The Quality of Pre-hospital Circulatory Management in Patients With Multiple Trauma Referred to the Trauma Center of Shahid Beheshti Hospital in Kashan, Iran, in the First Six Months of 2013

Nursing & Midwifery Studies

Volume 5 - Number 2

Article Type: Original Article
Abstract: Background: Circulatory management is a critical issue in pre-hospital transportation phase of multiple trauma patients. How-
ever, the quality of this important care did not receive enough attention.
Objectives: The aim of this study was to investigate the quality of pre-hospital circulatory management in patients with multiple trauma.
Patients and Methods: This was a cross-sectional study conducted in 2013. The study population consisted of all patients with
multipletraumawhohadbeentransferredbyemergencymedicalservices(EMS)tothecentraltraumadepartmentinKashanShahid
Beheshtimedicalcenter, Kashan, Iran. Werecruitedaconveniencesampleof 400patientswithmultipletrauma. Datawerecollected
using the circulatory assessment questionnaire and controlling hemorrhage (CAQCH) that were designed by the researchers and
were described by using frequency tabulations, central tendency measures, and variability indices. The chi-square test was used to
analyze the data.
Results: The study sample consisted of 263 males (75.2%); 57.75% had lower levels of education and 28.75% were workers. The most
common mechanism of trauma was traffic accident (85.4%). We found that the quality of circulatory management was unfavorable
in 61% of the cases. A significant relationship was observed between the quality of circulatory management and type of trauma and
staff’s employment status.
Conclusions: The quality of pre-hospital circulatory management provided to patients with multiple trauma was unfavorable.
Therefore, establishment of in-service training programs on circulatory management is recommended.