scholarly journals Оrganizational aspects of primary health care for personal skeleton damage caused by road traffic accidents

2021 ◽  
Vol 22 (3) ◽  
pp. 12-18
Author(s):  
V. V. Masljakov ◽  
O. N. Pavlova ◽  
A. V. Pimenov ◽  
A. G. Proshin ◽  
A. V. Poljako ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Road Accidents ◽  
Facial Skeleton ◽  
Primary Health ◽  
Open Injuries

The purpose of the study. Study the organizational aspects of providing primary health care for victims with the facial department of the skeleton as a result of traffic accidents. Materials and methods. To achieve this goal, a retrospective study was conducted. The work included victims of road accidents with damage to the facial part of the skull between the ages of 18 and 70 years. In total, 150 victims were included in the study between 2000 and 2019. Results of the study and their analysis. The study shows that injuries to the facial skeleton as a result of traffic accidents are relevant. As a result of the study, it was found that as a result of an accident, there is approximately the same number of closed and open injuries. At the same time, open injuries, which could be regarded as medium and severe, were identified in 45 (30%) cases. In addition, data analysis showed that in 30,7% of observations, first aid was provided by random witnesses and/ or relatives of victims who did not have the skills and necessary knowledge to provide such assistance. In addition, an additional 19,3 per cent of first aid was provided by staff of various services who have some knowledge and skills in first aid. This is due to the fact that in the first group, first aid was provided faster than in the second group. The lack of the necessary skills to provide first aid to victims with such an injury can be explained by the rather high percentage of errors, which in the first group amounted to 18,7%, while employees of various services showed good results in providing such assistance and errors were not noted. Key words: primary health care, damage to the facial skeleton, traffic accident.

scholarly journals Analysis of the results of rendering first aid in case of maxillofacial injuries suffered in road traffic accidents

2021 ◽  
pp. 20-27
Author(s):  
Vladimir Vladimirovich Maslyakov ◽  
Yurii Evlampievich Barachevskii ◽  
Ol'ga Nikolaevna Pavlova ◽  
Dmitrii Aleksandrovich Polikarpov ◽  
Aleksandr Vladimirovich Pimenov ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries ◽  
Special Means ◽  
The Common ◽  
Open Injuries ◽  
Type Of Injury

For achieving the set goal, the author conducted a retrospective research. The study involved the victims of road traffic accidents aged from 18 to 70 years, who suffered maxillofacial injuries; total of 150 victims over the period from 2010 to 2020. The selected topic is a pressing medical and social problem. It is observed that the number of close and open injuries received in road traffic accidents is roughly the same. However, the open injuries qualified as moderate and severe were determined in 45 (30%) cases. The data analysis indicates that in 30.7% of cases, first aid was rendered by bystanders and/or relatives of the victims, who do not have the necessary competence and knowledge for providing such aid; in another 19.3% of cases, first aid was rendered by operational services personnel (traffic police, fire and rescue divisions), who have the necessary knowledge and skills. The absence of necessary skills for rendering first aid to the victims of road traffic accident with such type of injury explains high percentage of mistakes, which amounted to 41.3%. At the same time, the operational services personnel demonstrated good results in rendering first aid; no mistakes were detected. The analysis of the common mistakes indicates the application of physical efforts in the process of removing victims from the vehicle; no special means while the victim's head was not fixated, which causes additional injuries. In six (4.0%) cases, the spoor condition of the victims was mistaken with comatose.

scholarly journals Analysis of the results of rendering first aid in case of maxillofacial injuries suffered in road traffic accidents

2021 ◽  
pp. 20-27
Author(s):  
Vladimir Vladimirovich Maslyakov ◽  
Yurii Evlampievich Barachevskii ◽  
Ol'ga Nikolaevna Pavlova ◽  
Dmitrii Aleksandrovich Polikarpov ◽  
Aleksandr Vladimirovich Pimenov ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries ◽  
Special Means ◽  
The Common ◽  
Open Injuries ◽  
Type Of Injury

