IRANIAN JOURNAL OF EMERGENCY CARE (IJEC)
Year:2017 | Volume:1 | Issue:2 |Papers Count:8

Background and Objectives: Many deaths and long-time disabilities can be prevented through emergency cares. To continue surviving the injured, having specialized equipment and utilities and the role of human components are of prominent importance to present proper services. This study was conducted to evaluate the clinical equipment of emergency stations of 115 Torbat-e-Haydiriyeh University of Medical Sciences in 2016.Materials and Methods: This is a descriptive study that after approving and obtaining the code of the Ethics from Research Committee of the University, all 12 emergency care units115 covered by the Torbat-e-Haydiriyah University of Medical Sciences were studied.Results: According to the results obtained from reviewing the standard checklist of urban and road Emergency Care Units of Torbat-e-Haydiriyah and considering 10 variables for clinical equipment, 54.89% of the standards were observed. The max and min level of standard is related to the drug by 89.9 %and dressing Box by 8.04% respectively.Conclusion: At present, the status of Emergency care units by considering the standards of the Ministry of Health is fairly good. The shortage of emergency facilities at Emergency Care Units will reduce the efficiency of pre-hospital emergency medical services. It is crucial to pay enough attention to meet the standards, to remove the shortcomings of GPS system, electroconvulsive therapy apparatus, and triage kit list.

Background and Objectives: Poisoning is one of the major causes of death in most countries so that acute poisoning is one of the threatening health problems around the world. The aim of this study was to determine the characteristics of hospitalized patients due to intentional and unintentional poisoning in the city of Fasa during the years 2014-2016.Materials and Methods: A descriptive cross-sectional study was conducted on 275 poisoned patients who referred to the emergency department of Valiasr Hospital in Fasa for two and a half years. Data were collected by patients’ characteristics questionnaire including age, sex, place, and date of poisoning, intentional or unintentional poisoning, substance abuse, history of suicide attempt, history of drug use, mean hospitalization time and prognosis of patients extracted from patients’ records.The descriptive statistic and SPSS software version 16 were used to analyze the data.Results: Most of the patients were male (63.28%), single (53.6%), unemployed (65.80%) and age group 36-59 years.80.40% of poisonings were unintentional by using analgesic and narcotic drugs (44%). Majority of poisoning happened at home (90%) in urban areas (60.40%).63/90% of poisoned patients referred to the medical centers in less than an hour and %75.60 were discharged with complete recovery. There was no report of hospitalization or death in ICU.Conclusion: According to the findings of this study, the most vulnerable group at risk of poisoning was males, single and unemployed people aged 36- 59 years old due to drug poisoning. Therefore, it is necessary to make public education, especially in middle-aged people, in relation to non-prescription drugs and how they are used.

Background and Objectives: Pre-hospital care is a critical and decisive factor in the treatment of emergency patients. The better, faster and more appropriate you manage these patients, the less morbidity and mortality will be. The purpose of this study was to compare the pre-hospital emergency condition of Sabzevar City with existing standards in 2014-2015.Materials and Methods: The present study was a correctional descriptive-analytic conducted in five Sabzevar Urban Emergency Care Units in 2014. Data regarding the staff and equipment in Emergency Care Units were extracted by using a checklist. In this study, 14, 306 mission reports recorded at the Central Emergency Care unit were reviewed during 12 months from the beginning of April to the end of March 2014. Descriptive statistics and SPSS software version 16 was used to analyze the data.Results: None of the Emergency Care Units had sufficient manpower and none of the ambulances had all the equipment needed. The greatest shortage was in vital therapeutic equipment so that only %12.50 of ambulances had this equipment and about %8.06 of the requests had been answered in more than eight minutes.Conclusion: In order to improve the provision of pre-hospital care, it is necessary to pay more attention to pre-hospital quality control.

Background and Objectives: Patient satisfaction is one of the important indicators of the quality of the services of emergency departments. This study aimed to determine the satisfaction rate of patients referred to emergency departments of teaching hospitals of Zanjan University of Medical Sciences.Materials and Methods: In this descriptive cross-sectional study, 193 patients who referred to the emergency centers of teaching hospitals were selected by time sampling during one week in each three working shifts. The patients who entered the study should at least have 6 hours of hospitalization. A satisfaction questionnaire approved by the Ministry of Health was used to collect data through individual interviewing. The study data were analyzed using appropriate descriptive and inferential statistics and SPSS Ver.22.Results: The mean score of patients' satisfaction in both departments was 64.66 with a standard deviation of 10.26. The highest level of satisfaction related to nursing services, amenities and Waiting time for diagnostic tests result, and the lowest level of satisfaction was related to teaching patients during discharge time and the waiting time for physician visit.Conclusion: Although the satisfaction rate of patients in Emergency Centers, in particular nursing services, was acceptable, in some cases, such as patient education during discharge and timely attendance of a physician, more monitoring and effective measures are needed from the managers of the these departments.

