Emergency room type | |||||||
---|---|---|---|---|---|---|---|
Primary | Regional | Tertiary | |||||
(n = 23) | (n = 12) | (n = 7) | |||||
n | % | n | % | n | % | p valuea | |
Spinal immobilization (cervical collar) | 0.01* | ||||||
Offered in ER | 8 | 34.8 | 7 | 58.3 | 0 | 0.0 | |
Not offered—combined lack of training and equipment/meds | 9 | 39.2 | 2 | 16.7 | 7 | 100.0 | |
Not offered—lack of training | 3 | 13.0 | 3 | 25.0 | 0 | 0.0 | |
Not offered—lack of equipment/medications | 3 | 13.0 | 0 | 0.0 | 0 | 0.0 | |
Focused assessment with sonography for trauma (FAST scan) | 0.04* | ||||||
Offered in ER | 2 | 8.7 | 4 | 33.3 | 3 | 42.9 | |
Not offered—combined lack of training and equipment/meds | 14 | 60.9 | 5 | 41.7 | 3 | 42.9 | |
Not offered—lack of training | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | |
Not offered—lack of equipment/medications | 7 | 30.4 | 3 | 25.0 | 1 | 14.2 | |
Splinting performed | 0.01* | ||||||
Offered in ER | 11 | 47.8 | 9 | 75.0 | 0 | 0.0 | |
Not offered—combined lack of training and equipment/meds | 6 | 26.1 | 1 | 8.4 | 6 | 85.7 | |
Not offered—lack of training | 1 | 4.4 | 1 | 8.3 | 0 | 0.0 | |
Not offered—lack of equipment/medications | 5 | 21.7 | 1 | 8.3 | 1 | 14.3 | |
Closed reduction of displaced fractures | 0.02* | ||||||
Offered in ER | 9 | 39.1 | 8 | 66.7 | 0 | 0.0 | |
Not offered—combined lack of training and equipment/meds | 9 | 39.1 | 1 | 8.3 | 5 | 71.4 | |
Not offered—lack of training | 3 | 13.1 | 2 | 16.7 | 0 | 0.0 | |
Not offered—lack of equipment/medications | 2 | 8.7 | 1 | 8.3 | 2 | 28.6 |