RURAL PREVENTABLE MORTALITY STUDIED IN MICHIGAN AND NORTH CAROLINA

To evaluate and improve care to victims of rural trauma, the Emergency Medical Services (EMS) Division of the National Highway Traffic Safety Administration (NHTSA) sponsored three studies to identify factors that lead to preventable death from trauma in rural areas. In the first study, conducted in Montana (TRAFFIC TECH, Number 46, May 1993), the overall preventable mortality rate for 154 deaths was 17%. Errors and omission in emergency care occurred in the management of airway problems, hemorrhage control, and fluid resuscitation. This TRAFFIC TECH presents the results of rural preventable mortality studies recently concluded in Michigan and North Carolina. These studies were conducted by the Departments of Surgery at the University of Michigan and East Carolina University School of Medicine. In the Michigan study, the overall preventable mortality rate for 155 trauma deaths was 12.9% and the most frequent types of inappropriate care were delays in treatment and evaluation, errors in airway and ventilation management, and errors in fluid and blood replacement. In the North Carolina study, the overall preventable mortality rate for 151 trauma deaths was 29% and the most frequent types of inappropriate care were errors in airway management and delays in evaluation and treatment. In summary, the results of all three studies suggest a need for developing and refining rural trauma care systems and provide information that will help NHTSA establish priorities to correct deficiencies and enable communities to provide optimum care to rural trauma patients.

Language

  • English

Media Info

  • Features: Tables;
  • Pagination: 2 p.
  • Serial:
    • TRAFFIC TECH
    • Issue Number: 120
    • Publisher: National Highway Traffic Safety Administration

Subject/Index Terms

Filing Info

  • Accession Number: 00724877
  • Record Type: Publication
  • Source Agency: National Highway Traffic Safety Administration
  • Report/Paper Numbers: HS-042 132
  • Files: HSL, USDOT
  • Created Date: Aug 15 1996 12:00AM