Characterization of the health module of the 123 system for traffic accident attention in the city of Medellín

Main Article Content

Cindy Zuluaga Ramírez
Ana Cortés Ballesteros
Sebastián Medina Rivera
Juan Duque Pérez
Santiago Upegui Estrada
Mateo Ochoa Franco
Jorge Cohen Cajiao
Diego Abreo Leal

Abstract

Objective: To characterize the traffic accident attention in the city of Medellín in order to obtain a general image of the health situation in this context.


Methodology: Observational descriptive study, with analytic intent, of secondary information sources in patients with age higher or equal to 16 years of age, served by the 123 personnel, health module, who were victims of traffic accidents in Medellín.


Results: A total of 3 829 individuals suffered traffic accidents between October and December of 2018 according to the study criteria. Of these, 63.1% were males, with an average age of 34 years old. The zone with the highest demand of pre-hospital attention was the Comuna 10 of the city (known as La Candelaria) and most of the affected by the accidents were as drivers, 64%, and 75% of the cases, the vehicle involved was a motorcycle. Only 26.5% of the patients were discharged on the scene. The extremities were the body zones with the highest compromise in 78.2% of the episodes, followed by the cranium and the face, with 26.8%


Conclusions: It is evident that the city needs to implement and evaluate the impact of dynamic strategies that enable an efficient management of the resources that prioritizes the zones and demographic groups with the highest risk and the articulation of the disposition of patients within the attention chain, according to the most frequent types of injuries.

Keywords:
accidents traffic extremities craniocerebral trauma prehospital care

References

Mower-Wade D, Bartley MK, Pirrung J. Trauma care. Nursing. 2005; 35: doi:10.1097/00152193- 200505002-00004

Purtill MA, Benedict K, Hernández-Boussard T, et al. Validation of a prehospital trauma triage tool: A 10-year perspective. J Trauma. 2008; 65(6):1253-7.

Murad MK, Larsen S, Husum H. Prehospital trauma care reduces mortality. Ten-year results from a time-cohort and trauma audit study in Iraq. Scand J Trauma Resusc Emerg Med. 2012; 20:1-10.

Mackersie R. History of trauma field triage development and the American College of Surgeons criteria. Prehospital Emerg Care. 2006; 10(3):287-94.

Octaviano J, Gutiérrez B [Internet]. Cantidad y distribución de ambulancias para responder con oportunidad y eficacia a los incidentes médicos y de atención pre hospitalaria que se suscitan en la ciudad de Bogotá durante el año 2018 [citado el 18 de febrero de 2020]. Disponible en: https://repository.javeriana.edu.co/handle/10554/40657

Andi [Internet]. Informe del sector automotor [citado el 27 de enero de 2020]. Disponible en: http://www.andi.com.co/Uploads/8

Alcaldía Medellín [Internet]. Medellín y su población. Documento técnico de soporte POT (Acuerdo 46/2006) [citado el 27 de enero de 2020]. Disponible en: http://www.medellin.gov. co/irj/go/km/docs/wpccontent/Sites/Subportal del Ciudadano/Plan de Desarrollo/Secciones/ Informaci?n General/Documentos/POT/medellinPoblacion.pdf

Secretaría de Movilidad de Medellín [Internet]. Indicadores - Secretaría de Movilidad de Medellín [citado el 27 de enero de 2020]. Disponible en: https://www.medellin.gov.co/movilidad/m-enlinea/indicadores#4-incidentes-viales

Society GT. German trauma registry, annual report 2017. Sekt NIS Ger Trauma Soc. 2017; 21(5):430.

Ordóñez CA, Morales M, Rojas-Mirquez JC. Trauma registry of the Pan-American Trauma Society: One year of experience in two hospitals in southwest Colombia. Colomb Medica. 2016; 47(3):148-54.

Pham H, Puckett Y, Dissanaike S. Faster on-scene times associated with decreased mortality in Helicopter Emergency Medical Services (HEMS) transported trauma patients. 2017;2:1-5.

Velásquez Osorio N, Naranjo Luján S. Indicadores de atención pre hospitalaria para incidentes viales en Colmbia. RevFacNaSalud Pública. 2017; 35(3):410-9.

Pons PT, Markovchick VJ. Eight minutes or less: does the ambulance response time guideline impact trauma patient outcome? J Emerg Med. 2002; 23(1):43-8.

Daniels B, Venkatesh A. Increased computed tomography scan use among emergency department patients with abdominal pain does not increase diagnostic certainty. Ann Emerg Med. 2014; 64(4):S23.

Tudela P, Mòdol JM. La saturación en los servicios de urgencias hospitalarios. Emergencias. 2015; 27(2):113-20.

Restrepo-Zea JH, Jaén-Posada JS, Espinal JJ, Zapata PA. Saturación en los servicios de urgencias: análisis de cuatro hospitales de Medellín y simulación de estrategias. Rev Gerenc Polít Salud. 2018; 17(34):1-15.

Article Details

Author Biographies

Cindy Zuluaga Ramírez, CES University

CES University. Medellin Colombia.

Ana Cortés Ballesteros, CES University

CES University. Medellin Colombia.

Sebastián Medina Rivera, CES University

CES University. Medellin Colombia.

Juan Duque Pérez, CES University

CES University. Medellin Colombia.

Santiago Upegui Estrada, CES University

CES University. Medellin Colombia.

Mateo Ochoa Franco , CES University

CES University. Medellin Colombia.

Jorge Cohen Cajiao , CES University

CES University. Medellin Colombia.

Diego Abreo Leal, Pablo Tobón Uribe Hospital

Pablo Tobón Uribe Hospital. Medellin Colombia.

Most read articles by the same author(s)