care Facilities in Pennsylvania”. Pediatric Emergency Care, 32 (6), 357-363. https://doi.org/10.1097/PEC.0000000000000702
• 11. Coskun, R, Altunısık, R. and Yıldırım, E. (2017). “Research Methods in Social Sciences (SPSS Applied)”. Adapazarı: Sakarya Bookstore.
• 12. Yuknis, M.L, Weinstein, E, Maxey, H, Price, L, Vaughn, S.X, Arkins, T. and Benneyworth, B.D. (2018). “Frequency of Pediatric Emergencies in Ambulatory Practices”. Pediatrics, 142 (2), 1-7. https://doi.org/10.1542/peds.2017-3082
• 13. Knight, S, Vernon, D.D, Fines, R.J. and Dean, N.P.A.J.M. (1999). “Prehospital Emergency Care for Children at School and Nonschool Locations”. Pediatrics, 103 (6), 1-5 https://doi.org/10.1542/peds.103.6.e81
• 14. Pagano, A, Cabrini, E, Anelli, M, Bernuzzi, S, Lopiccoli, S. and Fischer, P. (1987). “Accidents in the School Environment in Milan, A Five Year Survey”. European Journal of Epidemiology, 196-201.
• 15. Breen, N, Woods, J, Bury, G, Murphy, A.W. and Brazier, H. (2000). “A National Census of Ambulance Response Times to Emergency Calls in Ireland”. Emergency Medicine Journal, 17 (6), 392-395. http://dx.doi.org/10.1136/emj.17.6.392
• 16. Trowbridge, M.J, Gurka, M.J. and O'connor, R.E. (2009). “Urban Sprawl and Delayed Ambulance Arrival in the US”. American Journal of Preventive Medicine, 37 (5), 428-432. https://doi.org/10.1016/j.amepre.2009.06.016