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A Geospatial Analysis of Adult Major Trauma Transit Time in Dublin
O Kelly1, M O’Reilly2, N Collins3
1St James’s Hospital, Dublin 8, Ireland
Irish Medical Journal
|October 26, 2019
Summary
Ambulance transit times for major trauma patients in Dublin average 18 minutes to any emergency department (ED). This study informs trauma network design, ensuring timely care within recommended transfer times.
Area of Science:
- Emergency Medicine
- Trauma Care
- Health Network Design
Background:
- Estimating ambulance transit times is crucial for effective major trauma network design.
- Understanding scene-to-emergency department (ED) times informs resource allocation and patient outcomes.
Purpose of the Study:
- To calculate ambulance transit times for major trauma patients from incident scene to ED in Dublin.
- To provide data for optimizing future trauma network infrastructure.
Main Methods:
- Analysis of Dublin Fire Brigade data for major trauma incidents.
- Geographical mapping of incidents and measurement of actual and estimated transit times to EDs using Google Maps.
Main Results:
- Adult trauma cases (n=500) were uniformly distributed across Dublin.
- Median transit time to a specific ED ranged from 5 to 8 minutes (max 26 minutes).
- Median transit time to any ED was 18 minutes (maximum estimated 40 minutes).
Conclusions:
- All major trauma patients in Dublin can reach an ED within a median of 18 minutes.
- These transit times are within the internationally recommended 45-minute transfer time to a Major Trauma Centre.
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