Effectiveness between first response team and basic life

Effectiveness between first response team and basic life support for stop bleeding on road traffic accident patients Prat Intarasaksit 1

Background 2

background • Emergency Medical Service (EMS) Dispatch Center Advance Life support Basic Life support First response 3

Methods • Primary outcome • Stop breeding (appropriate, inappropriate) • Independent variables • Gender Age Sex Regions 4

Methods 5

Table 1: Baseline characteristics of road traffic accident Characteristic Road traffic accident case Age (Mean) Gender : Male Regions : Northeast Stop bleeding: Inappropriate FR (%) 25. 17% 32. 8 16. 1 BLS (%) 27. 90% Not complete 80. 80% 84. 76% 34. 62 28. 69% 0. 38% 0. 42% 6

Table 2 Crude odds ratios of stop bleeding and their 95% confidence intervals for each factor. Characteristic FR: RTA BLS: RTA FR : Age >48 BLS : Age FR : Regions (South) BLS : Regions (South) OR Crude 95% CI 0. 98 - 0. 99 0. 97 – 0. 99. 95 0. 71 - 1. 28 P-value <0. 001 0. 049 Not complete 1. 61 1. 11 - 2. 33 0. 0002 1. 71 0. 77 - 3. 81 <0. 001 7

Table 3. Crude odds ratios and adjust odds ratios of stop bleeding treatment by first response team and basic life support team and their 95% confidence intervals for each factor • Not complete 8

DISCUSSIONS • Another finding in this study was that the number of male injury victims is significantly higher than their female. • This higher incidence has been mostly attributed to aggressive driving in men, mostly in the younger age groups. 9

DISCUSSIONS • Limitation of the study • A major limitation of our study is its retrospective nature. • As with any retrospective database study, internal validity is difficult to assess. • 10

Conclusion • Basic life support team has effectiveness than first response team because BLS team has officer who has more training hour than FR team. • But not best, because either data was show inappropriate stop bleeding case. • Therefore, should be increased program training for improve both team for trauma management skill. 11

Conclusion • Further, researcher should determine effectiveness on other trauma management in patients from same case or other case. 12

• This project was approved by the Human Research and Ethics Committees. 13

Thank you for your attention 14