Abstract
A descriptive and retrospective observational study of the cases of polytraumatized patients transferred by the emergency medical system to the hospital was carried out, taking into account the work of the emergency system in the transfer of polytraumatized patients in the year 2022. With the aim of highlighting the actions of the emergency system in the face of trauma as a public health problem and its behavior. Percentage analysis was used to express the results, which will be arranged in statistical tables of association of variables and statistical graphs for better analysis and understanding. The main results were that the highest mortality rate was in the series of patients not transferred by the emergency system; of a total of 70 polytraumatized patients, 58 of them were transferred by the emergency system for 82.8% against 12 patients who arrived at the emergency department by other means, of whom the highest percentage corresponded to patients between 40 and 60 years of age, where the main causes were traffic accidents, where the highest number of deaths was in the series of those patients not transferred by the emergency system.
References
Pine H, Eisner ZJ, Delaney PG, Ogana SO, Okwiri DA, Raghavendran K. Prehospital Airway Management for Trauma Patients by First Responders in Six Sub-Saharan African Countries and Five Other Low- and Middle-Income Countries: A Scoping Review. World J Surg 2022:46:1396-407. https://doi.org/10.1007/s00268-022-06481-5.
Pearson NA, Tutton E, Joeris A, Gwilym SE, Grant R, Keene DJ, et al. A systematic review of outcome reporting in clinical trials of distal tibia and ankle fractures: the need for a core outcome set. Bone Jt Open 2022;3:832-40. https://doi.org/10.1302/2633-1462.310.BJO-2022-0080.R1.
Ramírez L. Innovating in Mental Health: Metacognitive Psychotherapy. Interdiscip Rehabil Rehabil Interdiscip 2024;4:74-74. https://doi.org/10.56294/ri202474.
Baur D, Gehlen T, Scherer J, Back DA, Tsitsilonis S, Kabir K, et al. Decision support by machine learning systems for acute management of severely injured patients: A systematic review. Front Surg 2022;9:924810.https://doi.org/10.3389/fsurg.2022.924810.
Righi E, Mutters NT, Guirao X, Del Toro MD, Eckmann C, Friedrich AW, et al. ESCMID/EUCIC clinical practice guidelines on perioperative antibiotic prophylaxis in patients colonized by multidrug-resistant Gram-negative bacteria before surgery. Clin Microbiol Infect Off Publ Eur Soc Clin Microbiol Infect Dis 2023:29:463-79. https://doi.org/10.1016/j.cmi.2022.12.012.
Belaunzaran M, Raslan S, Ali A, Newsome K, McKenney M, Elkbuli A. Utilization and Efficacy of Resuscitation Endpoints in Trauma and Burn Patients: A Review Article. Am Surg 2022;88:10-9. https://doi.org/10.1177/00031348211060424.
Sulibele USU, Prajapati S, Desai M. Effects of collaborative simulation on patient safety in medical education. Salud Cienc Tecnol 2023;3:457-457. https://doi.org/10.56294/saludcyt2023457.
Rodríguez FAR, Flores LG, Vitón-Castillo AA. Artificial intelligence and machine learning: present and future applications in health sciences. Semin Med Writ Educ 2022;1:9-9. https://doi.org/10.56294/mw20229.
Klokman VW, Barten DG, Peters NALR, Versteegen MGJ, Wijnands JJJ, van Osch FHM, et al. A scoping review of internal hospital crises and disasters in the Netherlands, 2000-2020. PloS One 2021;16:e0250551. https://doi.org/10.1371/journal. set.0250551.
[ PubMed ] [ Cross Ref ] 10. Almenyan AA, Albuduh A, Al-Abbas F. Effect of Nursing Workload in Intensive Care Units. Cureus 2021;13:e12674. https://doi.org/10.7759/cureus.12674.
Bailey CM, Hinchcliff KM, Moore Z, Pu LLQ. Dog Bites in the United States from 1971 to 2018: A Systematic Review of the Peer-Reviewed Literature. Plast Reconstr Surg 2020;146:1166-76. https://doi.org/10.1097/PRS.0000000000007253.
Carney N, Cheney T, Totten AM, Jungbauer R, Neth MR, Weeks C, et al. Prehospital Airway Management: A Systematic Review. Rockville (MD): Agency for Healthcare Research and Quality (US); 2021.
Castellini G, Gianola S, Biffi A, Porcu G, Fabbri A, Ruggieri MP, et al. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major trauma and uncontrolled haemorrhagic shock: a systematic review with meta-analysis. World J Emerg Surg WJES 2021;16:41. https://doi.org/10.1186/s13017-021-00386-9.
Tovar MA, Pilkington RA, Goodwin T, Root JM. Pediatric Blast Trauma: A Systematic Review and Meta-Analysis of Factors Associated with Mortality and Description of Injury Profiles. Prehospital Disaster Med 2022;37:492-501. https://doi.org/10.1017/S1049023X22000747.
Nuñez JMA, Balarezo GMS, Garcés MGP, Supe FAS. Workload in critical areas and "TISS 28". Salud Cienc Tecnol 2023;3:385-385. https://doi.org/10.56294/saludcyt2023385
Moreno APV, Portilla REQ, Garcés MGP, Nuñez JMA. Prevention of ventilator-associated pneumonia in an intensive care unit. Salud Cienc Tecnol 2023;3:326-326. https://doi.org/10.56294/saludcyt2023326
Simpson C, Tucker H, Hudson A. Pre-hospital management of penetrating neck injuries: a scoping review of current evidence and guidance. Scand J Trauma Resusc Emerg Med 2021;29:137. https://doi.org/10.1186/s13049-021-00949-4.
