Khorasani-Zavareh Davoud, Mohammadi Reza, Bohm Katarina
Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email:
J Inj Violence Res. 2018 Jul;10(2):83-90. doi: 10.5249/jivr.v10i2.953. Epub 2018 Jun 23.
Pre-hospital time management provides better access to victims of road traffic crashes (RTCs) and can help minimize preventable deaths, injuries and disabilities. While most studies have been focused on measuring various time intervals in the pre-hospital phase, to our best knowledge there is no study exploring the barriers and facilitators that affects these various intervals qualitatively. The present study aimed to explore factors affecting various time intervals relating to road traffic incidents in the pre-hospital phase and provides suggestions for improvements in Iran.
The study was conducted during 2013-2014 at both the national and local level in Iran. Overall, 18 face-to-face interviews with emergency medical services (EMS) personnel were used for data collection. Qualitative content analysis was employed to analyze the data.
The most important barriers in relation to pre-hospital intervals were related to the manner of cooperation by members of the public with the EMS and their involvement at the crash scene, as well as to pre-hospital system factors, including the number and location of EMS facilities, type and number of ambulances and manpower. These factors usually affect how rapidly the EMS can arrive at the scene of the crash and how quickly victims can be transferred to hospital. These two categories have six main themes: notification interval; activation interval; response interval; on-scene interval; transport interval; and delivery interval.
Despite more focus on physical resources, cooperation from members of the public needs to be taken in account in order to achieve better pre-hospital management of the various intervals, possibly through the use of public education campaigns.
院前时间管理能让道路交通事故（RTC）受害者获得更好的救治，有助于将可预防的死亡、伤害和残疾降至最低。虽然大多数研究都集中在测量院前阶段的各种时间间隔，但据我们所知，尚无研究定性探讨影响这些不同时间间隔的障碍和促进因素。本研究旨在探讨影响院前阶段道路交通事件不同时间间隔的因素，并为伊朗的改进提供建议。
该研究于2013 - 2014年在伊朗全国和地方层面开展。总共对18名紧急医疗服务（EMS）人员进行了面对面访谈以收集数据。采用定性内容分析法对数据进行分析。
与院前时间间隔相关的最重要障碍涉及公众与EMS人员的合作方式及其在事故现场的参与情况，以及院前系统因素，包括EMS设施的数量和位置、救护车的类型和数量以及人力。这些因素通常会影响EMS到达事故现场的速度以及受害者被送往医院的速度。这两类因素有六个主要主题：通知间隔；启动间隔；响应间隔；现场间隔；转运间隔；以及送达间隔。
尽管更多地关注物质资源，但为了在院前阶段更好地管理各个时间间隔，可能需要通过开展公众教育活动来考虑公众的合作。