For achieving the set goal, the author conducted a retrospective research. The study involved the victims of road traffic accidents aged from 18 to 70 years, who suffered maxillofacial injuries; total of 150 victims over the period from 2010 to 2020. The selected topic is a pressing medical and social problem. It is observed that the number of close and open injuries received in road traffic accidents is roughly the same. However, the open injuries qualified as moderate and severe were determined in 45 (30%) cases. The data analysis indicates that in 30.7% of cases, first aid was rendered by bystanders and/or relatives of the victims, who do not have the necessary competence and knowledge for providing such aid; in another 19.3% of cases, first aid was rendered by operational services personnel (traffic police, fire and rescue divisions), who have the necessary knowledge and skills. The absence of necessary skills for rendering first aid to the victims of road traffic accident with such type of injury explains high percentage of mistakes, which amounted to 41.3%. At the same time, the operational services personnel demonstrated good results in rendering first aid; no mistakes were detected. The analysis of the common mistakes indicates the application of physical efforts in the process of removing victims from the vehicle; no special means while the victim's head was not fixated, which causes additional injuries. In six (4.0%) cases, the spoor condition of the victims was mistaken with comatose.

scholarly journals TRAFFIC-RELATED MORTALITY IN MOLDOVA

2020 ◽  
pp. 140-147
Keyword(s):  
Life Expectancy ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Accident ◽  
Road Accidents ◽  
Continuous Increase ◽  
Risk Of Death ◽  
Significant Difference ◽  
Related Mortality

This article analyses the mortality caused by road accidents in Moldova depending on the degree of involvement of pedestrians, cyclists, motorcyclists, drivers and passengers of transport units, depending on age and sex. Results suggest that traffic-related mortality in Moldova has shown an increased incidence among the young and working-age population, where a significant difference between males and females is observed. Among the youth, traffic-related deaths register between 10-27% of the overall mortality in both sexes. The risk exposure of dying in a traffic accident decreases with age and is less significant in the retired ages. During the years 1998-2015, avoidance of trafficrelated deaths would have assured an increase in life expectancy between 0.40-0.56 years in males, and 0.09-0.23 years in females. The continuous increase in the number of transport units on public roads, as well as in the number of hours spent in traffic, influences the degree of exposure to the risk of death or injury as a result of road traffic accidents. Trauma resulting from road accidents increases the incidence of premature mortality and disability among the population, which is reflected by the decrease of healthy life expectancy. It is ascertained that the road accident mortality requires a detailed and comprehensive analysis given the multitude of factors influencing deaths and injuries related to a traffic accident among the population. Thus, in order to improve road safety and reduce mortality incidence among traffic participants, a range of actions has to be implemented by the liable actors, including through the international experience.

Assessing continuum of trauma care for road accident victim in Jodhpur, Rajasthan

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Rustagi ◽  
P Raghav ◽  
N Dutt ◽  
A Sinha ◽  
M S Rodha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Trauma Care ◽  
Road Traffic ◽  
Care Facility ◽  
Road Accident ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Abstract Background Road traffic injuries (RTIs) are a major public health problem, requiring concerted efforts both for their prevention and a reduction of their consequences. The present study was designed to assess the existing process of pre-hospital trauma care administered to road accident victims in a fast urbanizing city of Jodhpur, Rajasthan Methods A cross-sectional study was designed from 1st November 2018 to 30th June 2019. All cases who were admitted to tertiary level trauma care facility in the study period were reviewed and were analyzed for type of injuries suffered, prehospital care services availed and the time duration that elapsed before patient arrived at tertiary health facility. Geographic information system was used to identify clustering of accident hot spots in the Jodhpur district. Results A total of 137 patients or their caregivers were interviewed during the study period. A large proportion of patients 57(41.6%) were unconscious in post-crash phase. Private taxis contributed to maximum patient transfer (75.9%) and only 12.4% were transported through ambulance. Almost three fourth (78.1%) of patients received some form of pre-hospital care within 30 minutes of accident. About one third patients (35.7%) reached the trauma facility directly after the accident while majority (64.9%) were referred from other health facilities Conclusions Pre-hospital trauma care for road traffic accident victims is available in golden hour for majority of victims in Jodhpur district. Victims from rural area and tourists form a sizeable proportion of accident victims brought to trauma care facility. The primary health care facilities play a pivotal role in managing victims as first point of care. Future research is thus warranted to explicitly examine the role of health professionals at primary health care facilities in administering pre-hospital trauma care. Key messages The primary health care facilities play a pivotal role in managing victims as first point of care. In areas with evolving trauma systems, pre-hospital trauma care strengthening requires capacity building of all level of health professionals.

scholarly journals Delivery of First Aid to Victims in Road Transportation Accidents