Struyf T, Deeks JJ, Dinnes J, Takwoingi Y, Davenport C, Leeflang MM, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19. Cochrane Database Syst Rev 2022;5:CD013665. https://doi.org/10.1002/14651858.CD013665.pub3.
Khan S. Occupational therapy in trauma recovery for women and children in Gaza: A holistic and interdisciplinary approach. Interdiscip Rehabil 2023;3:53-53. https://doi.org/10.56294/ri202353.
Veloso MD, Alvarez LMR. Nutrition in the critically ill patient. The importance of nutritional therapy. Salud Cienc Tecnol - Ser Conf 2022;1:20-20. https://doi.org/10.56294/sctconf202220.
Martínez LEH. Role of enteral nutrition in neurocritical patients. Salud Cienc Tecnol - Ser Conf 2022;1:23-23. https://doi.org/10.56294/sctconf202223
Granieri S, Frassini S, Cimbanassi S, Bonomi A, Paleino S, Lomaglio L, et al. Impact of resuscitative endovascular balloon occlusion of the aorta (REBOA) in traumatic abdominal and pelvic exsanguination: a systematic review and meta-analysis. Eur J Trauma Emerg Surg Off Publ Eur Trauma Soc 2022;48:3561-74. https://doi.org/10.1007/s00068-022-01955-6.
Magaña ÁL, Figueroa ÁMM, Garcia LAP. Behavior of polytrauma patients treated at the Mártires de Mayarí General Teaching Hospital. Salud Cienc Tecnol - Ser Conf 2022;1:8-8. https://doi.org/10.56294/sctconf20228.
Tran A, Fernando SM, Rochwerg B, Inaba K, Bertens KA, Engels PT, et al. Prognostic factors associated with development of infected necrosis in patients with acute necrotizing or severe pancreatitis-A systematic review and meta-analysis. J Trauma Acute Care Surg 2022;92:940-8. https://doi.org/10.1097/TA.0000000000003502.
Ginarte MJG, Landrove-Escalona EA, Moreno-Cubela FJ, Yano RT del. Visibility and impact of scientific production on teaching and learning cranial nerves published in Scopus. Data Metadata 2022;1:4-4. https://doi.org/10.56294/dm20224
Rodríguez-Pérez JA. Strengthening the Implementation of the One Health Approach in the Americas: Interagency Collaboration, Comprehensive Policies, and Information Exchange. Semin Med Writ Educ 2022;1:11-11. https://doi.org/10.56294/mw202211.
Eze P, Lawani LO, Agu UJ, Amara LU, Okorie CA, Acharya Y. Factors associated with catastrophic health expenditure in sub-Saharan Africa: A systematic review. PloS One 2022;17:e0276266. https://doi.org/10.1371/journal.pone.0276266.
Latham RM, Newbury JB, Fisher HL. A Systematic Review of Resilience Factors for Psychosocial Outcomes During the Transition to Adulthood Following Childhood Victimisation. Trauma Violence Abuse 2023;24:946-65. https://doi. org/10.1177/15248380211048452.
Fuentes RMB, Alvares YF, Cruz MM, Carballea OL, Pérez MG. Effectiveness of rectal ozone therapy in patients with sensorineural hearing loss. Interdiscip Rehabil 2022;2:14-14. https://doi.org/10.56294/ri202214.
Hogan MK, Hamilton GF, Horner PJ. Neural Stimulation and Molecular Mechanisms of Plasticity and Regeneration: A Review. Front Cell Neurosci 2020;14:271. https://doi.org/10.3389/fncel.2020.00271.
Ninomiya K, Kuriyama A, Uchino H. Massive hemothorax due to bleeding from thoracic spinal fractures: a case series and systematic review. Scand J Trauma Resusc Emerg Med 2020;28:92. https://doi.org/10.1186/s13049-020-00783-0.
Charlton NP, Swain JM, Brozek JL, Ludwikowska M, Singletary E, Zideman D, et al. Control of Severe, Life-Threatening External Bleeding in the Out-of-Hospital Setting: A Systematic Review. Prehosp Emerg Care 2021;25:235-67. https://doi.org/10.1 080/10903127.2020.1743801.
Podda M, Coccolini F, Gerardi C, Castellini G, Wilson MSJ, Sartelli M, et al. Early versus delayed defunctioning ileostomy closure after low anterior resection for rectal cancer: a meta-analysis and trial sequential analysis of safety and functional outcomes. Int J Colorectal Dis 2022;37:737-56. https://doi.org/10.1007/s00384-022-04106-w.
Enríquez-Pérez E. An approach to the management of severe traumatic brain injury in pediatric patients. Salud Cienc Tecnol - Ser Conf 2022;1:27-27. https://doi.org/10.56294/sctconf202227
Low R, Young K, Verani L, Cotton DT, Welman T, Moore LSP, et al. Point-of-care testing for tetanus immunity: a systematicreview and meta-analysis. Emerg Med J EMJ 2022:emermed-2021-211624. https://doi.org/10.1136/emermed-2021-211624.
Taneja S, Singh A, Jain A. Anesthetic Effectiveness of Articaine and Lidocaine in Pediatric Patients During Dental Procedures: A Systematic Review and Meta-Analysis. Pediatr Dent 2020;42:273-81.

This work is licensed under a Creative Commons Attribution 4.0 International License.
