Prehospital pediatric trauma classification (PHPTC) as a tool for optimizing trauma care resources in the city of São Paulo, Brazil
| Autor: | Sérgio Tomaz Schettini, Luiz Francisco Poli de Figueiredo, Simone de Campos Vieira Abib |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Emergency Medical Services Adolescent RD1-811 Epidemiology lcsh:Surgery Trauma Age Distribution medicine Emergency medical services Humans First Aid Mortality Child Analysis of Variance Chi-Square Distribution Trauma Severity Indices business.industry Infant Newborn Glasgow Coma Scale Infant Basic life support lcsh:RD1-811 Revised Trauma Score medicine.disease Triage Advanced life support Child Preschool Wounds and Injuries Female Surgery Medical emergency business Brazil Pediatric trauma First aid |
| Zdroj: | Acta Cirurgica Brasileira, Vol 21, Iss 1, Pp 7-11 (2006) Acta Cirúrgica Brasileira v.21 n.1 2006 Acta Cirúrgica Brasileira Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
| ISSN: | 0102-8650 |
| DOI: | 10.1590/s0102-86502006000100003 |
| Popis: | PURPOSE: To evaluate the pediatric prehospital care in São Paulo, the databases from basic life support units (BLSU) and ALSU, and to propose a simple and effective method for evaluating trauma severity in children at the prehospital phase. METHODS: A single firemen headquarter coordinates all prehospital trauma care in São Paulo city. Two databases were analyzed for children from 0 to 18 years old between 1998 and 2001: one from the Basic Life Support Units (BLSU - firemen) and one from the Advanced Life Support Units (ALSU - doctor and firemen). During this period, advanced life support units provided medical reports from 604 victims, while firemen provided 12.761 reports (BLSU+ALSU). Pre-Hospital Pediatric Trauma Classification is based on physiological status, trauma mechanism and anatomic injuries suggesting high energy transfer. In order to evaluate the proposed classification, it was compared to the Glasgow Coma Score and to the Revised Trauma Score. RESULTS: There was a male predominance in both databases and the most common trauma mechanism was transport related, followed by falls. Mortality was 1.6% in basic life support units and 9.6% in ALSU. There was association among the proposed score, the Glasgow Coma Score and to the Revised Trauma Score (p |
| Databáze: | OpenAIRE |
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