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Systemic analysis of pre-hospital trauma emergency treatment in Zhengzhou
Authors: Xiao-Peng Shi, Li-Jie Qin , Yu-Xia Chang, Fa-Liang Li, Peng Wang
Number of views: 267
Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007
to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in
order to provide a scientific basis for effective use of first aid resources and enhance success
rate of trauma emergency treatment. Methods: Retrospective analysis was conducted based
on pre-hospital emergency resources of Zhengzhou Emergency Medical Rescue Center from
2007 to 2016. Results: The total number of pre-hospital emergency treatment cases was
9 305 687 from 2007 to 2016 in Zhengzhou, of which 418 882 were trauma cases. The top
five causes of injury were traffic accident injury, cutting injury, beating injury, crushing injury
and falling injury. The top five emergency treatments used were oxygen, hemostasis, dressing
and fixation, fluid supplementation, analgesics and sputum aspiration. According to different
directions of diagnosis, the pre-hospital emergency patients were divided into four groups:
emergency treatment group, emergency observation group, admission to general ward group
and admission to ICU group. There was no statistical difference in the ages among the four
groups (P>0.05). There were significantly statistical differences in gender composition among
the four groups, with more males than females (P<0.01). Significant statistical differences also
showed in CRAMS scores among the four groups (P<0.01). Before and after the training of
primary trauma care, there was no significant difference in the constituent ratio of the trauma
(P>0.05), but the mortality of the trauma, the average arrival time, and the mean treatment time
were significantly different (P<0.01). Conclusions: The number of pre-hospital emergency
trauma patients increased year by year, but the constituent ratio changed little. CRAMS score
is important for the patients triage. Through the training of primary trauma care, the constituent
ratio of death was reduced, and the average treatment time was shortened.