scholarly journals Patterns and Severity of Injuries in Patients Following Road Traffic Accidents – A Medicolegal Aspects

2020 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Archana Chaudhary ◽  
Harihar Wasti
Keyword(s):  
Traffic Accidents ◽  
Analytical Study ◽  
Road Traffic ◽  
Tertiary Care ◽  
Fracture Dislocation ◽  
Common Finding ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Tertiary Care Centre ◽  
Life Threatening

 Background and purpose: Road traffic accident (RTA) is the major cause of the morbidity and mortality throughout the world and the incidence is still very high in developed and developing countries. With the objective to see the pattern and severity of the injury following RTA from the medico legal point of view, this study was design in a tertiary care centre at far eastern part of Nepal. Material and method: This is a prospective analytical study with non- probability consecutive sampling of road traffic accidents cases presented in the emergency department during period of 6 months. Type of study: Prospective Analytical study.  Result: There were total 210 cases of road traffic accidents with mean age of 31.8 (SD 15.7) years where majority were at 20-29 years of age group and males were the majority. Majority of the cases had injuries to the extremities followed by head. Grievous injury and life threatening injuries were also a common finding in this study. Conclusion: Road traffic accidents are more common among male, bike/scooter rider and 22-29 years of age group. Majority of the injury were fracture/dislocation of extremities and intracranial injuries. As per the medicolegal aspect, grievous and life threatening injuries were common findings among patients with road traffic accidents.

scholarly journals Epidemiological study of road traffic injury victims attending a tertiary care centre in Hyderabad

2020 ◽  
Vol 7 (5) ◽  
pp. 1699
Author(s):  
Qurat Ul Ain Shadan Taj ◽  
Karmakonda Anil Kumar
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Road Traffic Injury ◽  
Road User ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Tertiary Care Centre ◽  
Traffic Injury ◽  
Road Users

Background: Increased vehicular traffic on roads has now begun to cause road traffic accidents. Road traffic injuries will rise to become the fifth leading cause of death by 2030. In India every year road traffic accidents (RTA) accounts for over 1,00,000 deaths, 2 million hospitalization and 7.7 million minor injuries. The objective of the study was to study the socio-demographic profile and the epidemiological factors related to RTA.Methods: It is a cross-sectional, hospital based descriptive study done on all road traffic injury victims admitted at Owaisi hospital attached to deccan college of medical sciences between April 2013 and July 2014. 573 RTA victims were interviewed using a predesigned questionnaire.Results: Majority of the victims were from the age group of 25 to 39 years (38.4%). Majority are males (85.5%). Majority victims had a primary level of education (29.3%), followed by illiterates (20.6%). Majority victims were from upper lower socio-economic class (34.5%) and lower class (30.4%). Majority of the accidents occurred on weekends (57%). Maximum road traffic accidents (45%) occurred during rainy season. Majority of the road user victims were drivers (47%). Motorised two wheelers (43%) were the leading road users among the victims.Conclusions: Majority of the victims being in the productive age group. Public should be sensitized about the raise in road traffic accidents especially in peak hours and weekends. Motorcyclists being the leading road users among victims must be counselled regularly regarding proper road safety measures.

scholarly journals Clinical Profile and Visual Outcome of Blunt Ocular Trauma in a Tertiary Care Centre of Central India: A Prospective Study

2020 ◽  
Vol 7 (11) ◽  
pp. 5063-5069
Author(s):  
Sandeep Jawade ◽  
Rahul Dagwar ◽  
Ravi Chauhan
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Central India ◽  
Visual Outcome ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Care Centre ◽  
Tertiary Care Centre

Introduction: Ocular trauma is a major cause of visual morbidity and Visual impairment leading to injury of the globe, optic nerve and adnexa ranging from superficial to vision-threatening complications. Objective: To study the factors leading to blunt ocular trauma, its characteristics, presentation and Outcome. Methods: Hospital-based prospective study conducted at the tertiary care centre of central India. The patient was assessed and if required, admitted. They were followed up on 1st week,1st month,6th month and were assessed for visual outcome and complications. Results: Male constituted 66% and female 34% of all patients. This study had patients of age ranging from 3 to 90 years. Most of the patients were found in the age group of 31-40 years(20.3%). In our study which included 103 cases, there were 20% cases of RTA and 80% cases of non-RTA. 85(82.5%) had lid oedema with chemosis of conjunctiva.87(84.4%) patients had a sub-conjunctival haemorrhage.16 patients (15.5%) presented with a corneal abrasion.32 patients(31.06%) presented with traumatic hyphaema.2 patients(1.9%) had traumatic optic neuropathy.7 patients(6.7%) presented with Berlin’s oedema and 8(8.1%) presented with angle recession glaucoma. Final visual outcome of patients was,1 patient(0.97%)had no perception of light,4 patients(3.8%) had visual acuity of perception of light and projection of rays inaccurate. 7 patients(6.7%) had vision perception of light and projection of rays accurate.45(43.68%) patients regained visual acuity of 6/6 Conclusion: Blunt trauma was more common in males. Most common age group was 4th decade. Road traffic accidents constituted a large number of blunt injuries. Road traffic accidents had a high rate of visual loss due to optic nerve injury.                                                                                                            

