Prehospital Care Indicators for Road Incidents in Colombia

Authors

  • Natalia Velásquez Osorio University of Antioquia
  • Salome Naranjo Lujan Corporation Road Safety Fund
  • Germán González Echeverri University of Antioquia

DOI:

https://doi.org/10.17533/udea.rfnsp.v35n3a11

Keywords:

indicators, prehospital care, road incidents

Abstract

Prehospital care (PHC) reduces lethality and minimizes morbidity and its effects in urgency and emergency situations. Assessing its degree of development is thus relevant. Methodology: the authors used a systematic review of the literature, inquiries to experts and a pilot test with a system of PHC indicators for road incidents in Colombia which was implemented in 6 cities, one department and one highway concession.
Results: according to political, regulatory, conceptual, methodological, international and national guidelines, a system of indicators was proposed to be applied in accordance with the territorial development of PHC.
However, there were a number of difficulties to implement it. Conclusion: It is necessary to strengthen PHC and standardize an information system for monitoring it in Colombia.
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Author Biographies

Natalia Velásquez Osorio, University of Antioquia

Administrator in Health, Master in Public Health. University of Antioquia, Medellin, Colombia.

Salome Naranjo Lujan, Corporation Road Safety Fund

Economist, Master in Economics. Director of Research at the Corporation Road Safety Fund, Bogotá, Colombia.

Germán González Echeverri, University of Antioquia

Doctor, PhD in Epidemiology. Professor at the University of Antioquia, Medellin, Colombia.

References

(1). United Nations. Improving global road safety. New York: General Assembly, Resolution 68/269; 2014.

(2). United Nations. Millennium Development Goals and beyond 2015. New York: UN; 2015.

(3). World Health Organization. Global Plan for the Decade of Action for Road Safety 2011-2020. Geneva: WHO; 2012.

(4). Pan American Health Organization. Road safety facts in the Region of the Americas. Washington, DC: PAHO; 2013.

(5). Instituto Nacional de Medicina Legal y Ciencias Forenses. Forensis: datos para la vida 2016. Bogotá: Grupo Nacional de Referencia en Lesiones; 2017.

(6). Cabrera G, Velásquez N. Línea Seguridad Vial de Antioquia – SEVIDA. Medellín: Facultad Nacional de Salud Pública UdeA; 2015.

(7). Organización Mundial de la Salud. Sistemas de salud: Sistemas de atención de emergencia. Ginebra: Resolución EB120.R4, OMS; 2007.

(8). Pan American Health Organization. Guías para la atención prehospitalaria de los traumatismos. Washington, DC: PAHO; 2007.

(9). American College of Surgeons. Advanced Trauma Life Support ATLS: Student course manual. 8th ed. Chicago: ACS; 2008.

(10). Harmsena A, Giannakopoulosb G, Moerbeeka P, Jansmac E, Bonjera H, Bloemersa F. The influence of prehospital time on trauma patients outcome: A systematic review. Injury. 2015; Doi: 10.1016/01.008.

(11). Wong E, Shailvi G, Deckelbaum D, Razek T, Kushner A. Prioritizing injury care: a review of trauma capacity in low and middle-income countries. Journal Surgical Research. 2015; 193 (1): 217–22.

(12). González G, Velásquez N. Sistema de indicadores de atención pre hospitalaria para accidentes de tránsito. Bogotá: Corporación Fondo de Prevención Vial/Facultad Nacional de Salud Pública “Héctor Abad Gómez”, Universidad de Antioquia; 2013.

(13). Hotermann K, Ross A. Desarrollo de sistemas de servicios de emergencias médicas: experiencia de los Estados Unidos de América para países en desarrollo. Washington: OPS; 2003.

(14). Colombia. Congreso de la República. Por medio de la cual se reforma el Sistema General de Seguridad Social en Salud y se dictan otras disposiciones. Ley 1438 de 201, enero 19. Bogotá D.C.: El Congreso; 2011.

(15). Ministerio de Salud y Protección Social. Por la cual se reglamenta el desarrollo y operación del Sistema de Emergencias Médicas. Resolución 0926 de 2017, marzo 30. Bogotá D.C.: El Ministerio; 2017.

