EVALUATION OF THE PATIENTS TRANSPORTED WITH THE EMERGENCY SERVICE AMBULANCES

In this study we evaluated the First Aid Call "112" telephone to Bursa State Hospital Emergency Ambulance Service in the Jan 1993-May 1995 period retrospectively. Over a 29 month period 962 patients called Emergency service for medical help in the 144 cases administration (%20.8) were considered as in vain and ambulance staff had not found the patients because of many reasons. The other 566 patients were transported to the hospital. All these calls were calculated. Census datas; age, sex, arrival place, classification and reasons for transport, management protocols were established. After exclusion of transports 63% of the cases (357 cases) were male and 37% of the cases were female. The transport rates increased by age. The main group of the cases were 60 or older persons (47,9%). The most of the cases were transported from their houses. The rate of the transport for the reasons were calculated. The 13% of the cases had a cardiovascular disease, 78,3% cases had a cerebrovascular disease, 7,4% of the cases had a traffic accident. The hospital administration incidence was 52,7%. In conclusion, in 144 cases (20,8%) ambulance staff could not find the patients. In the rest homes transport organisation has to be reestablished. In traffic accident, first aid call system and ambulance service has not known yet and also must be review.

HIZIR ACÝL SERVÝS AMBULANSLARIYLA ALINAN VAKALARIN DEÐERLENDÝRÝLMESÝ

Bu çalýþmada Ocak 1993 ile Mayýs 1995 tarihleri arasýnda Bursa Devlet Hastanesi Hýzýr Acil Servisi'ne 112 No'lu telefon aracýlýðýyla yapýlan ilk yardým çaðrýlarý geriye dönük olarak deðerlendirildi. Bu 29 aylýk süre içinde hýzýr acil ambulans sistemine 692 baþvuru oldu. Gidilen çaðrýlarýn 144'ünün (%20.8) "Boþa Gitme" olduðu görüldü. Diðer 566 hasta ise ambulansla alýndý. Bu vakalar yaþ gruplarý, cinsiyet, vakanýn alýndýðý yer, hastalýk gruplarý ve uygulanan tedavi þekilleri açýsýndan deðerlendirildi. Bu vakalarýn cinsiyet daðýlýmý: 357 erkek (%63), 209 kadýn (%37) olarak belirlendi. Yaþ gruplarýna göre en büyük grubu 60 yaþ üzeri grup (%47.9) oluþturdu. Vakalarýn "alýndýðý yerlere" göre sýnýflandýrýlmasýnda en büyük grubu "evlerden alýnan" vakalar oluþturdu. Alýnan vakalarýn hastalýk gruplarýna göre sýnýflandýrýlmasýnda ilk sýrayý (%19.08) kalp hastalýklarýnýn aldýðý görüldü. Ýkinci sýrayý (%18.3) serebro-vasküler hastalýklar, üçüncü sýrayý ise (%7.4) trafik kazalarý aldý. Ambulansla alýnan vakalarýn %52.7'si yatarak tedavi edildiler. Sonuçta hýzýr acil servise telefonla yapýlan baþvurularda %20.8 oranýnda boþa gidildiði görüldü. Ayrýca Huzur evlerindeki saðlýk organizasyonunun yeniden yapýlanmasý gerektiði kanýsýna varýldý. Trafik kazalarýndan ambulansla alýnan vakalarýn sayýlarýnýn çok yetersiz olmasý acil hasta transport sisteminin yeniden düzenlenmesini gerektirmektedir.