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Word Count: 374
Every year there is over 50 thousand car accidents in Poland Almost 7 thousand people are killed and 67 thousand are seriously wounded yearly We have one of the highest death rates in Europe as far as car accidents are concerned which is 126 per100 injured where as in Europe it is 45 per 100 injured The aim of this study was to assess the quality of pre-hospital emergency medical care in trauma victims We examined 500 patients 278 males and 222 females who were injured in car accidents from 20081999 till 01022002 A special questionnaire and self-made computer program were used to collect patients data Recorded data included types and locations of injuries arrival time of emergency medical service reasons of the call and type of ambulance examination and diagnosis pre-hospital treatment according to the standards made by the National Council of An Ambulance Service Mortality and major causes of deaths were described RESULTS 234 45 of car accidents were those in which cars passengers were injured Each victim was examined according to blood pressure pulse heart rate breathing kind and localization of the pain The Glasgow Coma Scale was used in 266 533 Head injuries were the most common type of the lesions 170 victims 37 In the presented study the scope of pre-hospital care included 261 53 patients had dressed wounds or stanched blood 432 89 patients were transported to hospitals and only five times the cardio-pulmonary resuscitation CPR was made The pre-hospital care was appropriate according to the standards made by the National Council of An Ambulance Service in 90 of the injured patients Most of the patients 904 were brought to surgical departments 11 22 victims died before the arrival of the rescue teams Arrival time to the victim was 46 minutes while average distance was 402 kilometers CONCLUSIONS 1 Most of the victims did not need the intervention of the reanimation teams
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