THỰC TRẠNG CẤP CỨU CHẤN THƯƠNG TRƯỚC VIỆN QUA CÁC TRƯỜNG HỢP NGƯỜI BỆNH NHẬP VIỆN TRUNG TÂM CẤP CỨU DO TAI NẠN GIAO THÔNG TẠI BỆNH VIỆN ĐA KHOA TỈNH THANH HÓA

Abstract

Background: Injuries caused by traffic accidents in Vietnam and Thanh Hoa are very common,  however, paramedic is still of limited awareness. Objectives: To learn the condition of paramedic and means of transporting patients to the hospital. Subjects and methods: Cross-sectional study conducted on 404 patients suffering from traffic accidents admitted to the emergency center of Thanh Hoa Provincial General Hospital. Results: Our study included 404 patients, of that there were 300 men (74.3%) and 104 women (25.7%). The mean age is 37.15; The age group under 18 years old accounted for 8.7%, from 18-60 years old accounted for 76.2%, and over 60 years old was 15.1%. The number of patients with limb fractures accounted for the most: 113 (28%), traumatic brain injury: 97 (24%), maxillofacial trauma: 80 (19.8%), abdominal trauma: 22 (5.4%), chest trauma: 10 (2.5%), soft tissue injury: 9 (2.2%), cervical spine injury: 5 (1.2%), thoracic and lumbar spine injuries: 3 (0,7%), pelvic injury: 3 (0.7%). 164 patients did not receive any paramedic (40.6%); 223 patients were hospitalized by ambulance (55.2%), 180 patients were hospitalized by taxi (44.6%) and 1 case was hospitalized by motorbike (0.2%). In terms of classification of severity according to the ISS scale, we found that mild, moderate, severe and critical grade were 59.7%, 25.5%, 10.4% and 4.5%, respectively. The group that did not receive paramedic had a more severe illness than the group that received it. Results of treatment in the first 24 hours, specialized transfer: 338 (83.7%), central hospital: 13 (3.2%), ICU: 26 (6.4%), acute surgery: 19 (4.7%), severe or fatal: 8 (2.0%). Conclusion: The rate of critically ill patients after traffic accidents was high, many patients were not given paramedic and not transported by ambulance