สถานการณ์การเสียชีวิตจากการบาดเจ็บและการจัดการก่อนการเสียชีวิต

Abstract

Proper care of persons with severe traumatic injuries and life-threatening conditions from pre-hospital period through care at the trauma center can decrease possible preventable death and preventable death. This retrospective descriptive study aimed to explorethe situation of trauma deaths and management prior to death. The sample were data from 102 people with traumatic injuries who died while receiving care on scene, during transfer to hospital or from hospital to hospital, or in trauma center level 1 from January 2011 to December 2013. Instruments used for data collection included the situation of trauma deaths record form and the management prior to death record form, developed by the researcher based on the Advanced Trauma Life Support framework and literature review. Descriptive statistics were used for data analysis. The study results showed that trauma deaths were mostly caused by traffic accidents (86.28%). The most common injured sites were head and neck (49.02%). Hemorrhage was the most common cause of death (46.08%). The mean Injury Severity Score, the mean Revised Trauma Score, and the mean Trauma Score-Injury Severity Score for the sample were 24.29 (S.D. 10.85), 0.92 (S.D. 1.92) and 0.18 (S.D. 0.22), respectively. Management of airway, breathing, and circulatory system prior to death during pre-hospital period, during transfer from hospital to hospital, and in the trauma center were mostly appropriate. During the pre-hospital period, inappropriate managements of airway, breathing, and circulatory system were 22.22%, 22.22% and 11.11%, respectively, and 5.88%, 11.76%, and 35.29%, respectivelyduring transfer from hospital to hospital. In the trauma center, there were 37.25% of inappropriate managements of circulatory system. This study results can be used as the basis for further effective improvement of the trauma care system.