Abstract
Background & Objectives: Pre-hospital care is an important component in management of critical patients. Today, in urban health care system, initial approach and management of critical patients generally is provided by pre- hospital emergency medical services. The more this approach is appropriate, the accurate and rapid, the less mortality and morbidity. Also the confidence to this system will increase among people. to increase the guality of pre-hospital care services. It is imperative to evaluate the current status. Considering the importance of this subject. We conducted this study to evaluate the guality of per-hospital care and compare it with current standard protocols.
Materials and Methods: The study method was descriptive- cross sectional. The data was collected from 500 transported patients by emergency medical services which was selected by sequentional sampling by guestionnaire and interviewing the emergency technicians. Crude data was interpreted by statistical descriptive methods.
Results: The mean duration between notification and arrival of EMS system on the scene was 12.54 minutes with SD of 1.24 minutes and the mean duration between scene and hospital (transportation) was 34.37 minutes with SD of 2.40 minutes. The overall mean duration between notification and hospital was 47.31 minutes. The patient’s vital sign were measured by emergency medical technologyists as following: Blood pressure in 92.3% of patients, pulse rate in 38.00% of patients, respiratory rate in 83.07% of patients and temperature in 71.15% of patients. The GCS was measured in 73.07% of patients. Interavenous access was established in 93.26% of patients but just 81.1% of them were functional. Pre-hospital treatment protocols for patient management shows considerable differences qualitatively and quantitatively in comparison with current world standard protocols.
Conclusion: Our results indicate that there is a great necessity to improve in the field of Pre-hospital care by conduction of regular quality assessment reviews, improvement of the present equipment, the educational curriculum and treatment protocols.