Alizadeh Reza, Panahi Farzad, Saghafinia Masoud, Alizadeh Keivan, Barakati Neusha, Khaje-Daloee Mohammad
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran ; Department of Ophthalmology, Khatam-al-Anbia Eye Hospital , Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
Trauma Mon. 2012 Fall;17(3):319-22. doi: 10.5812/traumamon.6341. Epub 2012 Oct 10.
Trauma still stands atop of the list of emergencies. Transfer of these patients via Emergency Medical Services (EMS) dispatch is critical with regard to importance of timing. This aspect has achieved greater importance due to population increase and telephone triage.
We aimed to decrease unnecessary Emergency Medical Services (EMS) missions via a computer program designed for an algorithmic approach for trauma care by nurses involved in EMS, to help them evaluate the case more accurately. We named our program "Trauma Dispatch Algorithm".
First, the most common chief complaints regarding traumatic events were chosen from searching all the calls in December 2008 recorded in Tehran, Iran's EMS center; and then an algorithm approach was written for them. These algorithms were revised by three traumatologists and emergency medicine specialists, after their approval the algorithms were evaluated by EMS dispatch center for their practicality. Finally all data were turned into computer software. The program was used at the Tehran EMS center; 100 recorded calls assessed with each system were selected randomly. They were evaluated by another traumatologist whether it was necessary to send a team to the site or not.
The age average was 26 years in both groups. The "trauma dispatch algorithm" was significantly effective in reducing the unnecessary missions of EMS by 16% (from 42% to 26%) (P = 0.005).
This program was effective in reducing unnecessary missions. We propose the usage of this system in all EMS centers.
创伤仍然是急诊病例中的首要问题。通过紧急医疗服务（EMS）调度对这些患者进行转运，时间安排至关重要。由于人口增长和电话分诊，这一方面变得更加重要。
我们旨在通过一个为参与EMS的护士设计的用于创伤护理算法方法的计算机程序，减少不必要的紧急医疗服务（EMS）任务，以帮助他们更准确地评估病例。我们将我们的程序命名为“创伤调度算法”。
首先，从搜索2008年12月伊朗德黑兰EMS中心记录的所有呼叫中，选择关于创伤事件最常见的主要诉求；然后为它们编写算法方法。这些算法由三位创伤学家和急诊医学专家修订，经他们批准后，EMS调度中心对算法的实用性进行评估。最后，所有数据被转化为计算机软件。该程序在德黑兰EMS中心使用；随机选择每个系统评估的100个记录呼叫。由另一位创伤学家评估是否有必要派遣一个团队到现场。
两组的平均年龄均为26岁。“创伤调度算法”在将EMS的不必要任务减少16%（从42%降至26%）方面具有显著效果（P = 0.005）。
该程序在减少不必要任务方面有效。我们建议在所有EMS中心使用该系统。
