Penetrating Injury from Interpersonal Violence and Related Haemorrhagic Shock Resuscitation Practices in An Urban South African Emergency Medical Service

نویسندگان

چکیده

Introduction Physical injury is a major cause of premature death and/or disability worldwide. South African mortality statistics indicate approximately half all injury-related deaths were intentional, often from sharp-force injuries. Injury surveillance data for victims penetrating scarce in low- to middle-income countries with reliance on data. The aim was provide an epidemiological description and the related haemorrhagic shock resuscitation practice emergency medical service. Methods A prospective, observational, descriptive study conducted urban Cape Town. ‘R’ statistical computing used. Emergency care providers voluntarily documented parameters mechanism injury, vital signs, intravenous fluid demographic information patients injury. Results Of 2884 (N) trauma cases, 143 (n) cases sampled providers. chest (35.7%) upper-limbs (31.5%) most common anatomy estimated mean crystalloid volume administered abdominal injuries 1010.6 mL 925.3 respectively. statistically significant association observed between administration clinical indications such as systolic diastolic blood pressure, heart rate, capillary refill time, level consciousness estimation scene incident hospital after administration. Most service call outs (56%) likely occur 20:00 02:00. Conclusion management by pre-hospital traumatic injuries, do not cohere hypotensive resuscitative recommendations. Future research must include guideline implementation efficacy mechanisms. This informs clinician expectations

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ژورنال

عنوان ژورنال: Australasian Journal of Paramedicine

سال: 2021

ISSN: ['2202-7270']

DOI: https://doi.org/10.33151/ajp.18.873