Recently the roles of the emergency room are more emphasized, because the number of emergency room patients including trauma has increased as a result of increased general population and the number of traffic accidents, industrial accidents,
falling
down injuries, fight-related injuries and sports-related injuries. An concominant change in the night life has also playead a role in the increasing incidence of traumatic emergency patients. And they had required a prompt and adequate
treatments.
Such
a prompt and adequate treatment is possible when the medical and paramedical interdepartmental relationships are smooth and organic.
During the last year, from January to December 1991, total 9966 cases of emergency patients had been treated at Emergency Room of Ewha Women University Medical center, including 3131 cases of trauma patients. In order to look for a more
appropriate
managements of the system, a statistic analysis of traumatic emergency patients was performed and which ws summarized as follows:
1) 3131 cases of all 9966 patients who visited the emergency room, were trauma patient.
2) The most common group of age was in 3rd decade(30.6%), and males predominated over females by 1.97 : 1.
3) The most predominant monthly distribution was May, 96%, and the least was January 6.2%.
4) About 13.9% of patients visited the emergency room from 8:00~10:00PM. Importance of time distribution to visit emergency room was more deceased.
5) About 21.5% of patient was stayed at emergency room for treatment and admission.
6) The most predominat department at emergency room was Department of Internal Medicine, but Department of Orthopedic surgery in trauma case.
7) Laceration was the common cause(33.3%). Traffic accident was second common cause(29.1%).
8) The overall mortality rate of trauma patients at emergency room was 0.1%.
@ES Therefore we think for a better case of the the patients visiting the emergency room.
@EN (1) The Emergency room must be an independent system, treast only emergency patients in a rapid and efficient way.
(2) A laboratory, a radiology room, a cash desk, etc, must be installed.
(3) According to the number of patient, doctors, nurses and other staft must be redistributed.
(4) In the management of traumatic patients, there will be required to estabilish the rapid transportation system, to set up many Trauma Center concerning the characteristics of the districts, and to compose Trauma team Who can handle the
traumatized
patients more efficiently and properly.
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