Özet:

Target: In traumatic patients seeking emergency care, the effect of pre-hospital liquid resuscitation on serum lactate levels, mortality, radiological imaging and late post-traumatic healing (PRT) was targeted. Method: This study included 532 patients over the age of 18 who applied to the emergency service due to trauma between 1 January 2016 and 31 December 2017. The average age of patients was 37,19±13,91/year, 378 (71%) men, 154 (29%) women. The demographic characteristics of these patients, fluid resuscitation and serum lactate levels, trauma forms, mortality and PRT results were evaluated retrospective. In patients with pre-hospitalized fluid resuscitation, the PRT period was shorter (22.48±7.17 days) and longer (26.85±7.58 days) in patients with non-hospitalized fluid resuscitation. Lactate levels were also found significantly lower in liquid areas (2,18 ± 1,05 mmol/L) compared to those who did not (2,61 ± 1,40 mmol/L). In the unobserved mortality group, the PRT period was 24.20 ± 7.34 days, and in the observed group 33.43 ± 12.87 days. Serum laktate levels were determined to 2.29±1.10 mmol/L in the unobserved group of mortality and 5.51±1.87 mmol/L in the unobserved group. Serum lactate levels were determined at 2.29±1.10 mmol/L in liquid areas, and 5.51±1.87 mmol/L in non-subjects. The trauma varieties were related to fluid resuscitation and radiological imaging methods (p=0,001). These parameters showed a medium and/or strong positive relationship between them, as well as laktate, PRT duration, mortality. ROC curve analysis was conducted to predict the development of mortality. Lactate was found with 97.7 percent sensitivity and 94.3 percent specificity, 89.7 percent PRT sensitivity and 83.6 percent specificity over 45 percent. The result: the early detection of trauma events with a multidisciplinary understanding, the regulation of the level of fluid and lactate and the early decision of the procedures to be made, the mortality and morbidity rates can be reduced.

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