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Correlation between injury and the injury severity score in geriatric traffic accident patients transported by 119 rescue services

119로 내원한 노인교통사고 환자의 손상과 손상중증도계수의 상관관계 분석

  • Park, Yu-Jin (Department of Emergency Medical Technology, Choonhae College of Health Sciences) ;
  • Kim, Byung-Woo (Department of Paramedic Science, Korea National University of Transportation)
  • 박유진 (춘해보건대학교 응급구조학과) ;
  • 김병우 (한국교통대학교 응급구조학과)
  • Received : 2016.11.23
  • Accepted : 2016.12.19
  • Published : 2016.12.31

Abstract

Purpose: The purpose of the study was to investigate the correlation between injury and injury severity score (ISS) in geriatric traffic accident patients transported by 119 emergency medical technicians (EMTs). Methods: The subjects were 240 traffic accident patients over 65 years old transported by 119 rescue services emergency departments in Busan from January 1, 2014 to August 31, 2015. Results: ISS increased in motorcycle traffic accidents (p=.026), truck injuries (p=.005), and head and neck injury (p<.001). Vital signs were evaluated by 119 rescue EMT. ISS increased in cases of unresponsive unconsciousness (p<.001), hypotension (p=.001), and bradycardia (p<.001). The need for bleeding control and dressing by the EMTs increased ISS significantly (p=.022). Conclusion: In the initial evaluation of geriatric traffic patients, ISS can increase in motor cycle accidents and truck injuries. Due to high ISS, patients with head and neck injury, chest injury, hypotension, or tachycardia should be transferred to advanced level hospitals.

Keywords

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