Background and Objectives: Cardiopulmonary resuscitation includes actions taken to restore cardiac and brain functions to a person who has lost consciousness. The aim of this study was to determine the success rate of cardiopulmonary resuscitation in emergency department and wards of educational hospitals in Zahedan and to help improve the effective conditions and arrangements in hospitals to increase the success of cardiopulmonary resuscitation.Materials and Methods: In this descriptive cross-sectional study, from September 2016 to March 2017, 199 patients who suffered from cardio-pulmonary arrest and underwent CPR from emergency department and wards of hospitals affiliated to Zahedan University of Medical Sciences were evaluated by available method.Data were collected through using a researcher-made checklist and analyzed by SPSS software. Descriptive statistics were used to analyze the data.Results: The mean age of patients was 43 years. The underlying causes associated with internal diseases with the prevalence of 23.6% were at the top of the table for the cause of cardio-pulmonary arrest. Also, 37.7% of the resuscitation was successful. No significant relationship was found between the cause of cardiopulmonary arrest and CPR. Finally, four percent of the people were discharged from the hospital alive.Conclusion: According to the findings, there was no significant relationship between the underlying causes of the cardio-pulmonary arrest and the outcome of CPR. Also, the success rate of CPR in hospitals under study was high compared to other studies conducted in the country, but a considerable percentage of the patients under study died.

Background and Objectives: Considering the geographical location and incident of our country, the role of nurses, as the most populous group among medical staff, in critical conditions is very important. In this regard, the present study was conducted to determine the level of knowledge, readiness and performance of nursing students of Tabriz Nursing and Midwifery Faculty in dealing with unexpected events.Materials and Methods: In a descriptive observational study in 1395, through using simple sampling, level of knowledge, readiness and performance of 41 students of Nursing and Midwifery faculty were assessed by using a questionnaire (including three individual sections, level of knowledge and preparation) and a performance checklist. Validity of these questionnaires and checklist was verified by content validity and retest reliability. Data were analyzed by descriptive and inferential statistics in SPSS version 16.Results: The mean and standard deviation of knowledge and preparation of students were 21.85±2.51 and 609.78±91.90 respectively, indicating moderate knowledge (51%) and good preparation (60%) for prehospital triage students. The mean and standard deviation of the triage period was 11.24±3.86 minutes and the Frequency and percentage of correct triage was (49.53) and incorrect triage was (511.41) 211 (including high triage (46.21) 46 and low triage (24.40) 165. In the field of pre-hospital triage function, participants had poor performance (nearly 52% of the students).Conclusion: Participants had moderate and good readiness for pre-hospital triage, but their performance was poor and unfavorable in dealing with unexpected events. Therefore, crisis management nursing courses with emphasis on new and practical training such as simulations is suggested.

Background and Objectives: Adolescent accomponied with fast changes, such as, chanes in Family structure and relationship, leaving family, increasing educational and social problems and therefore, suicide in this ages have greater rate than other ages. Thus, The goal of current study was Predicting Suicide tendency based on Family Relationship patterns and family relationship boundary in students.Materials and Methods: The research design was descriptive and in the form of correlation. The research sample included all Ardabil school’s students in2016-2017 which 432 persons of them selected by available sampling. and finally 400 questionnaires analyzed. The participants completed materials of The Brief Family Relationship Scale, Family relationship boundary questionnaire, and Suicidal Behavior Questionnaire-Revised. Research data were analyzed by descriptive statistics’ indices, Pearson correlation analysis and regression by using SPSS 23.Results: The obtained results suggested that Family Relationship patterns (M=37.1, SD=5.9) Normal boundary in Family (M=11.1, SD=2.8) has a significant negative correlation with Suicidal Behavior in students (p˂0.01). in addiction, regression analysis data shown that 0.44 of total variance of suicide in students predict by that Family Relationship patterns and relationship boundary (p˂0.01).Conclusion: we can conclude that family patterns and family relationship boundary can moderately predict and explain suicide tendency in students.

Background and Objectives: Patient’s safety is one of the most important components of quality of care provision and nurses are the most effective groups of human resources for providing the services. Workload is one of the most important dimensions of nurses' efficiency. This study aimed to investigate the correlation of nurses’ workload and patient safety condition in emergency departments of Qom University of Medical Sciences Hospitals in 2017.Materials and Methods: This descriptive-analytical and cross-sectional study was conducted by participation of 150 nurses using Easy non-random sampling method and 300 patients using accessible sampling method. The NASA-TLX workload questionnaire and the safety observation questionnaire of emergency patients were used. Data were analyzed using SPSS version 20 software and statistical tests (independent T-test, ANOVA, Pearson and regression). The significance level in all tests was considered to be p<0.05.Results: Nurses' workload mean was 63.99±13.87 that was high and the mean of patient safety was 32.64±5.19 that was moderate. The correlation between nursing workload and patient safety was inverse and significant (p<0.05). Marital status and number of children of nurses had a significant correlation with patient safety status (p<0.05). The age of the patient had a significant and inverse relationship with patient safety status and patient safety level was higher in the afternoon shifts.Conclusion: by increasing the emergency nurses’ workload, the safety of patient in these parts is reduced. To improve the patient's safety status, measures should be taken to reduce the workload of nurses, such as the proper planning of the workforce of the emergency department by managers.