scholarly journals PREVALENCE OF ROAD TRAFFIC ACCIDENTS; ADMITTED IN ONE SURGICAL WARD AT ALLIED HOSPITAL FAISALABAD DURING ONE YEAR

2016 ◽  
Vol 23 (04) ◽  
pp. 378-382
Author(s):  
Dr. Tajammal Abbas Shah
2016 ◽  
Vol 23 (04) ◽  
pp. 378-382
Author(s):  
Tajammal Abbas Shah

To see the percentage, the different groups affected and pattern of injury by roadtraffic accidents among patients attending a unit of surgery in a teaching hospital. Objectives: Tosee the percentage of trauma among patients admitted in one surgical unit of a tertiary hospitalin one year and to compare this with the patients admitted in all surgical units of same tertiaryunit. To evaluate the pattern of trauma, male to female ratio, affected age groups, mechanismof injury, the organs affected, and the mortality rate in one surgical unit of a tertiary hospital of3rd most populated city of Pakistan during one year. Study Design: Prospective study. Setting:Surgical Unit II at Allied Hospital Faisalabad. Period: January 2009 to February 2010. Materialsand Methods: Patients admitted during this period for road traffic accidents in surgical unit IIof Allied Hospital Faisalabad were 94 (4.8 %) out of total 1956 patients presented and admittedin surgical unit II during this year. Total number of patients admitted in all surgical units of thishospital were 7388 while 21,400, patients received and admitted by all other specialties throughemergency units of Allied Hospital Faisalabad. Patients with road traffic accidents admitted insurgical unit II through emergency unit of this hospital were part of this study. Among these94 patients 78 patients (82.97%) were adults and 18 children (19.14%). Patients with all otheremergencies modalities and minor injuries treated and discharged from emergency wereexcluded from this study. Results: Out of 1956 patients admitted in Surgical Unit II from total 7388of all surgical admissions and 21400 all emergencies ward patients, 94 patients (4.8%, 1.27%,and 0.439% respectively) were injured by road traffic accidents. Out of these 94 patients, 78patients (82.97%) were adults and 18 children (19.14%) patients. 58 patients (61.70%) were malesand 36 patients (38.29%) were females. 43 patients (45.74%) were pedestrians, 10 patients were(10.63%) on bicycles, 26 patients were (27.65%) on motorcycle while 15 patients (15.95%) werein other vehicles. 52 patients (55.31%) developed head injuries, 10 patients (10.93%) blunt traumaabdomen, 5 patients (5.31%) blunt trauma chest and 26 patients (27.65%) skeletal injuries ( 10patients forearm bones fracture, 6 patients with fracture mid-shaft of tibia, another 5 patients withfracture lower 1/3rd of femur and 5 patients with hand bones fracture ). All patients were treated bycombined specialty trauma surgeons. 3 patients (3.19%) died out of which 2 patients (2.12%) withsevere head trauma and one pedestrian (1.06%) with blunt trauma abdomen and lower chest. Allother patients survived and recovered with some morbidity. Conclusion: Road traffic trauma isone of major dilemma of our society. 94 road traffic accidents causalities were admitted duringone year in one surgical unit of a tertiary care center and 3 patients died. It is an alarming signto properly protect people, educate general population, employ dedicated road safety staff andfollow rules and regulation of traffic authorities.


1989 ◽  
Vol 8 (5) ◽  
pp. 375-379
Author(s):  
W.P. Tormey ◽  
H. Crosse ◽  
A. Pierce

Toxicology results from all 302 coroners' cases referred to the supraregional unit at Beaumont Hospital over the one year period December 1987 to November 1988 are detailed. Clinical details were provided in 69.5% and formed the basis for the formation of four groups; road traffic accidents, suicides, possible suicides and possible carbon monoxide poisonings. All tests reported were instigated by the referring pathologist on behalf of the coroner. Alcohol was measured in all except 11 patients and a positive result was found in 44%. Drug screens were performed in 68.5% of cases with a positive finding in 30%. At least one positive result was found in 61.9% of the total. In the 60.4% of 53 road accident victims where alcohol was found, the median value was 117 mg/dl. COHb was measured in 23 cases and the median saturation was 45%. There were 12 suicides and agents found included paraquat, CO, cyanide, pancuronium bromide, and amitriptyline. Alcohol levels greater than 120 mg/dl were present in seven. In the 22 cases of suspected suicide, 77.3% were positive for drugs and more than one substance was found in 45.4%.


Author(s):  
Shakeer Kahn P. ◽  
Bayapa Reddy N. ◽  
Chandrasekhar C. ◽  
R. Altaf Hussain ◽  
K. Reddy Jawahar Basha

Background: Rapid motorization bought a boon along with the curse of road traffic accidents toll. Injuries and deaths due to road traffic accidents (RTA) are one of the major public health problems across the globe especially in developing countries due to lack of comprehensive legislative measures. It will have immeasurable impact on the families affected by RTAs.Methods: A hospital based, cross sectional study with victims of road traffic accidents admitted in S.V.R.R. Government General Hospital, Tirupathi, as study subjects was done during June 2013 to May 2014 for one year where 820 victims of road traffic accidents were interviewed after taking prior consent using a predesigned questionnaire.Results: External injury was seen in almost all cases (97.9%) and 61.5% suffered grievous injury. Laceration, fractures and abrasion are the most common types of injuries found. Regarding anatomical sites, head injury is the commonest (68.8%). Majority of the victims suffered grievous injury during 6AM to 12 PM (66.2%). The proportion of grievous injury was most commonly found in victims who were hit by Unknown vehicle (84.6%).Conclusions: Road side medical assistance by their timely action can prevent the toll of RTA fatalities and disabilities. Studies on injuries help in developing improved personal protective gear and safety measures inside the vehicles through novel engineering technology.


