Facilitators and barriers to the effective management of major trauma by pre-hospital medical services following road traffic accidents in Saudi Arabia - Dataset

<p>Emergency medical services (EMS) provide assistance to patients through pre-hospital management and support, including on-site treatment of traumatic injuries arising from road traffic accidents. Saudi Arabia currently has one of the highest road traffic accident-related mortality rates in the world. The Saudi Red Crescent Authority, the main provider of community emergency medical services in Saudi Arabia, is the primary service that delivers pre-hospital trauma assistance to patients injured in a road traffic accident. The goal of this Thesis is to establish information can be used to develop and recommend specialised and specific solutions for adoption by the Saudi Red Crescent Authority to reduce the currently high rate of mortality and morbidity following road traffic accidents. </p><p>
While initially conceptualised as a solely qualitative study, a sequential mixed-method approach was ultimately chosen to investigate EMS practice in delivery and management of pre-hospital management arising from road traffic accidents in Saudi Arabia. In the first stage, a systematic review of the known research quantum was undertaken, and this information was used to develop the second stage of the project. This next stage involved a purposively-developed survey of 125 Saudi Red Crescent EMS employees using the online Qualtrics software (between 03/2020 to 04/2020), with the knowledge gained from the first stage guiding the development of this survey tool. Then, a retrospective collection of data from EMS patient’ care records (250) and hospital medical records was undertaken, with a focus on outcomes arising from blunt traumatic injury associated with road traffic accidents in the Western Region of Saudi Arabia. The time frame set for the study was from 31 December 2017 to 31 December 2018. Finally, stage three of the project involved semi‐structured interviews conducted with ambulance station managers (n = 5) and trauma centre managers (n = 5) between 03/2020 to 04/2020. The data from the previous stages of the research was used to develop the interview guide, and the purpose was to establish the key barriers and impediments to the provision of pre-hospital care from the perspective of EMS management personnel. Thematic analysis was the chosen model for analysis of this qualitative data.</p>

急诊医疗服务（Emergency Medical Services，EMS）通过院前急救管理（pre-hospital management）与支持为患者提供救助，涵盖道路交通事故（road traffic accidents）所致创伤的现场处置。沙特阿拉伯目前是全球道路交通相关死亡率最高的国家之一。作为沙特阿拉伯社区急诊医疗服务的主要提供方，沙特阿拉伯红新月会管理局（Saudi Red Crescent Authority）是为道路交通事故受伤患者提供院前创伤救助的核心机构。本研究的核心目标在于构建可用于开发并推荐专属针对性解决方案的相关信息，供沙特阿拉伯红新月会管理局采纳，以降低当前道路交通伤后居高不下的死亡率与致残率。
尽管最初本研究仅计划采用质性研究范式，但最终选择了序贯混合研究方法，以探究沙特阿拉伯境内道路交通事故所致院前急救的实施与管理实践。第一阶段，研究团队对现有相关研究成果进行了系统综述，并基于该阶段获取的信息设计了本项目的第二阶段研究方案。此阶段采用目的性抽样方法，依托在线调查平台Qualtrics，于2020年3月至2020年4月间对125名沙特阿拉伯红新月会管理局的急诊医疗服务从业人员开展问卷调查，第一阶段获取的研究结论为本次问卷工具的开发提供了指导。随后，研究团队开展了回顾性数据收集工作，采集了250份急诊医疗服务患者护理记录与医院病历数据，研究聚焦沙特阿拉伯西部地区道路交通事故所致钝性创伤（blunt traumatic injury）的预后情况。本研究的时间范围设定为2017年12月31日至2018年12月31日。最后，本项目的第三阶段为半结构化访谈（semi-structured interview）：研究团队于2020年3月至2020年4月间，对5名急救站管理者与5名创伤中心管理者开展了访谈。本次访谈提纲基于前两阶段的研究数据开发，旨在从急诊医疗服务管理人员的视角，梳理院前急救服务提供过程中存在的核心障碍与阻碍因素。本研究选择主题分析法（thematic analysis）作为该质性数据的分析范式。