A Maher, Aa Haghdoost, S Noori Hekmat , M Haji Aghajani , Gh Janbabaee, H Vaezi, Gh Khademi, S Emadi, R Rahimisadegh, H Haghighi, R Dehnavieh, Mr Rajabalipour,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives: The aim of this study was to provide a clear description of the pre-hospital emergency setting and risk management in accidents and disasters in accordance with current Iran’s standards in different regions of the country. This study was part of the national project "Iran Roadmap (Neda 2026)".
Methods: The data of the major medical equipment was gathered from 48 medical universities covering all of the country's 32 provinces. Goal standards were obtained from the “Ministry of Health” and the “Department of Statistics for Medical Accident and Emergency Management Centers” in all universities. Coefficient of dispersion was calculated to evaluate any dispersion in major medical equipment.
Results: The results of this study showed that in 2017, the highest and lowest coefficient in “pre-hospital facilities” was related to the ambulance engine (301%) and the operational base personnel (93%), respectively. Nio national standards were implemented in “Risk Management in accidents and disasters needs” in most provinces of Iran. In 2026 estimates, all of the factors improved and dispersion decreased.
Conclusion: Despite the poor distribution of prehospital indicators in 2017, forecasting showed desirable conditions in distribution of facilities in the pre-hospital emergency and risk management of accidents and disasters.
N Nasiri, H Sharifi, M Rezaeian, M Sanji Rafsanjani , A Sharifi, R Vazirinejad,
Volume 15, Issue 1 (5-2019)
Abstract
Background and Objectives: To preventing deaths, it is essential to recognize factors affecting the survival of road accident victims. This study was conducted to identify the factors affecting the mortality of road accident victims.
Methods: All pre-emergency mission forms and hospital records of road accident victims were analyzed. The dependent variable was the time interval between the accident and death or discharge from hospital. The forms included demographic variables, accident location, injury status, type of vehicle, type of trauma, mission time, and vital signs.
Results: Of 8920 injured persons, death occurred in 143 (95% CI: 0.014-0.019). Being over 65 years (Hazard Ratio (HR) 7.6, 95% CI: 3.14-18.4), accident on the main roads (HR 1.44, 95% CI: 0.6-3.5), tracheal intubation (HR 26.4, 95% CI: 3.05-227.6), a systolic and diastolic blood pressure above 100 (HR 0.4, 95% CI: 0.4-0.12) and 70 mm Hg (HR 0.53, 95% CI: 0.24-1.2), and heart rate>100/min (HR 3.0, 95% CI: 1.7-5.1) were associated with the risk of death.
Conclusion: In providing services, age, status of blood pressure, pulse, injury status, and type of trauma can affect the patients’ survival.
