Emergency Medical Services Outcome Assessment in Lagos, Nigeria: Review of Cases of ‘’Brought in Dead‘’ Patients
DOI:
https://doi.org/10.3889/oamjms.2014.041Keywords:
BID, Pre-hospital transport, Emergency medical services, LASUTH, Road traffic injuries.Abstract
BACKGROUND: This study sets out to establish a database of BID patients presenting at the Lagos State University Teaching Hospital (LASUTH).
METHOD: A retrospective study of consecutive ‘’Brought in Dead‘’ (BID) patients seen from April to November 2011 at the surgical emergency room of the Lagos State University Teaching Hospital (LASUTH) was done using a validated questionnaire.
RESULTS: A total of 144 BID patients were seen during the study period. There were 112 males or 78% and 32 females or 22% of the total (M:F=3:1). The age group with the largest number of victims was the 31-40 age groups; and there were 37 patients (30.8% of 120 cases captured under age group). Trauma also accounted for 104 patients (72.2%) with 52 (36.1%, 50% of trauma cases) of these caused by Road traffic injuries (RTI), and Gunshot injuries accounting for 21 (14.6%, 20.2% of trauma cases). Among the Trauma BID cases from RTI, 4-wheeled vehicles accounted for 20 cases (19.2%, 40% of RTI), whilst motor cycle injuries accounted for 12 cases (11.5%, 24% of RTI).
CONCLUSION: The study shows that road traffic injuries and gunshot injuries, accounted for 70% of BID cases presenting at LASUTH. Majority of cases of RTI are from 4 wheeler vehicles (40%) and motorcycles (24%).Downloads
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References
Hodgetts TJ, Smith J. Essential role of Prehospital care in the optimal outcome from major trauma. Emergency Medicine. 2000;12(2): 103-111. DOI: https://doi.org/10.1046/j.1442-2026.2000.00112.x
Solagberu BA, Ofoegbu CK, Abdur-Rahman LO, Adekanye AO, Udoffa US, et al. Pre-hospital care in Nigeria: a country without emergency medical services. Niger J Clin Pract. 2009;12(1):29-33.
Chiang TC, Wang CY. Dead-on-arrival patients in Panchiao, Taipei. Zhonghua Yi XueZaZhi(Taipei). 1999; 62(8):509-13.
Dead on Arrival in Wikipedia, the free online encyclopedia.http://en.wikipedia.org
Pasquale MD, Rhodes M, Cipolle MD, Hanley T, Wasser T. Defining ‘’Dead on arrival‘’ : impact on a level 1 trauma center. J Trauma. 1996; 41 (4):726-30 DOI: https://doi.org/10.1097/00005373-199610000-00022
Limb D, McGowan A, Fairfield JE, Pigott TJD. Prehospital deaths in the Yorkshire Health Region. J Accid Emerg Med. 1996;13:248-250. DOI: https://doi.org/10.1136/emj.13.4.248
Wang JS, Cheng SH, Leu LJ, Hsu PI, Ker CG et al. Dead on arrival study in Kaohsiung area. The Kaohsiung journal of medical sciences. 1995;11(1):21-26,
Braun D, Kahlenberg A, Schmahl FW. Analysis of early treatment of accidents at work and on the way to or from work with special consideration of traumatic-hemorrhagic shock. International Archives of Occupational and Environmental Health. 1999; 72 (SUPPL. NOV): M62-M65. DOI: https://doi.org/10.1007/PL00014212
Leong APK, Wong SC, Tay BK, Chao TC. Preventable trauma death in Singapore. Singapore Medical Journal. 1987; 28(3):244.
Nicholl J, Hughes S, Dixon S, Turner J, Yates D. The costs and benefits of paramedic skills in prehospital trauma care. Health Technology Assessment. 1998; 2(17): iii-67. DOI: https://doi.org/10.3310/hta2170
Hu SC, Tsai J, Kao WF, Chern CH, Yen D et al. Three years’ experience of emergency medical services in Ilan County. Journal of the Formosan Medical Association. 1995; Suppl 2: 87-93.
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