Browsing by Author "Abebe, Yonass (BSC, MSC IN EMCC)"

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    Assessment of basic pre hospital ambulance care for patients transported from scene to emergency department hospitals/health centers of Addis Ababa, Ethiopia
    (Addis Ababa Universty, 2018-06) Abdulkadir, Medina; Abebe, Yonass (BSC, MSC IN EMCC)
    Back ground: Emergency medical services (EMS) system are a community’s gateway to acute and emergency medical care for members of the public facing time sensitive condition, critical illness and injury. Objective: This study is aimed to assess basic pre hospital ambulance care for patients transported from scene to emergency department hospitals/health centres of Addis Ababa, Ethiopia, 2018. Methods: An ambulance based cross sectional study was conducted prospectively for patients transported with emergency ambulance service from scene to emergency department from March 15-April 15, 2018 with observational check list for one month duration. The data was entered to epi data version 3.1 and analysed using SPSS version 20 software. Frequency, percentage, mean, median and standard deviation were used to describe the data using tables and figures. Result: one hundred twenty patients transported with ambulance from scene were included. From total assessed level of consciousness (n=118), 28(23.3%) patients were lost their consciousness out of them oral airway were applied only for 3(10.7%) patients. Circulation was assessed for 74(61.7%) patients among them 8 had cardiac arrest CPR were done for 6(75%) of them but no adrenaline drug. From (N=120), 44(36.7%) patients had bleeding but only for 23(52.2%) of them was tried to stop bleeding and out of 41(34.2%) trauma patients 5(12.1%) patients were applied c collar but majority 36(87.9) patients weren’t. In this study more than half of 64(53.3%) patients hadn’t documented their findings .Over all 69(57.7%) patients did not receive at least one of the necessary basic prehospital medical cares. Conclusion and recommendation: lifesaving procedures like manual airway opening, cardiopulmonary resuscitation, vital sign measurements, emergency drug administration, and stop bleeding as well as spinal immobilization were not performed adequately. Emergency professional inside ambulance, emergency physician consultation during transportation and performing administrative inspections may improve prehospital care.