Assessment of trauma care resources in medium- and low-complexity hospitals in Cali, Colombia: a multicenter observational study
DOI:
https://doi.org/10.30944/20117582.2829Palabras clave:
hospital equipment and supplies, hospital emergency service, emergency medicine, advanced trauma life support care, health services needs and demand, health services researchResumen
Introduction. Trauma is a major public health issue worldwide. In Colombia, Cali is the most violent city, contributing significantly to trauma-related mortality. The objective of this study was to evaluate the availability of emergency services’ resources for managing trauma patients.
Methods. A cross-sectional, multi-center observational study was conducted across all nine medium- and lowcomplexity public hospitals in Cali, Colombia. The results were compared to the Panamerican Trauma Society (PTS) standards. Univariate analysis was utilized to examine the behavior and distribution of the data.
Results. Of the hospitals surveyed, 66.6% were level I, 33.3% were level II. Compliance with PTS guidelines was 73% for level I and 77.5% for level II. Among level I hospitals, 50% had cervical collars, 75% stocked basic airway supplies, but only one-third had rapid sequence induction medication. Two-thirds of level II hospitals had blood components. None of the hospitals were equipped with tourniquets, pelvic immobilizers, or immediate ultrasound availability. The mean transfer time to higher-complexity centers was 30.8 minutes from level I hospitals and 34.3 minutes from level II hospitals.
Conclusions. Trauma management resources in medium and low-complexity hospitals did not meet PTS standards. This underscores the need for public health policies to improve trauma care through the provision of essential supplies, comprehensive training programs, and optimized prehospital care network.
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