Pre-hospital and in-hospital evaluation of cases intervened by disaster and emergency teams and medical rescue teams together in traumatic injuries occurring in Cappadocia region
Aim: To evaluate mortality in a province located in the center of the Cappadocia region by pre-hospital and in-hospital analysis of the data of patients who were intervened by disaster and emergency teams and national medical rescue teams together at the scene of disasters and accidents in the region.
Materials and Methods: This retrospective study was conducted in a state hospital in the Cappadocia region. Cases between 01.01.2019 and 31.12.2023 were evaluated in the study. Demographic data and types of traumatic events were analyzed. Patient data were evaluated in two stages, pre-hospital and in-hospital.
Results: Within the scope of the study, 108 patients were evaluated. 66.7% of the patients were male. The mean age was 40.66±19.16 years. The mean time between the time of notification to the call center and arrival to the hospital emergency department was 58.81±25.77 minutes. Traffic accidents (48.4%) were the most common reason for reporting in the region. As a result, 16 patients resulted in death. In the comparison between the survivors and the deceased, there was a significant difference between the type of event, systolic blood pressure, diastolic blood pressure, pre-hospital heart rate (in minutes), pre-hospital fingertip oxygen saturation, and Glasgow Coma Score values (p<0.05). Five of the deceased patients were foreign tourist patients.
Conclusion: In order to reduce morbidity and mortality in traumatic injuries in the Cappadocia region, it is recommended to increase security measures in tourism activities and to expand disaster and emergency teams and professional medical teams.
Keywords: Emergency Medicine, Disaster Medicine, Pre-Hospital, Disaster Medical Assistan Team, Cappadocia, Injury
