Factors related to Fatalities of Accident Victims Delivered Advanced Life Support by Receiving Notice from Contact 1669 in Buriram Province

Abstract

The objective of this study was to identify factors related to fatalities of accident victims delivered by Advance Life Support Unit (ALS) and receiving a notice from tel. 1669 in Buriram province during October 1, 2016 to September 30, 2018. This was a case control study by random sampling from the report via the ITEMS system, the National Institute for Emergency Medicine. Accident victims who have been rescued from ALS system with significant symptoms, code 25, and motor vehicle accidents were recruited. Data was collected using the ALS service record form from the ITEMS report system, the National Emergency Medical Institute. Analyzing statistical data for comparing various factors between groups that have died and have not died used both univariate and multiple logistic regressions

The results showed that the accident victims who received help from ALS system from a total of 492 samples, were divided into 123 accidental deaths and 369 non-fatal groups. The factors related to the deaths of the accident victims who were delivered with the ALS unit were ER Triage critical emergency severity (red) (ORadj= 10.38; 95% CI=4.22-25.51, p-value<0.001), Revised Trauma Score (RTS) (ORadj=22.28; 95% CI=9.35-48.43, p-value<0.001) and the duration of access to the patient at the incident point more than 8 minutes (ORadj=2.80; 95% CI=1.11-7.01, p-value< 0.028).

 According to the study, the factors related to the deaths of the accident victims delivered by ALS unit were ER Triage, Revised Trauma Score (RTS) and the duration of access to the patient at the incident point more than 8 minutes. Therefore, it should increase the efficiency of access to services with ALS unit, job availability, medical emergency operations car and emergency medical practitioners to be ready to work. Give a public relation to the people for access to emergency medical services and the principle of emergency notification by tel. number 1669. Take off lessons of the case accident, death or severe injury from the aid of the ALS operations at all levels to find problems and obstacles in operation and timely solutions to help with problems and effective.