การประเมินการดูแลผู้บาดเจ็บ ณ จุดเกิดเหตุ ของเจ้าหน้าที่มูลนิธิช่วยเหลือผู้บาดเจ็บภายใต้การดูแลของพยาบาล เขตอำเภอเมือง จังหวัดนครราชสีมา

Abstract

The purpose of this descriptive study was to evaluate the ability and quality of pre-hospital care for accident victims by private charity foundations, during February and March, 1998, Amphur Muang; Nakhon Ratchasima Province. Subjects consisted of 112 patients (68 transfer) Data were analyzed using percentage, mean and standard deviation. Result : On the average, 4 persons provided pre-hospital care per each accident. Most of the times, trained first aids care providers participated in the service (58/68). Time from being informed of an accident to arriving in the hospital was approximately 19.6 minutes. There were enough communication equipments, but they were not properly used. The most important problem was inappropriate control of bleeding (78.65%). Bone injuries were found in 36 (32.14%) but 7 cases (19.44%) were suitably immobilized. Similarly, 24 cases had airway obstructed only 2 cases (8.33%) was appropriately treated. Conclusion: The best pre-hospital care should be Emergency Medical Service: EMS, but this will depend on availability of budget and personnel. Nowadays, this activity is provided by private charity foundation whose service provability is limited. It is recommended that the training program should be revised and good coordination should be organized.