Assessment of the Role of Prevention Training and Care in Trauma Patients in Rural Regions ۲۰۰۱-۲۰۰۵

Assessment of the Role of Prevention Training and Care in Trauma Patients in Rural Regions ۲۰۰۱-۲۰۰۵ Saghafi Nia M۱, Nafissi N۲, Morovvati S۳, Asadollahi R۲, Panahi F۱ ۱ Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran ۲ Iranian Mine Victim Rescue Center (IMC), Tehran, Iran ۳ Research Center of Molecular Biology, Baqiyatallah University of Medical Sciences, Tehran, Iran Corresponding Authorchr('۳۹')s Address: Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran E-mail: [e-mail] Received: ۱۹ Feb, ۲۰۰۸ Accepted: ۴ Nov, ۲۰۰۸ Background and Objective: Trauma-related mortality (due to road accidents and gunshot and disaster…) is unexpectedly high in Iran. Short trauma care training course to rural health system and villager of Mehran, Eylam would improve the care for trauma victims. The objective of the present study is to describe the training and evaluate its effect using changes in physiological function of victims. Materials and Methods: Advanced trauma care course for physicians and nurses, complementary basic trauma care course for emergency technicians and health workers, basic trauma care for highly educated people and first aid short course for ordinary people were developed. After training, the region traumatic patients entered the system through two channels: to the local Mehran Emergency Clinic (some with primary treatment before the local emergency clinic) or directly to Ilam University Hospital. Outcome indicator was the physiological change assessed with the physiologic severity score (PSS). Results: During courses period, ۱۸۵ physicians & nurses, emergency technicians & health workers, ۲۳۹ highly educated people and ۴۴۱۰ ordinary people were trained for trauma care.During ۳ years leater ۳۶۶ injured were transported to Mehran Emergency Clinic (۲۲۶ received primary treatment before the local emergency clinic) and ۲۴۵ were admitted directly to Ilam University Hospital. Total mortality rate was ۱۰.۳ percent (۶۶ out of ۶۴۱ injured people) and the mine injured mortality rate was ۲۰.۷% (۳۷ out of ۱۷۹ mine injured). In the injured who received trauma care at Mehran Emergency Clinic, PSS mean was ۶.۴ which improved to ۷.۵ in the hospital (P<۰.۰۰۱) in comparison with ۶.۷۹ in the other group. Conclusions: Rural health worker and general population could be upgraded to care for victims of injuries by using available resources. This system can improve the indicators and reduce trauma mortality rate.

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Key words , Training , Trauma care , Rural health care