ASSESSMENT OF INTERVENTIONS COMPLETED BY THE VOIVODESHIP RESCUE SERVICE IN KATOWICE IN THE SILESIAN VOIVODESHIP IN 2018 DUE TO INJURIES

Magdalena Wierzbik-Strońska, K. Nadolny, J. Ładny, B. Grabarek, Łukasz Pach, D. Boroń
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Abstract

Aim: To assess the trips made by Emergency Medical Teams due to injuries (ICD-10 code: S) completed by Voivodeship Medical Rescue Teams in Katowice in 2018. Material and methods: Analysis of the characteristics of the trips was done based on information contained on “Emergency ambulance travel cards”. Statistical analysis was carried out using the t-Student, ANOVA variance as well as the Tukey post-hoc tests (p<0.05). Results: The whole number of trips made by the Emergency Medical Teams in the Silesian Voivodeship totalled 211,896, of which due to the reported injury, the total number of trips was 202,946 cases (183,827 calls were in town – 91%; 19,119 calls were out of town – 9%; p<0.05). The most common cause for calls were due to head injuries (S03 – dislocation, sprain and strain of joints and ligaments of the head as well as S04 – cranial nerve injuries). Statistically significant differences in the number of trips depending on cause identification (p<0.05) were determined, as well as in comparison to the number of cases identified as S03 and S04 between the in town and out of town territory (p<0.05). The median arrival time to an in town site was 7 minutes and 42 second, whereas in out of town sites it was 13 minutes and 19 seconds. Conclusion: The characteristics of the trips made by Emergency Medical Teams depends on the time, and what is affected by organizational changes in the emergency medical system.
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评估2018年西里西亚省卡托维兹省省救援服务因受伤而完成的干预措施
目的:评估2018年卡托维兹省医疗救援队因受伤(ICD-10代码:S)而完成的紧急医疗队的行程。材料和方法:根据"紧急救护旅行卡"所载信息,分析了这些旅行的特点。采用t-Student、ANOVA方差和Tukey事后检验进行统计分析(p<0.05)。结果:西里西亚省紧急医疗队的总出诊次数为211,896次,其中由于报告的受伤,总出诊次数为202,946次(183,827次在城里,占91%;19,119个电话来自外地,占9%;p < 0.05)。打电话的最常见原因是头部受伤(S03 -头部关节和韧带脱臼,扭伤和拉伤以及S04 -颅神经损伤)。根据病因确定的出行次数有统计学意义(p<0.05),以及城镇与城镇区域之间确定为S03和S04的病例数比较(p<0.05)。到达市区站点的平均时间为7分42秒,而到达城外站点的平均时间为13分19秒。结论:应急医疗队出诊的特点与时间有关,且受应急医疗体系组织变革的影响。
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