Difference between emergency doctor and trauma team doctor in dealing with minor injury of disaster: One local hospital review of Taiwan

Abstract text (incl. references and figure legends)

Introduction: Simple triage and rapid treatment(START) is used as triage method in these disasters and green status patients is the most in accidents. The more medical consultation combine with more emergency room(ER) stay duration.In this study the function and efficiency of emergency physicians will be discussed and want to know how to change this condition.

Material & Methods: This is one cross-sectional study of single hospital. Under START method green status of accidents patients are included. The consultation frequency, medical management duration and ER stay duration are compared between ER and trauma team physicians. The Mann-Whitney Test, Spearman's correlation analysis, Regression analysis and odds ratios are used for statistics analysis. The 23th SPSS is used in statistics.

Results: 53 patients of are included. 14 patients are under the service of trauma team physicians. ER Physicians take over 39 patients. Spearman's correlation analysis and regression analysis show that longer medical management duration combine with longer ER stay duration. In Mann-Whitney Test trauma team physicians take more consultation with longer ER stay duration noted. The odds ratio for the difference of medical management duration and ER stay duration between two groups are 37.636 (95% CI, 4.437–319.254; P < 0.05).

Conclusions: Emergency doctors are more familiar with the disaster response. The trauma physician induces the more consultation that is combined with medical management duration and ER stay duration. The manpower should be separated into multiple functional groups and emergency physicians are cooperated with other specialists in dealing with these victims. The ineffectual consultation will be decreased and ER jam condition can be improved

References: K. Goniewicz, M. Goniewicz, F.M. Burkle et al The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians" Readiness in the Response to Disasters J. Clin. Med. 9: 3328, 2020

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