EVALUATION OF TRAUMA CARE AND TRAUMA SCORES

Abstract

Our study was mainly to evaluate the trauma scores, however, evaluation of the trauma care was involved to a lesser extent.

The prehospital trauma care is including the care for the trauma victims at the scene of accident by the trained ambulance personnel, rapid transport, and the medical control on the ambulance personnel. It is still far lesser than the standard.

The hospital trauma care includes the emergency room resuscitation which starts inunediately on patient arrival but it is done without a leader, the patient assessment which will be better if become the responsibility of one physician, the availability ofprompt surgical care which is excellent, and the emergency room setting which is now better.

Since its institution in 1987, our trauma center grows continuously, but we hope such growth to become more rapid as our center receives most of the trauma victims in upper Egypt. In 1996, it received 5609 trauma victims. The emergency rooms capacity is about 10 patients and this can be doubled on need. In catastrophes, the whole trauma unit is converted into emergency rooms. There are 53 beds for the inpatients, 4 bed in the ICU. It has two well prepared operative rooms and a third room for minor operations.

On evaluating four of the scoring systems (ISS, TS, CRAMS, RTS) in prediction of mortality, TS was the best score, while CRAMS score was the worst score as a predictor of mortality in our locality.