Sidi Mohammed Medjadi*

Department of Anesthesia and Intensive Care, Aboubekr Belkaïd University, Tlemcen, Algeria

*Corresponding Author: Sidi Mohammed Medjadi, Department of Anesthesia and Intensive Care, Aboubekr Belkaïd University, Tlemcen, Algeria.

Received: June 29, 2022; Published: August 29, 2022

Abstract

Objectives: The main objective of our work is to observe the compliance of actions and care provided during the pre-hospital phase in traumatized patients of the cervical spine in the wilaya of Tlemcen (Algeria), and its impact on the evolution of these.

Patients and Methods: Exhaustive descriptive-type study with prospective collection, carried out over a period of three and a half years at the level of several structures of the Tlemcen University Hospital, namely medico-surgical emergencies, multipurpose resuscitation and neurosurgery departments. It focuses on cervical spine trauma patients treated from the scene of the accident to the neurosurgery and/or medico-surgical intensive care unit at Tlemcen University Hospital. All were admitted for cervical spine trauma, whatever the level reached, whatever the mechanism of the accident, whatever the treatment decision, with or without neurological lesions, with or without signs of seriousness on admission and over 16 years of age.

Results: The frequency of patients having benefited from non-medicalized transport called "sanitary" was 57.04%, compared to 14.06% in medicalized ambulances and 28.90% had arrived at the medical and surgical emergencies via a private vehicle. A large majority of the injured (66.40%) passed through one or more hospital structures before arriving at the medical and surgical emergencies department of the Tlemcen University Hospital (n = 85). 57% (n = 73) were evacuated to a single hospital structure (PHE or LPHE) before being transferred to our level. The rest of the patients had passed through two, three, or even up to four (04) hospitals before their evacuation. The length of stay in a hospital structure before admission to Tlemcen University Hospital was variable in the 66.40% of patients concerned (n = 85), with extremes ranging from 15 min to 28,800 min.

Conclusion: Data from the literature show that it is difficult to determine who is responsible for the neurological deterioration, whether it is because of more serious initial lesions or because of the more frequent appearance of secondary lesions of the ACSO type. Knowing that we fight the same fight when it comes to aggression of the brain and the marrow (ACSO = AMSO). The quality of pre-hospital care is one of the fundamental factors in improving the vital and functional prognosis of these patients.

Keywords: Cervical Spine; Trauma; Pre-hospital Care; Medical Transport; Duration

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Citation

Citation: Sidi Mohammed Medjadi. “Impact of Compliance of Pre-hospital Care on the Evolution of Cervical Spine Trauma in Tlemcen”.Acta Scientific Medical Sciences 6.9 (2022): 116-122.

Copyright

Copyright: © 2022 Sidi Mohammed Medjadi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.