2020 ◽  
Vol 9 (3) ◽  
pp. 417-421
Author(s):  
A. V. Baranov
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Human Life ◽  
First Aid ◽  
The State ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Road Transportation ◽  
Scientific Publications ◽  
Road Traffic Injuries

Relevance. Most of the victims of road accidents die prior to the arrival of medical staff, therefore, providing first aid to injured people in the first minutes after receiving injuries is very important for saving human life and health. Timely and skillful provision of first aid to victims of road accidents prevents further deterioration of the state of the human body and can positively affect the entire process of its further treatment and rehabilitation.Aim of study. To characterize the delivery of first aid to victims of road traffic accidents at the present stage and to outline possible ways for its improvement.Material and methods. To achieve this goal, an analysis was made of the results of domestic and foreign scientific research and regulatory legal acts on the issue of providing first aid to victims of road accidents. The literature search was carried out in specialized scientific search engines eLibrary, PubMed, Scopus using the keywords: first aid, prehospital stage, road traffic injuries, road traffic accidents. For the analysis, scientific articles published between 1980 and 2020 were selected. Resources with outdated or inaccurate information were excluded, some scientific papers were found by links to articles. The state of the problem of providing first aid to victims of road traffic injuries, for the most part, reflects scientific publications over the past ten years.

scholarly journals KNOWLEDGE OF PRIMARY HEALTH CARE NURSES IN PROVIDING FIRST AID IN LIFE-THREATENING EMERGENCIES

2017 ◽  
Vol 11 (2) ◽  
pp. 62-66
Author(s):  
Grzegorz Nosal ◽  
Łukasz Dziendzielski ◽  
Jakub Zalewski ◽  
Jerzy Zagórski ◽  
Izabela Wróblewska
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
First Aid ◽  
Primary Health ◽  
Life Threatening ◽  
Primary Health Care Nurses

scholarly journals Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

2021 ◽  
pp. 65-67
Author(s):  
V.V. Maslyakov ◽  
◽  
Yu.E. Barachevsky ◽  
O.N. Pavlova ◽  
A.V. Pimenov ◽  
...  
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
The Body ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Facial Skeleton ◽  
Emergency Medical

The aim of the study is to investigate the organizational aspects of providing emergency medical care to victims of road traffic accidents with injuries of the facial skeleton. Materials and research methods. The study included 75 victims of road accidents that occurred in the city of Saratov in 2010–2019. In the total number of injured men – 42 (56.0%), women – 33 (44.0%). The age of the victims is 18–70 years, the average age is (37.5 ± 6.0) years. The study did not include: victims under the age of 18; victims with neck trauma, damage to the cerebral section of the skull and to other parts of the body. All the victims got medical assistance from the personnel of the ambulance brigades. Covering sheets, outpatient cards and medical records were used as primary documentation. Study criteria: time during which the ambulance was provided; who provided emergency medical care; correctness of its rendering. Research results and their analysis. Analysis of injuries to the facial skeleton showed: injuries of the facial skeleton are an actual pathology in victims of road traffic accidents in Saratov; victims of road accidents got open and closed injuries of the facial skeleton. With closed injuries, moderate and severe injuries were found in 23 (30.7%) victims, with open injuries — in 19 (23.3%) victims; majority (90.7%) of victims of road accidents got high-quality emergency medical aid in a timely manner. In 9.3% of cases, the quality of care was insufficient due to an incorrect assessment of severity of the victims’ condition and, as a consequence, due to non-fulfillment of anti-shock measures; scope of the provision of emergency medical care to victims of road accidents included temporary hemostasis, treatment of wounds and anti-shock measures; from the accident site were evacuated: to level III trauma centers — 24.0% of victims; to level II — 48.0; to level I trauma centers — 28.0% of victims; complications in the form of purulent-septic processes were observed in 16.0% of victims; competent and timely implementation of anti-shock measures determined an insignificant mortality rate — 4.0%.

scholarly journals An Exploratory Study to Assess the Knowledge and Utilization of First Aid Box in Vehicles for First Aid in Road Traffic Accidents among the Employees at Jamia Hamdard, New Delhi

2020 ◽  
Vol 07 (04) ◽  
pp. 18-23
Author(s):  
Saba Hashmi ◽  
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Good Knowledge ◽  
Research Approach ◽  
New Delhi ◽  
Road Traffic Accidents ◽  
Poor Knowledge

