1. Capability of Emergency Medical System on first response team for stop bleeding from road traffic accident patients Prat Intarasaksit

2. Background 2

4. Advance Life support Basic Life support First response 4 Intermediate Life support Background Dispatch center

5. Advance Life Support: ALS

6. Intermediate Life support

7. Basic Life support

8. First response

10. Background 1669

11. Case record form

12. Objective To evaluated performance of first response team in stop bleeding patients from road traffic accident case

13. Materials and methods Cross sectional study design Data in this study was used from Thai Emergency Medical System database, and it from all province of Thailand, but except Bangkok. Emergency Medical System database was collected one year period

14. Descriptive analysis Frequency, Percentage, Mean(SD), Median(Min:Max) Bivariate analysis logistic regression Crude OR

15. Multivariate analysis Mutiple logistic regression Adjust odd ratio, 95%CI Statistics software STATA version 12.0

17. Results Patients’ s Age

18. Results

21. Discussion Our study was shown that gender of patients form RTA case was male higher than female This higher incidence has been mostly attributed to aggressive driving in men, mostly in the younger age groups In this study found that age of patient peak between 15 to 60 years old (most 30 years old) that result as in studies of WHO has demonstrated age of road traffic accident patients between 15 - 45 years old.

22. For time of accidence the result shown that 18.01 to 24.00 has more accidence cases because that period is off hour and night time that may be lost visibility for driver, but nevertheless first response team has good capability to stop the bleeding as well, all the time. Discussion

23. According to report from National Institute for Emergency Medicine (NIEM) indicated amount of first response staff in Thailand has sufficiently but only half of them take real take care patients. Also training for all first response team for every trauma management is important and it can improve capability for take care patient from road traffic accidence Discussion

24. Høyer CB et.all explained the experiences of the effect of training on the quality of performance in the real world are differing De Vries. et.all found that high performance in training correlates to high performance in real life that are all reason why all related organizations should retrain all staff regularly. Discussion

25. Strength of the study Case record form in EMS doesn’t generate for research thereby that might missing some data or value and has duplicate in each variables. Limitation of the study This study is the first to our knowledge to analyze data that is a nationally representative sample from the real practice.

26. Conclusion According to results, first response team in every region has high capability for stop bleeding in any type of wound and any time of accidence. Moreover we found duration time of road traffic accidents peak between 18.01 to 24.00 should be intensive careful at this duration time.

27. Should evaluate the capability on other trauma management in patients from other case and other EMS team. Recommendations

28. Should assess accuracy in EMS documentary and accuracy in dispatcher. Because EMS documentation is often performed in chaotic and complex settings. Recommendations

29. Acknowledgment Assoc. Dr. Bandit Thinkhamrop Assoc. Dr. Wongsa Laohasiriwong Dr. Camerons Hurst Thank you for all my classmate My seniors; especially Dr.PH batch 4 and EMS -KKU- Facebook group

30. Thank you for your attention

32. Further study

33. Capability of FR team Patients needCapability of FR team AirwaySuction by red rubber bulb Open airway by head tilt chin lift BreathingUse pocket mask CirculationStop bleeding Basic CPR