Background
Case presentation
Ambulance ID number | Distance between EMS station and scene (mile) | Distance between scene and hospital (mile) | Ambulance departure time | Arrival time at scene | Leave scene time | Arrival time at hospital | Hospital ID number | Delivery time | Number of transported casualties (N) |
---|---|---|---|---|---|---|---|---|---|
1 | 5 | 5.6 | 18.48 | 19:00 | 19:20 | 19:27 | 1 | 19:55 | 4 |
2 | 5 | 5 | 18:49 | 19:00 | 19:46 | 19:54 | 2 | 20:00 | 5 |
3 | 3.72 | 5 | 19:00 | 19:08 | 19:20 | 19:27 | 3 | 19:32 | 3 |
– | 5.6 | 19:33 | 19:41 | 19:59 | 20:07 | 1 | 21:40 | 4 | |
4 | 13:67 | 5.6 | 18:50 | 19:03 | 19:48 | 20:00 | 1 | 20:20 | 4 |
5 | 5 | – | 19:29 | 19:38 | 21:10 | – | – | 21:10 | – |
Category | sub-category | Frequency | % |
---|---|---|---|
Multiple trauma | Chest and right and left humerus trauma | 2 | 5.71 |
Head and abdominal trauma | 2 | 5.71 | |
Head trauma and ulna and radius fracture | 1 | 2.85 | |
Head and spinal cord injury | 5 | 14.28 | |
Head trauma and fingers, wrist injury | 1 | 2.58 | |
Head and spinal cord injury and tibia and fibula fracture | 1 | 2.58 | |
Single trauma | Chest trauma | 1 | 2.85 |
Limb trauma | 7 | 16.31 | |
Without chief complaint | 15 | 42 | |
Total | 35 | 100 |
Dispatch phase
On-scene phase
Hospital phase
Post-mission phase
Discussion and conclusion
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Personnel recall plan needs to be mandatory and put in place and practiced by all pre-hospital emergency centers.
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To solve the challenges of over-crowding and interferences of lay bystanders at the scene, public training and police monitoring and control are recommended.
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To decrease the response time, it is recommended to dispatch several ambulances to the scene in the case of a bus crash rather than to dispatch one ambulance for rapid assessments.
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Establishing a unified command post at the scene is suggested to facilitate effective coordination among relief and rescue organizations.
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Hospitals should have a pre-emergency plan as well as specialized training and exercising for the management of mass casualty incidents and people labeled with a green tag.
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Preparing and comparing a list of passengers with the number of victims can be helpful for finding the lost ones in cases such as bus accidents.