فهرست مطالب فرحناز فولادبند

 The fastest way to transport patients and the injured to hospital is to use air emergency services. Transporting patients by helicopter provides faster medical services to patients and reduces mortality and disability. This study was conducted to investigate the reasons for transporting patients by air ambulance to hospitals in Shiraz.

 The present study was a descriptive cross-sectional one conducted in 2018. The cases of 107 patients transported by air ambulance in 102 missions out of 219694 from Fars emergency to Shiraz hospitals were investigated using the census method.

 From among all patients transported by air ambulance, 68% were male and 53% lived in urban areas of Fars province. Moreover, 43% of patients were aged between 30 and 60 years old and 99% were taken to hospital. Of these, 50.5% were in the ward, 29% underwent intensive care, 9% underwent surgery, and 4.7% died in the hospital. Accidents and trauma were the most common causes of requests for helicopter transport.

 Continuous monitoring of the reasons for transporting patients by air ambulance is necessary to plan and make interventions, increase public awareness (especially among men) to self-health care and prevent incidents and diseases so as to reduce the number of critically ill patients.

Stroke is the third leading cause of death and the most common disease of old age. Pre-hospital care time is very important in these patients. The purpose of this study was to determine the status of time indices of pre-hospital emergency services in stroke patients of Fars province.

This cross-sectional descriptive study was performed from March 2018 to December 2018. Medical files of 327 stroke patients received emergency cares by Emergency 115 were selected through census sampling and reviewed. Data gathering tool was a checklist and data were analyzed through SPSS20 software package.

Stroke patients comprised 0.2% of all emergency 115 patients. Among stroke patients, 51% were men and 80% were elderly. From all, 88.7% were transferred to the hospital, 11% received urgent care in place and one patient had died. Among the studied cases, 32% had a history of stroke, 41% had high blood pressure and 8% had heart disease. The mean time of transforming stroke patients to the hospital was 37 minutes from the first calling of Emergency 115. For other transferred patients, mean times of transferring by ambulance and Air Emergency were respectively 52 and 38 minutes.

Monitoring the performance of Emergency Technicians reduces service time and the rate of mortality and morbidity of stroke patients. By screening for health and increasing public awareness in the field of health, mortality and disability can be prevented in these patients.