The trend in road traffic accident injuries and fatality is becoming shocking in countries like India. Delhi is one of the top 5 states in India with highest reported road traffic accidents and injuries. After a road traffic accident, the first few minutes are critical, as measures taken during this time period can be lifesaving. Methods: The research approach adopted for the study was descriptive approach. The tool developed for the data collection was a structured knowledge questionnaire. Convenient sampling technique was adopted which consisted of 50 people among the employees working in Jamia Hamdard, New Delhi. The analysis was done by computing the frequencies and percentages. Results: Findings revealed that out of 50 sample (64%) had average knowledge on first aid in road traffic accidents, whereas 24% had good knowledge of first aid in road traffic accident and only 12% had poor knowledge of first aid in road traffic accident. Regarding utilization of first aid box in their vehicles, majority of the employees (77%) were found to be having good knowledge of utilization of first aid box in their vehicles. Only 23% had poor knowledge of utilization of first aid box in their vehicles. Conclusion: The study showed that majority of the subjects had average knowledge about first aid in road traffic accident and adequate first aid items in their first aid box.

scholarly journals The level of readiness of the EMERCOM of Russia employees to provide first aid in road and transportation accidents

2020 ◽  
pp. 42-47
Author(s):  
I. S. Melnikova ◽  
E. V. Shkatova
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Practical Skills ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Work Program ◽  
First Aid Training ◽  
Udmurt Republic ◽  
Regular Training

Relevance. Timely competent provision of first aid by fire-fighters and rescuers can minimize the complications of injuries related to road traffic accidents, thereby supporting the lives of victims until the arrival of an ambulance team. Effective first aid training of the Emercom employees is a prerequisite for reducing mortality from road accidents at the pre-hospital stage.Intention. To analyze preparedness for first aid provision in the Udmurt Republic (Izhevsk city) among the EMERCOM of Russia employees directly involved in the elimination of the consequences of road accidents.Methodology. 199 employees of the Emercom of Russia were surveyed in the Udmurt Republic (Izhevsk) to assess their preparedness for the first aid provision based on a specially developed questionnaire.Results and Discussion. When processing the questionnaire data, it was found that 46.7 % of the respondents consider their knowledge and skills to be sufficient for providing first aid to victims of road accidents, 53.3 % are not satisfied with their practical skills. Before the arrival of medical workers, first aid was always provided to the injured by 10.5 %, sometimes by 31.2 % of the respondents. When tested on first aid issues, on average, each employee gave (73.1 ± 1.1) % correct answers. Periodically, 45.2 % of the EMERCOM of Russia employees practiced their skills in first aid on dummies.Conclusion. The results of the study showed the need to improve the regular training on the first aid among EMERCOM of Russia employees: to use dummies and simulators more widely. The data obtained can be used in planning the interagency interaction of services involved in the elimination of the consequences of road accidents, developing a work program for extended first aid for EMERCOM of Russia employees.

scholarly journals Epidemiology of Fractures in a Tropical Country

2017 ◽  
Vol 13 (24) ◽  
pp. 416
Author(s):  
Pascal Chigblo ◽  
Éric Lawson ◽  
Iréti Fiacre Tidjani ◽  
Adébola Padonou ◽  
Christian Térance Nezien ◽  
...  
Keyword(s):  
Road Safety ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Lower Limbs ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Tropical Country ◽  
Surgical Emergencies ◽  
Wheeled Vehicles

Introduction: The increasing number of vehicles and the proliferation of two-wheeled vehicles accentuate the frequency of fractures in our country. The aim of this study is to describe the epidemiology of fractures in Cotonou. Materials and Methods: This prospective two-year study focused on all patients admitted to the emergency department of the National Teaching Hospital of Cotonou for a fracture injury. Results: 1794 fractures were collected in 1432 patients. Fractures accounted for 24.9% of surgical emergencies. The average age was 33.7 years (29 days - 90 years). The dominance was male with a sex ratio of 3.62. Etiological circumstances were dominated by road traffic accidents (75.8%), The etiological circumstances were dominated by road accidents (75.8%), motorcyclists being the most affected (48.5%). The admission average was 27.33 hours (15 minutes - 29 days). Fractures preferentially sat on the lower limbs (64.4%). In descending order of frequency, were distinguished the fractures of leg (32.2%), of the femur (19.8%) and of the forearm (14.8%). Conclusion: fractures are common. The etiologies are dominated by traffic accident. The lesions predominate in the lower limb. The establishment of good road safety policy (improving track conditions, extension of the highway code ...) would reduce their frequency.

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