Management of PreventableDeaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study

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EFTEKHARI ADEL; Dehghani Tafti Abbasali; NASIRIANI KHADIJEH; HAJIMAGHSOUDI MAJID; FALLAHZADEH HOSSAIN; Khorasani Zavareh Davood

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Journal: Archives of Academic Emergency Medicine Year:2019 | Volume:7 | Issue:1 Page(s): 0-0

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Title

Management of PreventableDeaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study

Author(s)

Keywords

Death

emergency medical services

accidents

traffic

Abstract

Introduction: Prehospital care plays an important role in decreasing the number of Deaths due to road traffic injuries (RTIs). This study aimed to identify the challenges of preventable Deaths due to RTIs in the prehospital phase based on the attitudes of stakeholders. Methods: Conventional content analysis of qualitative study was used to analyze the data. The participants were 24 RTI prevention experts from fire-fighting organization, traffic police, the Red Crescent, EmergencyMedical Services staff, emergency medicine specialists, and hospital emergency nurses who were selected by means of purposive sampling. Data were collected using unstructured interviews and analyzed by means of data coding, followed by extracting sub-categories, and main categories. Results: Six main categories were extracted as the major challenges of preventable Deaths in RTIs in the prehospital phase including “ poor management of the crash scene” with two subcategories of lack of rapid access to the patient and lack of scene safety, “ lack of adequate rules and regulations” with two subcategories of lack of protocols and guidelines and lack of clear duties checklists, “ poor management of time” with two subcategories of elongated response time at the crash scene and elongated time of victim transport, “ low quality of training” with two subcategories of insufficient training of emergency medical services (EMS) staff and inadequate public training, “ poor communication and coordination” with two subcategories of poor communication of EMS staff and lack of uniform commandership at the crash scene, and “ low quality of victim management” with two subcategories of low quality of clinical care and lack of accurate clinical assessment. Conclusion: The following measures are necessary to reduce preventable Deaths due to RTIs in the prehospital phase: accurate clinical assessment of the victim on the scene, provision of high quality and accurate clinical care, enforcement of legal obligations and using protocols in the field of victim management, coordination of the involved organizations through identifying the duties and responsibilities of each organization, and full management of the crash scene by assigning a unique commander to each unit and creation of the highest level of safety on crash scene.

Cites

Identification and Prioritization of Key Components Influencing Prehospital Emergency Related to Preventable Road Traffic Injuries Deaths in Iran; A Delphi Study

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APA: Copy

EFTEKHARI, ADEL, Dehghani Tafti, Abbasali, NASIRIANI, KHADIJEH, HAJIMAGHSOUDI, MAJID, FALLAHZADEH, HOSSAIN, & Khorasani Zavareh, Davood. (2019). Management of PreventableDeaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 7(1), 0-0. SID. https://sid.ir/paper/339792/en

Vancouver: Copy

EFTEKHARI ADEL, Dehghani Tafti Abbasali, NASIRIANI KHADIJEH, HAJIMAGHSOUDI MAJID, FALLAHZADEH HOSSAIN, Khorasani Zavareh Davood. Management of PreventableDeaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2019;7(1):0-0. Available from: https://sid.ir/paper/339792/en

IEEE: Copy

ADEL EFTEKHARI, Abbasali Dehghani Tafti, KHADIJEH NASIRIANI, MAJID HAJIMAGHSOUDI, HOSSAIN FALLAHZADEH, and Davood Khorasani Zavareh, “Management of PreventableDeaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 7, no. 1, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/339792/en

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