Knowledge, Attitude, and Practice of Emergency Medical Services Staff in Bleeding Control of Trauma Patients; a Cross sectional Study
Archives of Academic Emergency Medicine,
Vol. 8 No. 1 (2020),
7 January 2020
Introduction: External hemorrhage is a leading cause of preventable death due to trauma and Emergency Medical Services (EMS) staff members play a vital role in the frontline of trauma management. This study aimed to assess the knowledge, attitude and practice of EMS staff in bleeding control.
Methods: This knowledge, attitude and practice (KAP) study was conducted to assess the educational needs of EMS staff of Hormozgan province, Iran, regarding the bleeding control of trauma patients, during 2019. The participants were randomly selected and then their knowledge, attitude, and practice in management of hemorrhage and hemorrhagic shock were assessed using two researcher-made scenario-based questionnaires and one checklist.
Results: The scores for knowledge of the EMS staff regarding actions during complete amputation,Â status of injured patients, and medical measures during transfer of injured patients were 3.22 Â± 0.68,Â 2.28 Â± 0.83,Â andÂ 2.29 Â± 0.62, respectively. The average participants' attitude scores regarding the fear of bleeding, the importance of bleeding control, and confidence in bleeding control were 2.09Â±0.56, 2.4Â±0.58, and 1.76Â±0.55, respectively. The findings indicated that mean practice score was 1.72 Â± 0.46 in capillary hemorrhage control, 1.41 Â± 0.25 in venous bleeding control, 1.47 Â± 0.25 in arterial bleeding control, and 1.56Â±0.27 in control of bleeding in the amputee limb.
Conclusion: The knowledge, attitude, and practice of EMS staff regarding bleeding control were moderate, positive and appropriate, and incomplete, respectively. Since bleeding is a life threatening status and EMS staff skills are critical in this issue, it seems that we need to provide continuous education in this regard.
- advanced trauma life support care
- wounds and injuries
- health knowledge
How to Cite
Dadashzadeh A, Dehghannejhad J, Shams Vahdati S, Soheili A, Sadeghi Bazarghani H. The nature of prehospital medical interventions delivered to traumatic patients in Tabriz. Journal of Urmia Nursing And Midwifery Faculty. 2017;15(3):159-67.
Drucker NA, Wang SK, Newton C, editors. Pediatric trauma-related coagulopathy: Balanced resuscitation, goal-directed therapy and viscoelastic assays. Seminars in pediatric surgery; 2019: Elsevier.
Rijnhout TW, Wever KE, Marinus H, Hoogerwerf N, Geeraedts Jr LM, Tan EC. Is prehospital blood transfusion effective and safe in haemorrhagic trauma patients? A systematic review and meta-analysis. Injury. 2019.
Lima GL, Byk J. Trauma and early blood transfusion: the challenging hemorrhage management in Jehovah's Witnesses. Revista do ColÃ©gio Brasileiro de CirurgiÃµes. 2018;45(6).
Matsushima K, Conti B, Chauhan R, Inaba K, Dutton RP. Novel Methods for Hemorrhage Control: Resuscitative Endovascular Balloon Occlusion of the Aorta and Emergency Preservation and Resuscitation. Anesthesiology clinics. 2019;37(1):171-82.
Ezati P, Vaziri M, Adli F. Educational Needs Assessment in the Medical Emergency Technicians of Tehran Emergency Center. Safety Promotion and Injury Prevention. 2017;5(2):109-19.
Hormozgan Disaster and Emergency Medical Management Center [persian]. 2017.
Berry MJ, Darby JR, O'Byrne DM, Dyson RM, Sixtus R, Holman SL, et al. Arginine Vasopressin improves cerebral perfusion following controlled haemorrhage in adult ewes. The Journal of physiology. 2019.
Hegvik JR, Spilman SK, Olson SD, Gilchrist CA, Sidwell RA. Effective hospital-wide education in hemorrhage control. Journal of the American College of Surgeons. 2017;224(5):796-9. e1.
Tobey N, Waseem M. EMS, Chest Injury. StatPearls [Internet]: StatPearls Publishing; 2019.
bayrami r, ebrahimipour h, HASANZADEH A. Challenges in Pre hospital emergency medical service in Mashhad: A qualitative study. 2017.
Ghaffari M, Soori H, Harooni J. Prioritizing pre-hospital and hospital emergency staffâ€™s training needs regarding traffic accidents: Comparing the viewpoints of experts and target group. Journal of Health in the Field. 2018;5(4).
Parvaresh Masoud M, Farhadloo R, Vahedian M, Kashaninejad M, Hasanpoor L, Mohebi S. A Comparison between the Effects of Scenario and Lecture-based Education Methods on Knowledge and Attitude of Emergency Medical Technicians towards Patients with Chest Trauma. Qom University of Medical Sciences Journal. 2016;10(5):47-54.
Oyeniyi BT, Fox EE, Scerbo M, Tomasek JS, Wade CE, Holcomb JB. Trends in 1029 trauma deaths at a level 1 trauma center: impact of a bleeding control bundle of care. Injury. 2017;48(1):5-12.
Davenport R. Haemorrhage control of the pre-hospital trauma patient. Scandinavian journal of trauma, resuscitation and emergency medicine. 2014;22(1):A4.
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