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KMID : 0895520160200030007
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Journal of the Korean Society of Emergency Medical Technology
2016 Volume.20 No. 3 p.7 ~ p.19
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Correlation between injury and the injury severity score in geriatric traffic accident patients transported by 119 rescue services
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Park Yu-Jin
Kim Byung-Woo
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Abstract
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Purpose: The purpose of the study was to investigate the correlation between injury and injury severity score (ISS) in geriatric traffic accident patients transported by 119 emergency medical technicians (EMTs).
Methods: The subjects were 240 traffic accident patients over 65 years old transported by 119 rescue services emergency departments in Busan from January 1, 2014 to August 31, 2015.
Results: ISS increased in motorcycle traffic accidents (p=.026), truck injuries (p=.005), and head and neck injury (p<.001). Vital signs were evaluated by 119 rescue EMT. ISS increased in cases of unresponsive unconsciousness (p<.001), hypotension (p=.001), and bradycardia (p<.001). The need for bleeding control and dressing by the EMTs increased ISS significantly (p=.022).
Conclusion: In the initial evaluation of geriatric traffic patients, ISS can increase in motor cycle accidents and truck injuries. Due to high ISS, patients with head and neck injury, chest injury, hypotension, or tachycardia should be transferred to advanced level hospitals.
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KEYWORD
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Injury severity score(ISS), Traffic accidents, Geriatric Injury, 119 EMT
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