Effect of the prehospital trauma life support program (PHTLS) on prehospital trauma care

被引:55
作者
Ali, J
Adam, RU
Gana, TJ
Bedaysie, H
Williams, JI
机构
[1] UNIV TORONTO, ST MICHAELS HOSP, TORONTO, ON M5G 1L5, CANADA
[2] UNIV W INDIES, SAN FERNANDO GEN HOSP, ST AUGUSTINE, TRINIDAD TOBAGO
[3] UNIV W INDIES, PORT SPAIN GEN HOSP, ST AUGUSTINE, TRINIDAD TOBAGO
[4] INST CLIN EVALUATED SCI, TORONTO, ON, CANADA
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 1997年 / 42卷 / 05期
关键词
PHTLS; prehospital care; trauma care; resuscitation;
D O I
10.1097/00005373-199705000-00006
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Improvement in trauma patient outcome has been demonstrated after the implementation of the Prehospital Trauma Life Support (PHTLS) program in Trinidad and Tobago, This study was aimed at identifying prehospital care Factors that mag explain this improvement, Methods: All patients transferred by ambulance to the major trauma referral hospital had assessment of airway control, oxygen use, cervical (C)-spine control, and hemorrhage central, as well as splinting of extremities during pre-PHTLS (July of 1990 to December of 1991; n = 332) and post-PHTLS periods (January of 1994 to June of 1995; n = 350), Pre-PHTLS data were compared with post-PHTLS data by chi(2) analysis with a p value less than or equal to 0.05 being considered statistically significant, Results: The frequency (%) increased in the post-PHTLS period for airway control (10 vs, 99.7%), C-spine control (2.1 vs,59.4%), splinting of extremities (22 vs, 60.6%), hemorrhage control (16 vs, 96.9%), and oxygen use (6.6 vs, 89.5%) when no specific problem mas identified, When a specific problem was identified in these areas, the post-PHTLS percentage also increased for airway control (16.2 vs, 100%), C-spine control (25 vs, 100%), splinting of extremities (33.9 vs, 100%), hemorrhage control (18 vs, 100%), and oxygen use (43.2 vs, 98.9%). Conclusions: Prehospital trauma rare has changed after the introduction of the PHTLS program as indicated by more frequent airway control, use of oxygen, control of cervical (C)-spine and hemorrhage, as well as splinting of fractures, This finding was evident not only as a routine but particularly when a specific related problem was identified, This change in prehospital care could be responsible for the improved trauma patient outcome after PHTLS.
引用
收藏
页码:786 / 790
页数:5
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