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      The Status of First Aid and Its Associations with Health Outcomes among Patients with Traffic Accidents in Urban Areas of Vietnam

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          Abstract

          While it is well-evident that proper first aid would significantly promote survival and later treatment outcomes, little attention has been paid to improving its capacity in Vietnam. Thus, we conducted this study to assess the status of first aid and its associations with health outcomes among patients in traffic accidents in urban areas of Vietnam. We conducted a cross-sectional study on 413 patients in traffic accidents from October to December 2018 at six hospitals in Thai Binh province. Socio-demographics, first aid characteristics, and health outcomes were collected via face-to-face interviews using a structured questionnaire. We used a chi-square test to determine the differences in health outcomes among those who received first aid and those without. In addition, a multivariable regression was performed to determine the factors associated with first aid. The results indicated that less than half of the patients received first aid (48.1%), and only one fourth received first aid within 10 min after an accident. The proportions of having problems with mobility, self-care, usual activities, and pain/discomfort were significantly lower among those who received first aid compared to those without it. The regression model showed that those with multiple injuries were less likely to receive first aid.

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          Initial Scale Development: Sample Size for Pilot Studies

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            Citywide trauma experience in Kampala, Uganda: a call for intervention.

            To describe injuries and their emergency care at five city hospitals. Data were collected between January and December 1998 from casualty departments of the five largest hospitals of Kampala city, Uganda, with bed capacity ranging from 60 to 1200. Registry forms were completed on trauma patients. All patients with injuries were eligible. Outcome at two weeks was determined for admitted patients. Of the 4359 injury patients, 73% were males. Their mean age was 24.2 years, range 0.1-89, and a 5-95 centile of 5-50 years. Patients with injuries were 7% of all patients seen. Traffic crashes caused 50% of injuries, and were the leading cause for patients > or = 10 years. Fifty eight per cent of injuries occurred on the road, 29% at home, and 4% in a public building. Falls, assaults, and burns were the main causes in homes. Fourteen per cent of injuries were intentional. Injuries were severe in 24% as determined with the Kampala trauma score. One third of patients were admitted; two thirds arrived at the hospital within 30 minutes of injury, and 92% were attended within 20 minutes of arrival. Injuries in Kampala are an important public health problem, predominantly in young adult males, mostly due to traffic. The majority of injuries are unintentional. Hospital response is rapid, but the majority of injuries are minor. Without pre-hospital care, it is likely that patients with serious injuries die before they access care. Preventive measures and a pre-hospital emergency service are urgently needed.
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              Response time in the emergency services. Systematic review

              Abstract The growth of the urban population raises concern about municipal public managers in the sense of providing emergency medical services (EMS) that are aligned with the needs of prehospital emergency medical care demanded by the population. The literature review aims at presenting the response time of emergency medical services in several parts of the world and discussing some factors that interfere in the result of this indicator such as GDP (Gross Domestic Product) percentage spent on health and life expectancy of countries. The study will also show that in some of the consulted articles, authors suggest to EMS recommendations for decreasing the response time using simulations, heuristics and metaheuristics. Response time is a basic indicator of emergency medical services, in such a way that researchers use the descriptive statistics to evaluate this parameter. Europe and the USA outstand in the publication of studies that present this information. Some articles use stochastic and mathematical methods to suggest models that simulate scenarios of response time reduction and suggest such proposals to the local EMS. Countries in which the response time was identified have a high index of human development and life expectancy between 74.7 and 83.7 years.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                26 June 2020
                June 2020
                : 17
                : 12
                : 4600
                Affiliations
                [1 ]Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam; huemt93@ 123456gmail.com (H.T.M.); ngothitam.tlu@ 123456gmail.com (T.T.N.); bach.ipmph@ 123456gmail.com (B.X.T.)
                [2 ]Department of Trauma, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam; vuminhhai777@ 123456gmail.com
                [3 ]Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam; giang.coentt@ 123456gmail.com
                [4 ]Institute for Global Health Innovations, Duy Tan University, Danang 550000, Vietnam; hoangthimen@ 123456duytan.edu.vn
                [5 ]Faculty of Nursing, Duy Tan University, Danang 550000, Vietnam
                [6 ]Faculty of Pharmacy, Duy Tan University, Danang 550000, Vietnam
                [7 ]Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA; carl.latkin@ 123456jhu.edu
                [8 ]Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore; cyrushosh@ 123456gmail.com
                [9 ]Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore; pcmrhcm@ 123456nus.edu.sg
                [10 ]Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore
                [11 ]Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
                Author notes
                [* ]Correspondence: nguyentlanhuong5@ 123456duytan.edu.vn ; Tel.: +84-917-397-638
                Author information
                https://orcid.org/0000-0001-5010-9723
                https://orcid.org/0000-0001-8187-8277
                https://orcid.org/0000-0001-7827-8449
                https://orcid.org/0000-0002-7931-2116
                https://orcid.org/0000-0001-9629-4493
                Article
                ijerph-17-04600
                10.3390/ijerph17124600
                7344911
                32604838
                72763108-133c-42df-b749-3b050b576648
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 04 June 2020
                : 24 June 2020
                Categories
                Article

                Public health
                pre-hospital emergency care,traffic accidents,first aid,vietnam
                Public health
                pre-hospital emergency care, traffic accidents, first aid, vietnam

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