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KMID : 0869120140160030182
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기초간호자연과학회지
2014 Volume.16 No. 3 p.182 ~ p.191
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Emergency Treatment and Nursing Activities of Severe Trauma Patients according to Elapsed Time and Vital Signs
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Kim Myung-Hee
Park Jung-Ha
Kim Myung-Hee
Gu Ji-Eun
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Abstract
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Purpose: The aim of this study was to identify necessary emergency treatment and nursing activities for severe trauma patients according to elapsed time and vital signs.
Methods: A survey was conducted with 121 patients over 15 points ISS on EMR from June 1, 2011 to May 31, 2012. Collected data were analyzed with descriptive statistics, applying McNemar’s test using SPSS 12.0.
Results: Almost all of the subjects were men and the mean age was 46.9. Run-time for primary diagnosis, treatment decision, and leaving for the hospital room was 0.19, 4.36, and 4.21 hours, respectively, and stayover time was 9 hours. Regardless of vital signs, emergency treatments involving ambu-bagging, intubation, ventilator, and central vein catheterization insertion were offered within an hour. Central venous pressure, Foley catheter/Levin tube preparation and maintenance were performed in cases of unstable vital sign patients within an hour. Unrelated to vital signs, nursing activities for consciousness assessment, skin assesment and wound care, bed sore/fall down assesment and care, intravenous injection insertion and maintenance were conducted for all severe trauma patients within an hour. Foley catheter/Levin tube drainage care was performed for patients who had unstable vital signs within an hour.
Conclusion: Emergency treatment and nursing activities for severe trauma patients were specific according to elapsed time and vital signs.
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KEYWORD
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Emergency, Nursing activities, Trauma, Vital sign
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