Abstract

With development of economic and social state, the traffic accident and industrial injury is increasing progressively. Especially, the most patients injured by traffic accident or falling-down have multiple injuries. We studied the injured patients who visited emergency center of Wonju Christian Hospital from January 1991 to June 1991 prospectively. Over a 6-month period, 2,669 patients admitted and multiple injured patients occupy 39.2%(1,045/2,669). The severe injured patients who were defined as Injury Severity Score(ISS) was above 16 point occupy 14.2%(378/2,669) and mortality of injured patients was 3.2%(86/2,669). Among expired patients, the D.O.A was 35(40.7%) and the patients expired at E.R was 29(33.7%). And the more multiple injured, the more stay time at emergency center was spent. So we need well-organized trauma team and trauma triage system in recent time. But there are many problems in organizing trauma system, and the most serious problem is financial one in builting trauma center and managing of trauma team. We conclude that trauma triage system and trauma center should be organized in a short time and governmental support in economics must be considered.