We need the constitute of Emergency medical system that connect prehospital care of inhospital care effectively for optimal treatment of emergency patient.
The analysis of actual condition of our emergency medical system, through study of mortality case in emergency medical center will be a aid to the constitute.
The authors performed a review on the records of 60 cases who died in Ajou university Emergency medical center during management, since June 1994 to september 1995.
Among the 60 patients, 72% were male and 28% were female. In nontrauma patient, 6th decade was many, in trauma patients, 3rd and 5th decade was many. Among the 60 patient, 33% were traumatic cases, 66% were nontraumatic cases. Among the traumatic
patients, more than half of the cases were due to motor vehicle accidents.
The most frequent time interval from onset of emergent situation to arreving at emergency center was more than 2 hours. The most common transfer method was by 119 ambulance. In most cases, prehospital treatments were not taken.
In most cases, initial mental status was comatose, and systolic blood pressure was less than 60 mmHg. Most cardiovascular resuscitation was done in 30 min. to an hour.
In cases as traffic accident or ischemic heart disease, where rapid transportation of the patients is critical for the patient's survival, however, in most cases it took more than two hours to bring such patients to hospital, and first aid
treatment
before arrival to hospital was rare. No prehospital treatment was done to nearly all patient. In many cases the patient was already in under coma or shock state.
The inhospital care at emergency center was made relatively quickly and adequately.
The mean duration of cardiopulmonary resustation was 30min to one hour.
From this study , we could notice the poor quality of prehospital care in the region, near Ajou university hospital, and we came to know that the improvement of quality of prehospital care was the region, near Ajou university hospital, and we
came
to
know that the improvement of quality of prehospital care was the most important fractor to reduce the motality of emergency department patient. That is, in the treatment of emergency patients, weak points has been revealed in the pre-hospital
treatment, the improvement of which is important factor for the survival of emergency patients.
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