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Int J Inj Contr Saf Promot ; 26(2): 170-175, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30541384

ABSTRACT

A cross-sectional survey was conducted to collect primary data prospectively on pre-hospital care time intervals of Road Traffic Crash (RTC) victims that had been rescued by the Uganda police and to determine what factors were related to those intervals. The survey was conducted between 1 May 2015 and 31 May 2015. The Police responses to 96 RTCs were recorded, but only 74 of them were considered serious enough to warrant hospital transfer, and those 74 are the subject of the analysis. Pre-hospital care time ranged between 10 and 220 min. Seventy-two per cent of the calls were completed within 1 h of call initiation. The scene to hospital transport interval was the longest with a mean of 19.07 min (SD 10.11). Activation time was the shortest interval with a mean of 4.58 min (SD 5.67). Key factors for delays included: understaffing, lack of skills and long distances. A toll-free Universal Access Number, a law mandating provision of free basic emergency medical services at every health facility and gazetting of lanes for emergency services and might decrease on pre-hospital care time and could reduce on the notification and transport time interval respectively.


Subject(s)
Accidents, Traffic/statistics & numerical data , Emergency Medical Services/statistics & numerical data , Time-to-Treatment/statistics & numerical data , Transportation of Patients/statistics & numerical data , Wounds and Injuries/therapy , Cross-Sectional Studies , Emergency Medical Services/organization & administration , Health Workforce , Hospitals , Humans , Law Enforcement , Professional Competence , Prospective Studies , Time Factors , Uganda
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