The comparison of indicators of air and ground emergency with international standards in trauma resulting from accidents patients in Qom in 2016

The pre-hospital emergency care system plays a very important role in the transmission of injuries to medical centers. One of the effective factors in reducing mortality is the timely presence of the treatment team and their rapid transfer. Today, these casualties are transported both aerial and terrestrial. The purpose of this study was the comparison of time indicators of air and land emergency with international standards in the injured trauma resulting from accident in Qom province in 1395

This research is descriptive-analytic. In this study, a total of 8,500 randomized traumatic missions registered in year 95 in the emergency department, 4715 injured persons were selected by census air and ground emergency. The data were collected using a checklist including demographic characteristics of injuries and dispatch distances. One-variable T-test and SPSS software version 18 were used to analyze the data.

The mean time of arrival to the accident site in the road and air emergency was 11.45 ± 7.21 and 21.53 ± 7.65 minutes, respectively. The average time to arrive at the accident site in the road emergency was significantly lower than the standard time ]14 minutes] ]P <0.05]. But this duration in the air emergency was significantly higher than standard time ]17 minutes] ]P <0.05]. The average stopping time at the scene in the road and air emergency was 28.02 ± 13.88 and 12.68 ± 6.8 minutes, respectively. The mean stop time at the scene in the air emergency was significantly lower than the standard value ]20 minutes] ]P <0.05]. Due to the lack of a universal standard for time scene variable for road emergency, no significant level was reported. The mean transfer time in road and air emergency was 17.68 ± 10.58 and 23.43 ± 17.28 minutes, respectively. The mean transfer time in the air emergency was significantly higher than standard ]9 minutes] ]p <0.05]. Due to the lack of a universal standard for transmission time for road emergencies, no significant level was reported.

The time to arrive at the accident site in the road emergency and the emergency stop time was less than the standard time standard, but the time to arrive at the accident site and the duration of the transfer in the emergency room was more than standard time..