A retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service

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dc.contributor.advisorSaunders, Colleen
dc.contributor.advisorMcCaul, Michael
dc.contributor.advisorNyasulu, Peter
dc.contributor.authorAbdullah, Mohammed Naseef
dc.date.accessioned2020-03-05T13:30:21Z
dc.date.available2020-03-05T13:30:21Z
dc.date.issued2019
dc.date.updated2020-03-05T06:48:47Z
dc.description.abstractIntroduction: Trauma is one of the leading causes of premature death and disability in South Africa. There is a paucity of data describing the prehospital trauma burden in sub-Saharan Africa. The aim of this study was to describe the epidemiology and common trauma emergencies managed by the Western Cape Government emergency medical service (WCG EMS) in South Africa. Methods: The WCG EMS call centre registry was retrospectively analysed for all trauma patients managed between 01 July 2017 to 30 June 2018. A descriptive analysis of the data was performed using standard procedures for all variables. To date, this was the first analysis of this dataset or any prehospital trauma burden managed in the Western Cape of South Africa. Results: The WCG EMS managed 492 303 cases during the study period. Of these cases, 168 980 (34.3%) or 25.9 per 1000 population were trauma related. However, only 91 196 met the inclusion criteria for the study. The majority of patients (66.4%) were males and between the socio-economically active ages of 21-40 years old (54.0%). Assaults were the most common cause of trauma emergencies, accounting for 50.2% of the EMS case load managed. The patient acuity was categorised as being urgent for 47.5% of the cases, and 74.9% of the prehospital trauma burden was transported to a secondary level health care facility for definitive care. Conclusion: This is the first report of the prehospital trauma burden managed in the Western Cape of South Africa. The Western Cape suffers a unique trauma burden that differs from what is described by the WHO or any other LMIC. It also provides the foundation for further research towards understanding the emergency care needs in South Africa and to support Afrocentric health care solutions to decrease this public health crisis.
dc.identifier.apacitationAbdullah, M. N. (2019). <i>A retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service</i>. (). ,Faculty of Health Sciences ,Department of Surgery. Retrieved from http://hdl.handle.net/11427/31491en_ZA
dc.identifier.chicagocitationAbdullah, Mohammed Naseef. <i>"A retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service."</i> ., ,Faculty of Health Sciences ,Department of Surgery, 2019. http://hdl.handle.net/11427/31491en_ZA
dc.identifier.citationAbdullah, M.N. 2019. A retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service. . ,Faculty of Health Sciences ,Department of Surgery. http://hdl.handle.net/11427/31491en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Abdullah, Mohammed Naseef AB - Introduction: Trauma is one of the leading causes of premature death and disability in South Africa. There is a paucity of data describing the prehospital trauma burden in sub-Saharan Africa. The aim of this study was to describe the epidemiology and common trauma emergencies managed by the Western Cape Government emergency medical service (WCG EMS) in South Africa. Methods: The WCG EMS call centre registry was retrospectively analysed for all trauma patients managed between 01 July 2017 to 30 June 2018. A descriptive analysis of the data was performed using standard procedures for all variables. To date, this was the first analysis of this dataset or any prehospital trauma burden managed in the Western Cape of South Africa. Results: The WCG EMS managed 492 303 cases during the study period. Of these cases, 168 980 (34.3%) or 25.9 per 1000 population were trauma related. However, only 91 196 met the inclusion criteria for the study. The majority of patients (66.4%) were males and between the socio-economically active ages of 21-40 years old (54.0%). Assaults were the most common cause of trauma emergencies, accounting for 50.2% of the EMS case load managed. The patient acuity was categorised as being urgent for 47.5% of the cases, and 74.9% of the prehospital trauma burden was transported to a secondary level health care facility for definitive care. Conclusion: This is the first report of the prehospital trauma burden managed in the Western Cape of South Africa. The Western Cape suffers a unique trauma burden that differs from what is described by the WHO or any other LMIC. It also provides the foundation for further research towards understanding the emergency care needs in South Africa and to support Afrocentric health care solutions to decrease this public health crisis. DA - 2019 DB - OpenUCT DP - University of Cape Town KW - Prehospital trauma care KW - Emergency Medical Services KW - Epidemiology KW - Trauma Burden LK - https://open.uct.ac.za PY - 2019 T1 - A retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service TI - A retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service UR - http://hdl.handle.net/11427/31491 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/31491
dc.identifier.vancouvercitationAbdullah MN. A retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service. []. ,Faculty of Health Sciences ,Department of Surgery, 2019 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/31491en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Surgery
dc.publisher.facultyFaculty of Health Sciences
dc.subjectPrehospital trauma care
dc.subjectEmergency Medical Services
dc.subjectEpidemiology
dc.subjectTrauma Burden
dc.titleA retrospective study of the prehospital burden of trauma managed by the Western Cape Government emergency medical service
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPhil
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