trauma-2017_posters-accepted-abstracts

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conferenceseries.com
March 13-14, 2017 London, UK
3rd Annual Congress and Medicare Expo on
Trauma & Critical Care
Volume 6, Issue 1 (Suppl) J Trauma Treat 2017
ISSN: 2167-1222, JTM an open access journal Trauma 2017
March 13-14, 2017
J Trauma Treat 2017, 6:1 (Suppl)
Comparison of trauma patients with or without runoff in angiographic findings
Hassan Ravari, Masoud Pezeshki Rad and Orkide Ajami
Mashhad University of Medical Sciences, Iran
Introduction: Arterial trauma is one of the serious traumatic injury and its prognosis was related to prompt diagnosis and treatment.
Also investing about angiographic findings of arterial injury and their influence on treatment strategy and prognosis is necessary.
Patients & Method: Mechanism of trauma, type of injury and angiographic findings were recorded in questionnaire for each patient
when they referred to angiography department and after completion of treatment and discharge, treatment type was added.
Results: In this study, 148 traumatic patients including 15 female with the mean age of 32 (11-82 years) were evaluated. Abnormal
angiographic findings were seen in 99 (66.9%) patient including: cutoff with distal runoff (n=60, 60.6% of abnormalities), cut off
without distal runoff (n=21, 21.2%) and spasm (n=14, 14.1%) and other findings (n=4, 4%). 51 cases were treated with open surgery
and in 13 patients finally amputation of traumatic limb was done. Amputation rate was higher in patients with cutoff without runoff
(33.33%) than cutoff with runoff (6.78%).
Conclusion: Causes and types of traumatic arterial injury in our results were different with studies in other countries. Compared with
final result of angiography (normal and abnormal) and arterial name, angiographic findings were less important in prognosis and
selection of patient management. Patients with spasm in angiography had better prognosis than other abnormal patients and almost
always did not need vascular surgery. The presence or absence of distal run off in primary angiography has predictive value in final
amputation rate.
Anationwide survey of Thailand emergency departments triage systems
Porntip Wachiradilok, Teera Sirisamutr and Anuchar Sethasathien
National Institute of Emergency Medicine, Thailand
This rapid survey study was to assess the current status and illustrated the problem of Thailand emergency department triage
systems. The subjects were 178 registered nurses on emergency department in tertiary hospitals of ministry of public health and
university. The research instruments were personal information, a survey questionnaire and structured interview questions. The data
were analyzed using Chi-square test, Fisher exact probability test and content analysis. The results show almost all hospitals have a
triage zone (87.9%) where the assignment was mainly done by a nurse (98.3%). In order to assess and identify the priority of the
patient's need for medical treatment, most hospitals (75.8%) use the emergency severity index (ESI) approach to classify patients
into five levels with different colors. Following the ESI approach, some hospitals (15.2%) may also classify the triage into three, four,
five levels with different conventional classifications both symbols and colors. When inspecting the triage system of the emergency
department services, region 13 had the most variety, the triage system in regions were significantly different (p<0.05). The difference
in the staff knowledge and experience influences the triage quality to be under or over triage. Frequent complaints are made from
the patient about long waiting time, despite having publicized that the treatment is prioritized on the severity of patient injuries. It is
suggested to improve classification into five levels based on ESI approach to classify emergency patients, flexibility according to the
readiness in each region.