Development of a system for caring for head injuries from road accidents

Abstract

     The research aims to develop a system for caring for patients with head injuries from road accidents. Collected data in 3 phases: (1) studying the epidemiology of head injuries from road accidents (2) developing a system for caring for patients with head injuries from road accidents (3) evaluating the results of developing a system for caring for patients with head injuries from road accidents road accident The sample group was emergency medical personnel at Soi Dao Hospital. and injured patients caused by road accidents The tools used in the research were a data recording form from the National Injury Surveillance System in 2017 and a form to assess adherence to Traumatic Brain Injury (TBI) guidelines. Data analysis: With descriptive statistics and Multiple logistic regression, the odds ratio at a significance level was 0.05.

     The results of the research found that in Phase 1, the factors affecting the severity of traffic accidents were the factors of drinking alcoholic beverages (AOR=3.80, 95%CI=2.79-5.16), history of passing out (AOR=59.27, 95%CI=18.56-189.24) breathing care (AOR=1.41, 95%CI=1.16-1.69) and severity level (AOR=9.92, 95%CI=3.47-28.33) Phase 2 development model System for caring for patients with head injuries from road accidents, Soi Dao District, Chanthaburi Province, PAEP Model (PAEP Model), consisting of 1. Policy Setting for Administrators (Policy Setting) 2. Access to services 3. Evaluation of selection Screening for treatment (Evaluation of screening for treatment) 4. Care planning and referrals (Care planning and referrals) Phase 3, pre-hospital care for the injured in the emergency medical network, Soi Dao District, found that medical care for Breathing, stopping bleeding, splinting organs, and giving fluids In cases where There must be 100% care according to the guidelines and 100% compliance with the guidelines when arriving at the hospital.