Effect of early assessment and management of emergency physician on time and mortality of pediatric poly trauma patients

摘要

Objective: to study the effect of early assessment and management of emergency physician on time and mortality in pediatric poly-trauma patients. Methods: A prospective study included 100 poly traumatized patients aged less than 16 years presented to emergency department at Menoufiya University Hospitals. Every patient was subjected to: triage, Primary survey (Airway, Breathing, Circulation, Disabilities and Exposure/Environmental control), Resuscitation: all life threatening conditions detected in primary survey were managed as guidelines in the pediatric advanced life support and advanced trauma life support, Secondary survey: a complete history and head to toe physical examination including reassessment of all vital signs were done and Reevaluation and monitoring. Results: delayed grade in revised trauma score took 23.9±6.1 minutes in primary survey and 87.8±39.2 minutes in Time of image, while dead grade took 88±52 minutes of Mean ± SD in primary survey. The basic management took 24.7±6.5 minutes in primary survey and 83.7+37.2 minutes in Time of image and the advanced management took 86.7±32.2 minutes in primary survey and 35.3+13.86 minutes in Time of image. 100% patients in delayed grade of revised trauma score were alive while 100% patients in dead grade were dead. 100% dead patients had advanced management and in regarding to alive patients: 29.1% patients had advanced management and 70.9% patients had basic management. Conclusion: there is effect of early assessment and management of emergency physician on mortality in pediatric poly-trauma patients.