1887
2 - International Conference in Emergency Medicine and Public Health-Qatar Proceedings
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Multiple trauma patients are evaluated and managed by the Emergency Department (ED) in Al Wakra. The assessment, management, and disposition of this population have become a significant workload component. The aim of this study was to evaluate the trauma service at Al Wakra ED.

In our study, we aimed to collect data on the trauma patients, admitted between July 2014 and October 2015, who presented to the ED, at Al Wakra Hospital, and then transferred to the major trauma unit at Hamad General Hospital (HGH), Doha, if further subspecialty management was needed. The data analyzed was for demographic characteristics, triage categories, and need for transfer to the level one trauma center for further management.

Total of 59 patients with multiple trauma were admitted to Al Wakra ED, with mean age of 28 ± 19 years. Of these 91% were male. Based on the trauma severity, majority of the cases were level 2 trauma (92.73%), while trauma level 1 and trauma level 3 were (5.45%) and (1.82%) respectively. The most frequent anatomical type was head trauma (62.71%) followed by extremities trauma (33.9%). Other types included chest trauma (23.73%), spinal trauma (18.64%) and abdominal trauma (15.25%). The most common consultation services requiring transfer to level trauma center at HGH, were the neurosurgery (59.32 %) followed by the orthopedics (33.9%). It was found that 61.2% of the patients were admitted. The mean length of stay (LOS) was 8.35 days, while the median LOS was 4 days.

The Emergency Department at Al Wakra Hospital was able to receive and do the initial stabilization of multi-trauma patients. However, lack of certain sub-specialties mainly neurosurgery required transfer of two thirds of the patients to level one trauma center for further management. This may point to the future need of implementing neurosurgery services at Al Wakra Hospital.

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/content/journals/10.5339/jemtac.2016.icepq.98
2016-10-09
2020-09-22
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http://instance.metastore.ingenta.com/content/journals/10.5339/jemtac.2016.icepq.98
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  • Article Type: Research Article
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