(16). Al-Shaqsi S. Models of international Emergency Medical Service (EMS) systems. Oman Med J. 2010; 25(4):320-3

(17). Pinzón D. Educación ciudadana para el uso adecuado del Número Único de Seguridad y Emergencias NUSE 1-2-3. Medellín: Corporación Universitaria Adventista; 2013.

(18). Cowley R. A total emergency medical system for the state of Maryland. MD State Med J. 1975; 45:37-45.

(19). Hakkert A, Gitelman V. Road Safety Performance Indicators: Manual. Project SafetyNet. (2007). [Página de Internet] Disponible en: http://erso.swov.nl/safetynet/fixed/WP3/sn_wp3_d3p8_spi_manual.pdf [Consultado 2013 junio 08].

(20). Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966; 44:166-203.

(21). Ortiz R, Díaz K. Análisis técnico de los Registros individuales de Prestación de Servicios en Salud-RIPS. Bogotá: El Ministerio; 2013.

(22). Institute of Medicine. The National Academies Press Accidental Death and Disability: The Neglected disease of modern society. Washington DC: IoM; 1966.

(23). American College of Surgeons. Optimal hospital resources for care of the seriously injured patient. Bull Am Coll Surg. 1976; 61:15–22.

(24). Stout J. Measuring your system. JEMS.1983; 8(1):84-91. 23.

(25). West J, Williams M, Trunkey D, Wolferth C. Trauma systems: current status-future challenges. JAMA. 1988; 259:3597–600.

(26). Bazzoli G, Madura K, Cooper G, MacKenzie E, Maier R. Progress in the development of trauma systems in the United States: results of a national survey. JAMA. 1995; 273:395–401.

(27). Bossaert L. The complexity of comparing different EMS systems – A survey of EMS systems in Europe. Ann Emergency Med. 1993; 22 (19): 99-125.

(28). Nathens A, Jurkovich G, Rivara F, Maier R. Effectiveness of State trauma systems in reducing injury-related mortality: A national evaluation. The Journal of Trauma. 2000; 56: 48(1): 25-30.

(29). Nathens A, Jurkovich G, Rivara F, Maier R. The effect of organized systems of trauma care on motor vehicle crash mortality. JAMA. 2000; 283 (15): 1990-5.

(30). Arreola C, Mock C, Padilla D, Cavazos L, Maier R, Jurkovich G. Trauma care systems in urban Latin America: the priorities should be prehospital and emergency room management. J Trauma. 1995; 39: 457-462.

(31). Pinet L. Atención prehospitalaria de urgencias en el Distrito Federal: las oportunidades del sistema de salud. Salud Publica Mex. 2005; 47: 64-71.

(32). Sanchez R, Garcia A, Juan A, Arroyo A. The probability of death in road traffic accidents: How important is a quick medical response. Accid Anal Prev. 2010; 42: 1048–56.

(33). Hakkert A, Gitelman V, Vis M. (Eds.) (2007) Road Safety Performance Indicators: Theory. Deliverable D3.6 of the EU FP6 project SafetyNet.

(34). Haghparast B, Bogg L, Hasselberg M. Pre-hospital trauma care resources for road traffic injuries in a middle-income country—A province based study on need and access in Iran. Injury. 2011; 42: 879–84.

(35). Herbert H, Van A, Bachani A, Mtambeka P, Stevens K, Millar A, et al. Patterns of pediatric injury in South Africa: an analysis of hospital data between 1997 and 2006 J Trauma Acute Care Surg. 2012; 73: 168–74.

(36). O’Reilly G, Joshipura M, Cameron P, Gruen R. Trauma registries in developing countries: a review of the published experience Injury. 2013; 44: 713–72.

(37). Hadley K, Wesson H, Bachani A, Wekes J, Mburu J, Hyder A, Stevens K. Assessing trauma care at the district and provincial hospital levels: a case study of hospitals in Kenya. Injury. 2013; 44 (S4): S75–80.

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Published

2017-07-31

How to Cite

1.
Velásquez Osorio N, Naranjo Lujan S, González Echeverri G. Prehospital Care Indicators for Road Incidents in Colombia. Rev. Fac. Nac. Salud Pública [Internet]. 2017 Jul. 31 [cited 2025 Mar. 10];35(3):410-9. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/22399

Issue

Vol. 35 No. 3 (2017): Septiembre - Diciembre

Section

Research

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