THE EMERGENCY NURSE PRACTITIONER ROLES WITH HEMORRHAGIC SHOCK IN TRAUMA: CHALLENGE IN PREVENTION AND PRE-HOSPITAL CARE OF TRAUMATIC

Abstract

Injuries occurring from traffic accidents constitute the largest proportion of unforeseen injuries. If the serious injury affects vital organs and the patients do not receive appropriate care in the pre-hospital period, it may cause death of the patient during transferring to a hospital.

The taking appropriate care of the patient at the pre-hospital period was extremely important. The management of the emergency service system has the main goal of reducing the mortality and preventable disability rates resulting in the decrease of treatment and nursing expenditure, the decrease of inappropriate position of the patient during the transfer, and the decrease of transferring the patient to the inappropriate hospital. Emergency Nurse Practitioner (ENP) plays a key role of Advanced Life Support (ALS). The possession of high clinical competencies and skills includes the assessment of severity due to hemorrhagic shock precisely, the identification of causes of life threatening condition, the identification of location of major injury organs, the collection of complete and inclusive data leading to the correct and appropriate treatment and nursing of the patient that is timely and quick both during the pre-arrival to hospital period and the transfer to hospital period, as well as the ability to coordinate with the emergency medical personnel team of the hospital that will enable the patient to receive the helps and treatment immediately upon arrival to the hospital. This will result in the patient being safe, reduction of the mortality and disability rates for the injured patient, reduction of the loss of family members that is also the reduction of the loss of human resource in the social and economic development of the country.