Research Article
Rahbar Taramsari M, Badsar A,
Abstract
Pre-hospital Medical Services (EMS) in Iran, named "Emergency 115" was established by helping America to reduce and prevent many deaths and long term disabilities. Transferring people from incident sites to the hospitals is one duty of the emergency centers. The purpose of this paper is to describe current status of pre-hospital emergency operation in missions of 115 Emergency bases in Rasht city, Iran, in order to compare with global standards. This is a cross sectional descriptive-analytic study. Information of about 50% of Rasht city 115 emergency missions cases (5667 cases) in seven bases of them (include 6 urban bases and one road base) were collected by 115 urgency missions forms in a year (from August 21th 2007 till August 21th 2008). Missions of odd dates of every month in the study period were selected and the information was collected by a standard checklist of Ministry of health of Iran. Data were entered in SPSS software ver. 16 and Chi Square and T tests were used to define the meaningful differences (a = 0.05). 61.6% of contacts were male and mean age of them was 45.3 ± 21.9 years old. Among 5665 emergency missions, 5033 (92%) were interurban and type of missions were determined in 96.6% of them. Most places of missions were in residential environment (74.7%). Type of emergency cases was determined in 47.1% of missions which the maximum was loss of consciousness (20.8%). Response time in our study has been compared with standard time that it was significant relation between them (P value<0.001). In death cases, 65.8% were men and the most of them were in age group 61-70 (20.7%). This study suggests that time indexes of pre-hospital emergency in Rasht is lower than Tehran and Urmia and international standards. The short response time and transport time compared to other settings may indicate improvement in the pre-hospital services in the study area. It is very important to pay attention and care in measuring these times exactly and correctly to have a good surveillance system at the EMS