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Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study
BACKGROUND: Road traffic injuries (RTIs) are a major public health problem, requiring concerted efforts both for their prevention and a reduction of their consequences. Timely arrival of the Emergency Medical Service (EMS) at the crash scene followed by speedy victim transportation by trained person...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2918553/ https://www.ncbi.nlm.nih.gov/pubmed/20618970 http://dx.doi.org/10.1186/1471-2458-10-406 |
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author | Bigdeli, Maryam Khorasani-Zavareh, Davoud Mohammadi, Reza |
author_facet | Bigdeli, Maryam Khorasani-Zavareh, Davoud Mohammadi, Reza |
author_sort | Bigdeli, Maryam |
collection | PubMed |
description | BACKGROUND: Road traffic injuries (RTIs) are a major public health problem, requiring concerted efforts both for their prevention and a reduction of their consequences. Timely arrival of the Emergency Medical Service (EMS) at the crash scene followed by speedy victim transportation by trained personnel may reduce the RTIs' consequences. The first 60 minutes after injury occurrence - referred to as the "golden hour"- are vital for the saving of lives. The present study was designed to estimate the average of various time intervals occurring during the pre-hospital care process and to examine the differences between these time intervals as regards RTIs on urban and interurban roads. METHOD: A retrospective cross-sectional study was designed and various time intervals in relation to pre-hospital care of RTIs identified in the ambulance dispatch centre in Urmia, Iran from 20 March 2005 to 20 March 2007. All cases which resulted in ambulance dispatches were reviewed and those that had complete data on time intervals were analyzed. RESULTS: In total, the cases of 2027 RTI victims were analysed. Of these, 61.5 % of the subjects were injured in city areas. The mean response time for city locations was 5.0 minutes, compared with 10.6 minutes for interurban road locations. The mean on-scene time on the interurban roads was longer than on city roads (9.2 vs. 6.1 minutes, p < 0.001). Mean transport times from the scene to the hospital were also significantly longer for interurban incidents (17.1 vs. 6.3 minutes, p < 0.001). The mean of total pre-hospital time was 37.2 (+/-17.2) minutes with a median of 32.0. Overall, 72.5% of the response interval time was less than eight minutes. CONCLUSION: The response, transport and total time intervals among EMS responding to RTI incidents were longer for interurban roads, compared to the city areas. More research should take place on needs-to and access-for EMS on city and interurban roads. The notification interval seems to be a hidden part of the post-crash events and indirectly affects the "golden hour" for victim management and it needs to be measured through the establishment of the surveillance systems. |
format | Text |
id | pubmed-2918553 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-29185532010-08-10 Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study Bigdeli, Maryam Khorasani-Zavareh, Davoud Mohammadi, Reza BMC Public Health Research Article BACKGROUND: Road traffic injuries (RTIs) are a major public health problem, requiring concerted efforts both for their prevention and a reduction of their consequences. Timely arrival of the Emergency Medical Service (EMS) at the crash scene followed by speedy victim transportation by trained personnel may reduce the RTIs' consequences. The first 60 minutes after injury occurrence - referred to as the "golden hour"- are vital for the saving of lives. The present study was designed to estimate the average of various time intervals occurring during the pre-hospital care process and to examine the differences between these time intervals as regards RTIs on urban and interurban roads. METHOD: A retrospective cross-sectional study was designed and various time intervals in relation to pre-hospital care of RTIs identified in the ambulance dispatch centre in Urmia, Iran from 20 March 2005 to 20 March 2007. All cases which resulted in ambulance dispatches were reviewed and those that had complete data on time intervals were analyzed. RESULTS: In total, the cases of 2027 RTI victims were analysed. Of these, 61.5 % of the subjects were injured in city areas. The mean response time for city locations was 5.0 minutes, compared with 10.6 minutes for interurban road locations. The mean on-scene time on the interurban roads was longer than on city roads (9.2 vs. 6.1 minutes, p < 0.001). Mean transport times from the scene to the hospital were also significantly longer for interurban incidents (17.1 vs. 6.3 minutes, p < 0.001). The mean of total pre-hospital time was 37.2 (+/-17.2) minutes with a median of 32.0. Overall, 72.5% of the response interval time was less than eight minutes. CONCLUSION: The response, transport and total time intervals among EMS responding to RTI incidents were longer for interurban roads, compared to the city areas. More research should take place on needs-to and access-for EMS on city and interurban roads. The notification interval seems to be a hidden part of the post-crash events and indirectly affects the "golden hour" for victim management and it needs to be measured through the establishment of the surveillance systems. BioMed Central 2010-07-09 /pmc/articles/PMC2918553/ /pubmed/20618970 http://dx.doi.org/10.1186/1471-2458-10-406 Text en Copyright ©2010 Bigdeli et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Bigdeli, Maryam Khorasani-Zavareh, Davoud Mohammadi, Reza Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study |
title | Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study |
title_full | Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study |
title_fullStr | Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study |
title_full_unstemmed | Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study |
title_short | Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study |
title_sort | pre-hospital care time intervals among victims of road traffic injuries in iran. a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2918553/ https://www.ncbi.nlm.nih.gov/pubmed/20618970 http://dx.doi.org/10.1186/1471-2458-10-406 |
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