pre-hospital emergency response time index for trauma victims in iran

Background: the most important basis of medical care consists of emergency care, especially that of pre-hospital type, and it plays a significant role in reducing deaths rate and trauma-induced disabilities. objectives: this research addressed the response time index of providing pre-hospital emergency call services to trauma victims in golestan province in 2020. methods: this retrospective descriptive-analytical study was conducted on all the missions performed for trauma victims in golestan pre-hospital emergency in 2020. the sampling was done as the census. the data were collected by referring to the existing systems in the pre-hospital emergency centers using a checklist based on the mission forms of the countrywide pre-hospital emergency. the data were analyzed using descriptive statistics (frequency, mean, and standard deviation) and inferential statistics using parametric tests (such as t-test and tukey’s test to compare the two groups). results: out of 9867 trauma victims transferred by golestan pre-hospital emergency call service, 67.02% were men, 14.56% were women, and 18.43% were not registered by gender. the maximum mean age was related to the middle-aged group (38.86%) caused by traffic incidents. according to the international standard, the mean delay time was 01:11 m, the ems response time for the central urban districts and the suburbs was 10:10 m and 12:00 m, the time of transfer to the central urban district and the suburb hospitals was 08:28 m and 17:28 m, the delivery time to the hospital was 7:14 m, the total mission time of the central urban district and the suburb bases was 1:01:25 h 1:30:20 h, and the mean response time for the trauma victims was 65.89%. conclusions: the time indices of pre-hospital emergency missions in golestan province are within the normal range of the standard time, and considering the effective role of pre-hospital emergency in reducing the mortality and disability of trauma victims, more attention should be paid to the structural and functional indices and management, especially the response and scene time.