title: [Medical procedures carried out by rescue team at multiple body injury victims of accidents].
abstract: Medical emergency ambulances with physician are the only that could give qualified medical aid to victims of incidents at the theatre and while transportation.
  
  
  OBJECTIVE
  was to check whether the pre-hospital medical care at victims of accidents in aspect of executed by rescue team medical procedures while actions to incidents.
  
  
  METHODS
  It was made the retrospective comparative statistical analysis of protocols from actions to incidents took by rescue team in groups of victims with multiple (MBl) and isolated body injuries (IBI) and executed medical procedures during following 48 months.
  
  
  RESULTS
  The rescue team took 11 200 actions including 1539 incidents (13.7%). MBls were found to 407 victims (26.4%). Men were more frequent (n = 263; 64.6%) then females, and Injury Severity Score (ISS) was 17.3. These data'were compared to group of 1132 IBI victims (73.6%), with men victims of 730 (64.5%) and mean ISS of 4.1 points. Comparing executed medical procedures between group of victims with MBI vs IBI: advice was given to 175 persons (43%) vs 500 (44.2%), pharmacotherapy was introduced to 43 (10.6%) vs 151 (13.3%), dressing needed 72 wounded (17.7%) vs 341 (30.1%), immobilizing to 83 (20.4%) vs 122 (10.8%) and advanced rescue procedures needed 34 (8.4%) vs 18 (1.6%) confirming statistically difference. The decease on place of event as direct complication of injury was recognized at 47 MBI victims (11.5%) vs 17 IBI (1.5%). 360 MBI victims (88.5%) vs 1115 IBI (98.2%) were given help on scene, of which 299 (83.1%) vs 837 (73.9%) needed hospital treatment, but 7 of them (2.3%) died after arriving at Emergency Department. Detailed analysis of 1016 medical procedures taken at 238 victims with MBI (66.1%) vs 1659 at632 victims with IBI (55.8%) was introduced. Detailed analysis proved procedures to victims with multiple body injures (MBI) were of significant difference to other harmed specially to giving oxygen (32.8% vs 16.5%), monitoring (21% vs 7.3%), pharmacotherapy (63% vs 33.4%), immobilizing (41.6% vs 19.5%/), folded procedures including drugs, fluids, dressing and immobilizing together (63.9% vs 26.7%), cardiopulmonary resuscitation (8.3% vs 1.6%).
  
  
  CONCLUSIONS
  The multiple body injuries were recognized to one of fourth victims of incidents of which traffic accidents and beating were predominant causes. Multiply body injuries (MBI) victims need more frequent advanced live support (resuscitation) or compound medical aid on scene. Resuscitation was independent on kind and heaviness of injury to victims of incidents.
authors.affiliation: Vojevodish Medical Rescue Post, Lodz, Poland. juljan1@gazeta.pl
authors.forename: Juliusz
authors.initials: J
authors.lastname: Januszewski
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000328:Adult; D000368:Aged; D002985:Clinical Protocols; D004632:Emergency Medical Services / Q000379:methods* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology / Q000628:therapy*; D010348:Patient Care Team / Q000706:statistics & numerical data; D012151:Resuscitation; D012189:Retrospective Studies; D017678:Sex Distribution; D015996:Survival Rate; D014754:Violence / Q000706:statistics & numerical data; D055815:Young Adult