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KMID : 0377220010260010080
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Medical Journal of Chosun Univercity
2001 Volume.26 No. 1 p.80 ~ p.88
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A Study on Xmergency Transfer System in Gwangju, Jennam Area
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Cho Nam-Soo
Cho Soo-Hyung
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Abstract
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Background: To provide basic data to help construct regional EMSS.
Methods: Using a questionnaire, the authors investigated prospectively the data of 766 patients transferred directly to Emergency Medical Center of Chosun University Hospital from other hospitals from April 1 to May 31, 2000.
Results: 1) Transfer records; Transfer records of 407(53.1%) patients were faithful, 159(20.7%) patients were unfaithful. 47(6.2%) patients made a phone call to the emergency room or the Department of Emergency Medicine, 9(1.2%) patients to other departments, and 144(18.8%) patients were others. 2) The distribution of the region; A regional distribution of 766 patients transferred to Chosun University Hospital. The transfer took less than 1 hour in 134 patients, it took 1~2 hours in 150 patients, 2~3 hours in 222 patients and 3 hours or more in 260 patients. 3) The mode of transfer; Of the 766 patients, 8(1.1%) patients were transferred by foot, 78(10.2%) patients by a 119 rescue ambulance, 428(55.9%) patients by a hospital ambulance, 31(4.0%) patients by an emergency rescue party, 149(19.5%) patients used private cars, 67(8.8%) patients used public transportation and 5(0.6%) patients were transferred by others means. 4) The reason of transfer; 138(18%) transferred patients from primary hospital or secondary hospital wanted the transfer. 306(39.9%) patients were transferred due to inducement, 162(21.1%) patients due to the absence of specialized departmental doctors, 64(8.4%) patients due to emergency surgery, 46(6%) patients due to bed deficit and 50(6.5%) patients due to other reasons. 5) Diagnosis and treatment in ER; Among all transferred patients, 6 patients were in pericardiocentesis, 103 patients in CT(brain), 61 patients in MRI(brain), 65 patients CT(other part), 10 patients in MRI(other part), 15 patients in closed thoracostomy, 148 patients in central vein catheterization, 5 patients in 4-vessel angiogram and 152 patients in endotracheal intubation. 6) The result of treatment; 458(59.8%) patients were admitted, 148(19.3%) patients to ICU, 15(2%) patients were admitted to a delivery room, 14(1.8%) patients were transferred to an other hospital, 30(3.9%) patients were in a mortuary, 101(13.2%) patients were discharged and 221 patients were admitted for an emergency operation.
Conclusion: For effective and well organized EMSS the following are required. Communication prior to the patients transfer. Reinforcement of ambulance equipment and training of emergency staff for long distance transfer of a serious case. A detailed record of early state and treatment of transferred patients. The standardizational the transfer records which contains first aid treatment including fluid treatments, address and early vital signs of patients. Investigation and study for newlydeveloped transfer records.
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KEYWORD
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Transfer record, EMSS
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