EuReCa_Serbia - Trauma Program: EMS interventions in-field and in emergency room in Serbia

• Main Authors: Fišer Zoran, Ranđelović Suzana, Obradović Ivana
• Format: Article
• Language: English
• Published: Serbian Resuscitation Council, Novi Sad 2019-01-01
• Series: Journal Resuscitatio Balcanica
• Subjects: trauma; emergency medical service; circadian rhythm; gender distribution
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/2466-2623/2019/2466-26231913185F.pdf

Aim: Aim of this paper is to investigate the time and gender distribution of trauma events and to determine incidence of trauma management under out-of-hospital and emergency room settings. Material and method: Data from register EuReCa_Serbia - Trauma Program (ESTP) was analyzed, which was an observational and prospective study created and developed by the Serbian Resuscitation Council. The exctracted data was analyzed the out-of-hospital EMS interventions and also in emergency room in 10 emergency medical services in Serbia in the period from 01.09.2018 to 31.12.2018. Data analysis was done by IBM SPSS Statistics 20. Results: In observed period 3396 ESTP was registered, 35,8% in out-of-hospital and 64,3% in emergency room. Males were injured significantly more (58,8%) than females (41,2%), however, significant gender distribution about interventions for both settings was not identified. Females were presented by older age (Z=-10,843; p = 0,000). Significant gender-difference regarding the timing of intervention out-of-hospital and in emergency room was observed (χ2=23.310; df = 3; p = 0,000). More males were injured out-of-hospital at night hours (10,1% vs. 6%) while females during the morning hours (35% vs. 30,1%). Conclusion: Emergency medical service treat more injuries in emergency room. There is gender and circadian polarisation regarding the EMS interventions. Males are more often injured during night hours. Most trauma-events was observed during the late morning and in the early afternoon. Elderly females are more exposed to trauma events. Further follow-up of epidemiological data is required due to evaluation of causes and risk-factors to explain the observed differences.