Related Experiment Video
Updated: Oct 5, 2025
05:52
Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
22.0K
Onsite Triage, Pre-Hospital Management And Effective Hospital Transportation "Where Do We Stand?"
Muhammad Muzzammil1, Muhammad Saeed Minhas2, Anser Saeed Khan2
1Sindh Gov. Services Hospital Karachi, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|January 25, 2022
Summary
Emergency care transporters in Karachi lack knowledge and resources for effective mass casualty triage. Significant gaps in training and equipment hinder prehospital interventions, necessitating improved trauma system coordination.
Area of Science:
- Emergency Medicine
- Public Health
- Trauma Care Systems
Background:
- Effective prehospital triage is crucial for improving outcomes in mass casualty incidents.
- Current systems in Karachi, Pakistan, face challenges in managing critically injured patients during emergencies.
Purpose of the Study:
- To assess the knowledge, attitude, and practices of emergency care transporters and ambulance personnel regarding onsite triage.
- To evaluate pre-hospital management and transportation protocols for critically injured patients in mass casualty incidents.
Main Methods:
- A study was conducted involving all ambulance personnel and emergency care transporters in Karachi.
- Data was collected using a pre-tested, self-administered questionnaire after obtaining written informed consent.
Main Results:
- A significant majority (81.2%) of emergency care providers doubted their ability to identify severely injured patients and perform triage (73.2%).
- Most ambulances lacked basic (82%) and advanced (93.2%) life support equipment, with personnel predominantly practicing 'scoop and run' (75.2%).
- Only 17.6% of transport teams included paramedics, and 80% consisted of a single driver.
Conclusions:
- Substantial knowledge deficits exist among emergency care providers concerning patient triage, particularly in mass casualty scenarios.
- While response times are comparable, prehospital interventions are rarely performed en route.
- A coordinated effort among ambulance services, hospitals, and government is essential for an effective trauma system.
Related Concept Videos
01:28Acute Coronary Syndrome IV: Interprofessional Care
45
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
45
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
47
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
47
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
102
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
102
01:26Acute Coronary Syndrome V: Nursing Management
59
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
59
01:26Flail Chest-II
274
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
274
01:30Heart Failure V: Medical Management
40
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
40