scholarly journals A study on ocular injuries following road traffic accidents

2017 ◽  
Vol 5 (2) ◽  
pp. 627
Author(s):  
B. S. Puzari ◽  
R. K. Das ◽  
Indira Pegu
Keyword(s):  
Risk Factors ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Care Hospital ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Public Health Importance ◽  
Ocular Injuries

Background: Ocular injuries in road traffic accidents (RTA) constitute a major but preventable cause of visual morbidity worldwide and so it is of public health importance. Aim of the study was to assess the visual outcome in patients attending tertiary care hospital with ocular injuries following RTA and compare various associated risk factors.Methods: A prospective study was done with 60 cases of ocular injuries following road traffic accidents in Assam Medical College and Hospital to find out the visual outcome and compare various risk factors .Detailed history and clinical evaluation was done with follow up at 1st and 3rd week.Results: Maximum cases were seen in the age group of 30-40 years, more in males (76.66%); with 78.33% in two wheelers. Out of the 60 cases, 38.33% occurred at night, 21.66% was under the influence of alcohol. 15.27% of patients presented with diminished vision, out of which 15% cases reported with severe ocular morbidity like vitreous haemorrhage, lens dislocation, sclera-corneal tear etc.Conclusions: Younger age group was mostly affected with male preponderance, alcohol and two wheelers being quite important risk factors. Early treatment of ocular injuries and use of protective wear result in better visual outcomes.

scholarly journals Clinical profile and outcome of chest trauma: a four year retrospective analysis at a tertiary care centre

2019 ◽  
Vol 6 (7) ◽  
pp. 2519
Author(s):  
Syed Quibtiya Khursheed ◽  
Waseem Ashraf ◽  
Ajaz Ahmad Rather ◽  
Shams-Ul-Bari .
Keyword(s):  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Chest Injury ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Tertiary Care Centre ◽  
Chest Injuries

Background: Chest trauma comprises about 10-15% of all traumas and 25% of all deaths from traumatic injury. Chest injuries are cause by blunt mechanisms such as road traffic accidents or penetrating mechanisms such as stab and missile injuries. Traumatic chest injuries are the most common cause of preventive mortality and morbidity.Methods: A retrospective study of all patients with chest injury presenting to Emergency Department of SKIMS Medical College, Srinagar was done.  Records of all the patients were retrieved. A complete data regarding age, gender, mode/type of injury, extra thoracic injuries, mode of management and outcome was gathered.Results: A total number of 1429 trauma patients presented to AE of which 160 patients (11.2%) had chest trauma. Majority of the patients (51.87%, n=83) were of age group of 21-40 years. A male preponderance was observed. Road traffic accidents were major causes of blunt chest injury, while gunshot injury was the major causes of penetrating chest injuries. Head and neck injuries were the most common associated injuries. Tube thoracostomy was the commonest modality of management (65%) and (28%) patients were managed conservatively.  Severity of chest trauma and associated injuries coupled with prompt diagnosis and treatment were important factors in efficient management of chest injuries.Conclusions: Chest trauma resulting from road traffic accidents remains the major mechanism of injury. Preventive measures aimed at educating the common masses about traffic rules and strictly implementing them is indispensable to reduce the incidence of chest injuries.

scholarly journals Profile of ocular injuries amongst various trauma patients presenting to tertiary care centre of Punjab

2022 ◽  
Vol 7 (4) ◽  
pp. 642-647
Author(s):  
Anubha Bhatti ◽  
Arushi Kakkar ◽  
Shakeen Singh
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Ocular Injury ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Trauma Society

