Trauma Survey of 476 Doctors: Now We know What We Do not know

JOURNAL TITLE: Panamerican Journal of Trauma, Critical Care & Emergency Surgery

Author
1. Umit Alakus
2. Oguz Hancerliogu
3. Nazif Zeybek
4. Aytekin Ünlü
5. Murat Urkan
6. Sahin Kaymak
7. Patrizio Petrone
8. Pelin Ozmen
9. Emin Lapsekili
10. Corrado P Marini
11. Soner Yilmaz
ISSN
DOI
10.5005/jp-journals-10030-1204
Volume
7
Issue
1
Publishing Year
2018
Pages
9
Author Affiliations
    1. GATA Genel Cerrahi AD Etlik, Ankara, Turkey
    1. Department of General Surgery, Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
    1. Department of Surgery, NYU Winthrop Hospital, Mineola, New York, USA; Postgraduate Department, Universidad de Las Palmas de Gran Canaria, Spain
    1. Department of War Surgery and General Surgery, Gulhane Training and Research Hospital, University of Health Sciences Ankara, Turkey
    1. Department of War Surgery and General Surgery, Gulhane Training and Research Hospital, University of Health Sciences Ankara, Turkey
    1. Department of Surgery, Medical Regiment, Turkish Armed Forces, Ankara, Turkey
    1. Department of Surgery, NYU Winthrop Hospital, Mineola, New York, USA
    1. Department of Surgery, NYU Winthrop Hospital, Mineola, New York, USA
    1. Department of Blood Bank, Regional Blood Training Center Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
    1. Department of Blood Bank, Regional Blood Training Center Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
    1. Department of Blood Bank, Regional Blood Training Center Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
  • Article keywords
    Emergency physicians, Survey, Triage, Turkish trauma system

    Abstract

    Introduction: In 2013, the Turkish Statistical Institute Bulletin reported 3,685 people killed and 274,829 injured in 161,306 traffic collisions. The aim of this study was to determine medical doctors’ general attitudes, awareness, and knowledge regarding trauma. Methods: A s urvey q uestionnaire w as c onducted b etween February 2015 and April 2015. It comprised three demographic, seven attitude, and eight knowledge questions on trauma. Physicians were stratified as: group I—general practitioners; group II—surgical residents; group III—surgeons; group IV— academic surgical specialties. Results: A total of 476 (75%) of the 636 questionnaires were completed and analyzed. Median age was 36 years. General practitioners (38.7%) and surgeons (38.7%) represented the majority of respondents. Respondents’ medium level of confidence rate in performing life-saving interventions was 98 (53%), 25 (34%), 44 (24%), and 8 (24%) respectively. Moreover, 161 (88%), 68 (92%), 162 (88%), and 32 (94%) of respondents failed to choose the right order of prioritization in a threecasualty scenario respectively. Only 36 (20%) in group I, 22 (30%) in group II, 40 (22%) in group III, and 7 (21%) in group IV correctly estimated the percentage of blood loss in Class III hemorrhagic shock. Conclusions: The current study suggests that Turkey still requires a well-organized trauma system. Further studies are required to assess the capabilities of Turkish Emergency System.

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