Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study
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...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2019-07-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/386 |
| _version_ | 1818663440661610496 |
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| author | Adel Eftekhari Abbasali DehghaniTafti Khadijeh Nasiriani Majid Hajimaghsoudi Hossein Fallahzadeh Davoud Khorasani-Zavareh |
| author_facet | Adel Eftekhari Abbasali DehghaniTafti Khadijeh Nasiriani Majid Hajimaghsoudi Hossein Fallahzadeh Davoud Khorasani-Zavareh |
| author_sort | Adel Eftekhari |
| collection | DOAJ |
| description | 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, Emergency Medical 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. |
| first_indexed | 2024-12-17T05:16:53Z |
| format | Article |
| id | doaj.art-437be09a2ee74636971abf4d70fff0bf |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-17T05:16:53Z |
| publishDate | 2019-07-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-437be09a2ee74636971abf4d70fff0bf2022-12-21T22:02:05ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042019-07-017110.22037/aaem.v7i1.386386Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative StudyAdel Eftekhari0Abbasali DehghaniTafti1Khadijeh Nasiriani2Majid Hajimaghsoudi3Hossein Fallahzadeh4Davoud Khorasani-Zavareh5Department of Health in Emergencies and Disasters, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Department of Health in Emergencies and Disasters, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Trauma Research Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.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, Emergency Medical 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.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/386Deathemergency medical servicesaccidentstraffic |
| spellingShingle | Adel Eftekhari Abbasali DehghaniTafti Khadijeh Nasiriani Majid Hajimaghsoudi Hossein Fallahzadeh Davoud Khorasani-Zavareh Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study Archives of Academic Emergency Medicine Death emergency medical services accidents traffic |
| title | Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study |
| title_full | Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study |
| title_fullStr | Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study |
| title_full_unstemmed | Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study |
| title_short | Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study |
| title_sort | management of preventable deaths due to road traffic injuries in prehospital phase a qualitative study |
| topic | Death emergency medical services accidents traffic |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/386 |
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