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Table 5 Characteristics of pre and post intervention patient populations

From: A single-site pilot implementation of a novel trauma training program for prehospital providers in a resource-limited setting

Variable

Category

Treatment group

Pre-intervention

(N = 143)

% (N) or

median (IQR)

Post-intervention (N = 95)

% (N) or

median (IQR)

Patient demographics

 Patient age

 

30.0 (23.0–37.0)

29.0 (23.0–37.0)

 Patient gender

Female

22% (31)

19% (18)

Male

78% (112)

81% (77)

 Primary injury mechanism

Blunt

42% (60)

44% (42)

Penetrating

56% (80)

56% (53)

Other

2% (3)

0% (0)

Vital signs and associated measures

 Systolic blood pressure from initial vital signs

 

110.0 (95.0–139.0)

100.0 (90.0–130.0)

 Heart rate from initial vital signs

 

106.0 (99.0–114.0)

104.0 (88.0–112.0)

 Shock stage from initial vital signs

High (≥ 1.0)

36% (51)

45% (43)

Intermediate (0.7– < 1.0)

51% (73)

41% (39)

Normal (<0.7)

13% (19)

14% (13)

EMS response information

 Qualification of provider 1

BLS

25% (35)

24% (23)

ILS

41% (58)

43% (41)

ALS

34% (48)

33% (31)

 Incident to scene arrival minutes

 

19.0 (12.0–37.0)

22.0 (14.0–43.0)

 Scene arrival to scene departure minutes

 

22.0 (15.0–32.0)

23.0 (14.0–31.0)

 Scene departure to hospital arrival minutes

 

14.0 (9.0–22.0)

16.0 (12.0–24.0)

 Total prehospital minutes

 

61.0 (48.0–89.0)

67.0 (53.0–96.0)

Clinical interventions

 Any IV is 14,16 or 18-gauge placed in AC or EJ locations

Yes

14% (20)

13% (12)

 IV fluids administered:

No

46% (66)

47% (45)

Yes

50% (71)

41% (39)

Not documented

4% (6)

12% (11)

 Type of fluid:

Normal saline

3% (2)

8% (3)

Lactated Ringers

96% (68)

90% (35)

Not documented

1% (1)

3% (1)

Volume of fluid (mL):

 

825.0 (450.0–1000)

500.0 (250.0–925.0)

Patient shock index outcomes

 Initial shock index

 

0.89 (0.77–1.06)

0.93 (0.77–1.12)

 Last shock index

 

0.88 (0.74–0.97)

0.87 (0.72–1.00)

 Change in shock index

 

− 0.04 (− 0.12–0.00)

− 0.05 (− 0.17–0.03)

 Meaningful change in SI

Meaningfully better (<− 0.1)

27% (38)

34% (32)

Meaningfully worse (>0.1)

8% (12)

11% (10)

No meaningful change

65% (93)

56% (53)

  1. AC antecubital fossa, EJ external jugular, SI shock index