Ambulance Runs for Pediatric Trauma in Tehran

نویسندگان

1 Assistant Professor of General Surgery, Bagiatalah University of Medical Sciences and Health Services, Bagiatalah Hospital, Tehran, Iran

2 Researcher, Clinical Research Unit, Bagiatalah University of Medical Sciences, Teharn, Iran

3 Assistant Professor of General Surgery, Bagiatalah University of Medical Sciences and Health Services, Bagiatalah Hospital, Tehran, Iran

4 Researcher, Clinical Research Unit, Bagiatalah University of Medical Sciences, Tehran, Iran

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چکیده

Introduction & Objective: Trauma is one of the leading causes of children death after 1 year old.Providing that, pre-hospital emergency care for children is still a health problem. Current study was conductedwith the aim of assessment of causes, and early outcomes of pediatric ambulance runs in Tehran.Materials & Methods: Current study was a cross, sectional study. All ambulance runs for patientsunder 16 years between 4 months during 2005 and 2006 was assessed for demographic data, cause of call andvery early outcomes.Results: In 335 calls, the cause of EMS call was pediatrics trauma. From these, 211 (63%) was for males.Mean (+ SD) age was 11.35 ± 3.65. Traffic accidents was the cause in 197 (58.5%), 9 subjects (5.1%) diedbefore ambulance arrival, but no one died in the way to the hospital. Mean response time was 14.75 ± 6.29.Response time was significantly shorter in those who survived to hospital (18.4 ± 3.8 vs. 14.6 ± 6.6, p=0.05).Conclusions: In Tehran, one from 3 of ambulance runs for pediatric patients is due to trauma. Thishighlights the need for planning of health care providers in order to improve health care services in this field.Although the time intervals for ambulance arrival are somewhat accepted in comparison to some countries,but it is still far from the standards and recommended levels. According to this study shortening the responsetime can improve prehospital survival.