To study the epidemiology and clinical profile of ocular trauma patients presenting to tertiary care centre. Prospective study. All patients of ocular trauma in OPD/Emergency were assessed for detail between 1/1/17 to 31/6/18 and data on demographic profile was established as per guidelines of Ocular Trauma Society of India. Patients were categorized in different segments and assessed/followed for visual impairment in particular. A total of 246 cases were examined out of which 87% were males. The most common mode of ocular injury was Road Traffic Accidents. Pediatric eye trauma constituted 16.7% of the total cases. 26.8% cases arrived to our centre between 4-24 hours and 62.6% cases presented after 24 hours. Amongst 131 cases of Road Traffic Accidents, none of them were using protective measures like helmets or goggles. Of these, 17.1% were under the influence of alcohol. 28.5% were involved in medicolegal proceedings. Majority of the cases comprised of monocular trauma (78.1%). Closed globe injuries constituted 88.94% of the total cases of which most cases presented with lid edema and ecchymosis. Chemical injuries were reported in 4.5% cases. 9 patients lost vision completely and 71 cases had vision from light perception to 6/18. Ocular trauma is one of the common causes of ocular morbidity. It has been seen predominantly in male population. Public needs to be educated about safety measurements and education about prompt need to specialised care to reduce ocular trauma related visual morbidity.

scholarly journals A Study on the Socio-Demographic Profiles of Road Traffic Accident Cases Attending a Peripheral Tertiary Care Medical College Hospital of West Bengal

2021 ◽  
Vol 8 (15) ◽  
pp. 945-949
Author(s):  
Sirshak Dutta ◽  
Debasis Sarkar ◽  
Nazrul Mallick
Keyword(s):  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Age Group ◽  
Road Traffic Accidents ◽  
The Road ◽  
Safety Rules

BACKGROUND A road traffic accident (RTA) is any injury due to crashes originating from, terminating with or involving a vehicle partially or fully on a public road. Increased mechanisation and improved socio-economic condition of the people in developing countries like India leads to increased use of motor vehicles, disproportionate to the increase in the number of roads. We wanted to assess the socio-demographic profile of road traffic accident victims and study the antecedent factors influencing the road traffic accidents. METHODS This is an institution based descriptive, cross-sectional study, conducted among 114 patients. RESULTS Maximum numbers of the victims, 33.32 % (N = 38) were in the age group of 21-30 years followed by 26.31 % (N =30) in the age group of up to 20 years, mean age of the victims was 29.53 ± 13.85. Majority of the victims, 70.05 % (N = 80) were on motorcycles, and 26.32 % (N =30) of the victims were alcoholic at the time of accident. Majority of the victims, 92.86 % (78 out of 84), among the motor-cycle riders, four-wheeler drivers, and front seat passengers had not used any safety measures at the time of accident. CONCLUSIONS Road traffic accidents emerged as the major epidemic of non-communicable disease, holding a major share of mortality and morbidity data all over the world, majorly among the young productive portion of the population. It was evident from the study that the majority of victims were young adults, from lower socioeconomic background, and rural residents. So, lack of proper information and consciousness regarding road safety rules and measures are definitely the important aetiology behind this epidemic. Almost two third of the cases were among the bikers in the present study, which is pointing out the need of focusing on the road safety rules related to bikers by the road traffic authority. KEYWORDS Alcoholic Intoxication, Motor Vehicle, Road Traffic Accidents, Tertiary Care Centre

scholarly journals The prevalence of ocular manifestations in road traffic accidents treated at a rural tertiary care hospital in south india: a cross sectional study

2017 ◽  
Vol 5 (10) ◽  
pp. 4380
Author(s):  
Liji Menon ◽  
Soman Mani ◽  
Anna Mathew
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Care Centre ◽  
Periorbital Edema ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Ocular Injuries

Background: Ocular injuries following road traffic accidents (RTA) is one of the common causes of ophthalmological morbidity and unilateral blindness. The aim of this study was to document the epidemiological pattern of ocular injures caused by RTA in a cross-sectional population brought to a tertiary care centre in rural southern India.Methods: After receiving institutional ethics committee approval, all patients over the age of 10 years, who came to the emergency department (ED) of this rural tertiary care centre with alleged history of RTA, during the period, July-December 2015 were serially enrolled to participate in the study after obtaining written informed consent. The sample size for 95% confidence level and precision of 5% was calculated to be 191.Results: Out of the 832 cases of RTA presenting to the ED, 191 (23%) had ocular injuries. There were 186 (97.38%) closed globe injuries and 5 (2.6%) open globe injuries. Eight (4.1%) patients with ocular injuries had no perception of light in the affected eye after the accident. The commonest injury was periorbital edema and ecchymosis (68.6%) followed closely by eyebrow laceration (63.9%) and lid laceration (48.2 %). The commonest anterior and posterior segment injuries were traumatic optic neuritis (6.3%) and vitreous or retinal haemorrhage 4 (2.09%) respectively.Conclusions: In this study, the prevalence of ocular involvement in RTA was is 23%. Most of the injuries were closed globe injuries and periorbital edema and ecchymosis were the commonest type of injury occurring followed by eyebrow and lid laceration. 

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