Road-accident-victim-catcher

Composites ◽  
1981 ◽  
Vol 12 (1) ◽  
pp. 5
2015 ◽  
Vol 1 (2) ◽  
pp. 32-35
Author(s):  
M Pramod Kumar ◽  
KM Gopinath ◽  
BN Roshan Kumar ◽  
GA Gautham Balaji

ABSTRACT Total dislocation of the talus has been reported as 0.06% of all dislocations and 2% of all talar fractures. It usually occurs from considerable violence. Total dislocation of the talus is frequently an open injury, or the skin may be tented over the dislocated talus leading to skin slough. Closed total dislocation of talus with posterior process injury is rare. The functional prognosis is poor due to osteonecrosis of the talus which develops in the majority of cases. Review of literature reported successful closed reduction in cases of closed pan-talar dislocation under anesthesia. However, there were few cases where there was difficulty in closed reduction. Operative technique has also been described in different reports of similar cases. Case report We present a case of pan-talar dislocation of the left talus in a 25-year-old road accident victim, with posterior talar process fracture. Reduction of dislocation was attempted in emergency department by external manipulation. Reduction process failed, and hence planned for reduction under anesthesia. It required a open reduction after a unsuccessful closed reduction attempt. The talus after reduction was found to be unstable hence, stabilized with trans-calcaneotalar Steinmann pin. At 1-year follow-up, the right ankle was pain free and stable. Motion was satisfactory. The talus after a follow-up of 1 year did not show any signs of subluxation or avascular necrosis. Conclusion The main obstacle to closed reduction appeared to be talus had button holed through dorsal fascia. The talus after reduction was found to be unstable hence stabilized with trans-calcaneotalar Steinmann pin. The management of the associated fracture will depend on many factors, particularly displacement of the fracture fragments. How to cite this article Kumar MP, Gopinath KM, Kumar BNR, Balaji GAG. Closed Pan-talar Dislocation with Posterior Talar Process Fracture. J Med Sci 2015;1(2):32-35.


2021 ◽  
Author(s):  
Neeti Rustagi ◽  
Abhishek Jaiswal ◽  
Naveen Dutt ◽  
Dervla Kelly ◽  
Arvind Sinha ◽  
...  

Abstract BackgroundDelay in receiving timely care after road traffic accidents (RTAs) result in higher morbidity and mortality, suggesting need of educational interventions for improving provision of first aid. Based on the theory of planned behaviour (TBP), the present study aims to develop and validate the scale to Measure of Intention to Help Road Accident Victim (MIHRAV) of young adults in a fast urbanizing Indian city.MethodsA cross sectional survey was conducted among the college students of Jodhpur, Rajasthan. The initial MIHRAV questionnaire developed for study comprised of 26 self-reported items encompassing four main constructs: intention to help; social norms; attitude and self-efficacy. The validation process included face validity, content validity, exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and reliability analysis. ResultsSix hundred ninety-five college students participated in this study. EFA extracted four factor structure containing 20 items. The CFA yielded good model fit with 19 items, and explained 79% of variance (chi square = 413.359, df = 140, χ2/df = 2.95, CFI = 0.93 and TLI = 0.92 and RMSEA = 0.05). The Cronbach’s alpha indicated satisfactory internal consistency for questionnaire (α = .88), and for subscales (social norms - α = .62, attitude - α = .65, perceived confidence- α = .74, and intention α = .86).Conclusions The final MIHRAV instrument is aligned with constructs of TPB. It included 19 items measuring intention to help (9 items); perceived confidence (4 items); attitude (3 items) and social norm (3 items). MIHRAV was found to be reliable and valid tool to assess young adult’s intention to help road accident victims. Assessing and building this aspect has the potential to positively impact young adult’s likelihood to intervene as first responders at RTAs.


2020 ◽  
Vol 8 (6) ◽  
pp. 5709-5711

As we know automobile industry is currently booming in india due to which number of vehicle also increasing day by day. In financial year 2019 approx 4.4 million cars were sold in indiadue to rise in number of vehicles rate of accident is also increasing. In year 2018 almost 1.5 lakhs lives were lost due to car accident. In our country many people still hesitate in helping a road accident victim because of legal formalities due to which many people loose there lifes. This projectwill help in detecting the accident and calling the medical assistance as soon as possiblewiththe helpof different sensorsandArduino uno.The aim of this project is to provide for the necessary aid to the victim and inform and report the accident in the least possible time by using IOT and sensors


2021 ◽  
Vol 104 (3) ◽  
pp. 003685042110337
Author(s):  
Elena Beccegato ◽  
Angelo Ruggeri ◽  
Massimo Montisci ◽  
Claudio Terranova

A comparative case study (2017–2020) was conducted to identify demographic, social, medico-legal, and toxicological variables associated with non-fatal accidents in driving under the influence (DUI) subjects. A second aim was to identify the factors predictive of substance use disorders among subjects. Drivers charged with alcohol DUI (blood alcohol concentration (BAC) > 0.5) and/or psychoactive substance DUI were included; cases included those involved in an accident while intoxicated, and the comparison group included DUI offenders negative for road accident involvement. Significance was determined by chi-square and Mann–Whitney tests. To prevent confounding effects, a multivariate binary logistic regression analysis was performed. Our sample encompassed 882 subjects (381 in the case group and 501 in the comparison group). Parameters such as psychoactive substances and BAC at the time of the road crash/DUI and the day of the week, when subjects were involved in the road accident or found DUI, resulted in significant differences ( p < 0.01) between groups. The model’s independent variables of BAC > 1.5 g/L ( p = 0.013), BAC > 2.5 g/L ( p < 0.001), and concurrent alcohol and psychoactive substance use ( p < 0.001) were independent risk factors for an accident. Smoking >20 cigarettes/day was an independent risk factor for unfitness to drive ( p < 0.01). Unfitness to drive was based primarily on ethyl glucuronide levels >30 pg/mg. Our results suggest a detailed assessment of DUI subjects with variables associated with accidents (BAC > 1.5 g/L and concurrent intake of psychoactive substances). Hair analysis, including ethylglucuronide (EtG) concentration, should be always performed. Based on our results, nicotine use should be investigated in cases of driving license regranting.


2021 ◽  
Author(s):  
Muhammad Asyraf Mohd Kassim ◽  
Suhaila Abdul Hanan ◽  
Muhammad Safizal Abdullah ◽  
Chan Pei Hong

Sign in / Sign up

Export Citation Format

Share Document