Trauma ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 68-72
Author(s):  
Jo Han Gan ◽  
Caroline Davison ◽  
Nick Prince ◽  
Anami Gour

Road traffic accidents are one of the commonest causes of death in children. Child safety car seats have played a pivotal role in reducing the mortality and morbidity associated with road traffic accidents. However, there have been some concerns about the about the design of front facing car seats versus their rear facing counterparts. Legislation governing the use of rear facing car seats is variable, with some Scandinavian countries recommending their use up to the age of four, while others mandate their use only until one year of age. We present three case narratives of patients aged under 3 years who sustained catastrophic injuries after being involved in a road traffic accident despite being placed in an appropriately sized forward facing car seat. We reviewed the literature for evidence comparing the safety and efficacy of front versus rear facing car seats. Accident registry and crash test results support the increased safety of rear facing child seats. Frontal sled test have demonstrated that forward facing car seats expose children to much higher neck loads and chest displacement resulting in higher injury scores. Epidemiological data from registries and observational studies support the experimental data and demonstrate a clear injury-reducing effect of rear facing child seats compared to their forward facing counterpart. We recommend keeping children in rear facing car seats until the age of four, which is common practice in Sweden.


Author(s):  
Pramod Kumar ◽  
Rajendra Singh ◽  
Sanjeev Buri ◽  
Chandra Pal ◽  
O.P. Saini ◽  
...  

Background: Medico-legal autopsies form an integral and indispensable part of an investigation of sudden suspicious death. The profile of medico legal autopsy cases is important in order to know the death statistics in a region due to unnatural causes and also help to address the demographic needs according to the mortality statistics specific to that region. Material and Method: The present study is a one year retrospective study of autopsies performed in the Department of Forensic Medicine and Toxicology at Sardar Patel Medical College & P. B. M. Hospital, Bikaner, Rajasthan, India from January 2018 to December 2018 comprising 810 cases. Aim: This study was conducted to find out the profile of different types of cases and to assess the manner & cause of their death. Result: Out of 810 cases, maximum number of autopsies were in third decade of life (260 cases, 32.10%). Male cases predominated over the female cases, which were 638 (78.77%). Hindus were majority in number with 734 cases (90.62%). Accident, Suicide and Homicide deaths were 504 (62.22%), 177 (21.85%) & 24 (02.96%) cases respectively. Maximum number of deaths were due to road traffic accidents with 313 cases (38.64%) followed by poisoning with 140 cases (17.28%). Conclusion: It is observed that majority of cases were in 3rd decade of life and Preponderance of male sex is seen over female sex. The most common cause of death is road traffic accident, probably owing to higher frequency of transportation. Keywords: Autopsy, Road traffic accidents, Poisoning, Burn, Hanging.


2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 187-191
Author(s):  
Anjankar Ashish P ◽  
Anjankar Vaibhav P ◽  
Anjankar Anil J ◽  
Kanyal Lata

COVID 19 is undeniably one of the deadliest diseases that humanity has ever seen. It continues to affect the lives and livelihood of people appallingly across the world. Maximum discussions focus towards the apprehension of catching the infection, dwelling in homes, overpopulated nursing homes and shut down of all kinds. But, here let’s discuss the positive side of COVID 19 pandemic.As COVID 19 has spread its influence all over the world, affected countries have either announced lockdown or have implemented severe restrictions in their respective countries. Because of this, everyone dwells in their homes. Thus, exercising social distancing and functioning from home. All of the above is directed at restricting the transmission of coronavirus and expectantly ostracising the fatality from COVID 19. These transformations have also brought about some unanticipated emanations; some good things have come out of the pandemic as well. Positive effects of COVID 19 are seen on reduced road traffic, and road traffic accidents lowered levels of air pollution which has to lead to lowered heart attack rates and rejuvenating environment. Crime rates have fallen, and expenses are reduced in most places. Community action, communication amongst families, behaviour, sanitation, hygiene, online and distance education has positively impacted by COVID 19 pandemic. COVID 19 despite a bane for humans, can be thought of a boon for living beings. The habitats and elements have been purified with the stringent use of petrochemical products. To breathe fresh air and to consume purified water is a boon by itself. Now, it is time for humans to lead a caring life to every bounty bestowed on them by Nature. This thoughtful and considerate life will give hope for a healthy, stress-free life.


2018 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Bayapa Reddy N. ◽  
Shakeer Kahn P. ◽  
Surendra Babu D. ◽  
Khadervali N. ◽  
Chandrasekhar C. ◽  
...  

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