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Chinese Journal of Hygiene Rescue(Electronic Edition) ›› 2018, Vol. 04 ›› Issue (06): 351-353. doi: 10.3877/cma.j.issn.2095-9133.2018.06.007

Special Issue:

• Original Article • Previous Articles     Next Articles

The effect of integrative pre-hospital and in-hospital treatment system for severe trauma

Xin Pan1, Changsong Hua1, Peng Wang2, bin He1, Min Wu1, Zheng Li2,()   

  1. 1. Department of Emergency, Zhenjiang First Aid Center, Zhenjiang 212003, China
    2. Department of Emergency, Zhenjiang first people hospital, Zhenjiang 212001, China
  • Received:2018-06-23 Online:2018-12-18 Published:2018-12-18
  • Contact: Zheng Li
  • About author:
    Corresponding author: Li Zheng, Email:

Abstract:

Objective

To explore the clinical value of the strengthened integrated first aid model combining pre-hospital care with in-hospital treatment for severe trauma .

Methods

A comparison was made between the experimental group (strengthened integrated first aid model) and control group (tranditional first aid model). Experimental group: From January 2017 to December 2017, 128 patients, including 78 males and 50 females who aged 31-59 years with an average age of 39.34±4.0 years, were treated with the strengthened integrated first aid model, and sent to emergency department of the zhenjiang first people hospital. Emergency physician sent patients’ data to hospital with wireless data transmission at the process of first aid, and got more guidance from hospital. At same time, hospital have prepared for treatment before patients arrival. Emergency physician leave hospital after having performed the trauma treatment process (ABCDE). The Control group: From January 2016 to December 2016, 135 patients were treated with the traditional first aid model. The general data of the two groups, emergency room stay time, ICU monitoring time, mortality and hospitalization time were compared, and the treatment effect was evaluated between two groups.

Results

There was no significant difference between the two groups in general data. The experimental group was superior to the Control group in the residence time at emergency department, ICU monitoring time, mortality, and hospitalization time with statistically significant (P<0.05).

Conclusion

The strengthened integrated first aid model can effectively shorten the emergency rescue time for severe trauma patients. Patients get better medical treatment, and lower mortality.

Key words: Injuries, In-hospital, first aid model, revised trauma score, Pre-hospital

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