Abdominal bleeding in victims with abdominal-vertebral injury as a result of road accidents

One of the main factors for increasing mortality from injuries and injuries is road traffic injuries. With a combined and isolated abdominal trauma, the operational activity reaches 88%, significantly exceeding that in injuries of the limbs, pelvis, chest and head injuries. The purpose of our work was to reduce the lethality of internal bleeding in victims of abdominal-vertebral trauma as a result of an accident by improving medical diagnostic tactics and provision of emergency surgical care. We analyzed the treatment of 122 victims with abdominal-vertebral trauma as a result of an accident, were hospitalized in the Kiev City Clinical Emergency Hospital for the period from 2013–2017. Abdominal bleeding of different volume in case of concomitant abdominal-vertebral injury as a result of an accident occurs in 37.4% of cases and is shocking in 57.4% of cases. The main source of hemoperitoneum is damage to the parenchymal abdominal organs. A feature of spleen and liver injury is the weak correlation between the mechanism of combined trauma and the degree of damage to the parenchymal abdominal organs.

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The role of thematic expertise of medical care quality in improvement of results of its performance in cases of acute pancreatitis

Vestnik of Russian military medical Academy ◽

10.17816/brmma25977 ◽

2020 ◽

Vol 22 (1) ◽

pp. 105-112

Author(s):

O N Scryabin ◽

K N Movchan ◽

V V Tatarkin ◽

O A Klitsenko ◽

Yu M Morozov ◽

...

Keyword(s):

Acute Pancreatitis ◽

Medical Care ◽

Care Quality ◽

Diagnostic Process ◽

Abdominal Organs ◽

Treatment Measures ◽

Medical Diagnostic ◽

Surgical Teams ◽

Operational Activity

The parameters of assessing the quality of medical care provided in 2014 to 416 patients with acute pancreatitis in 9 hospitals in St. Petersburg were expertly studied. All medical institutions were licensed in the format of providing services for the examination and treatment of patients suffering from acute surgical diseases of the abdominal organs. According to the results of the data analysis, a correlation was observed between the consequences of defects in the medical diagnostic process in medical organizations with insufficient regulation and activity in clinical expert work on the profile of “abdominal surgery”. The facts of overdiagnosis of cases of acute pancreatitis in mild variants of the severity of the disease have been established. Preservation of low operational activity indicators in the treatment of patients with acute pancreatitis without a tendency to use (when indicated) modern (primarily, endovideo surgical) technologies has been observed. It was noted that with a positive (in general) trend in the development of emergency pancreatology, in cases of assessing the particular results of the activities of specialists of specific surgical teams involved in providing medical care to patients with acute pancreatitis, compliance with systemic clinical and expert approaches with timely management decisions should be a priority in quality management of diagnostic and treatment measures. It is substantiated that the calculation of the volume of medical care for residents of a metropolis with acute pancreatitis should be based on the quality of the examination and treatment of patients with this disease on the basis of a thematic examination of assessing the conformity of the diagnostic process to the level of modern ideas about the theory of development and course of this disease.

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Analysis of cranio-cerebral injuries in vehicular accident victims in south Bangalore: A two-year retrospective study

Indian Journal of Forensic and Community Medicine ◽

10.18231/j.ijfcm.2021.029 ◽

2021 ◽

Vol 8 (3) ◽

pp. 143-146

Author(s):

Gopal B K ◽

Jagannatha S R ◽

Viswakanth. B ◽

Harsha R G

Keyword(s):

Traffic Accidents ◽

Emergency Services ◽

Road Traffic ◽

Head Injuries ◽

The Body ◽

Skull Fractures ◽

Road Accidents ◽

Male Predominance ◽

Study Population ◽

Related Mortality

Road traffic accidents are regarded as the most common non communicable epidemics of the world. They are also a major cause for morbidity and mortality. The most common and vulnerable part of the body which is affected during road accidents is the head. This study was done at KIMS hospital Bangalore with an aim to observe the range of cranio-cerebral injuries by analysing the postmortem records between January 2011 to December 2012 retrospectively, which would provide valuable data for implementing effective emergency services to reduce trauma related mortality. During the 2-year study period the study population had a total of 143 decedents ranging between age 5 years to 84 years. Victims of both sexes comprised the study population. The spectrum of head injuries with respect to incidence of skull fractures and type of intracranial haemorrhage were noted. Male predominance was seen over females in 83% of cases. The most common age group to be affected was between 21-30 years, who made 30% of study population. 52% of the decedents had skull fractures, of which 50% of them had sub-arachnoid haemorrhage followed by 47% of decedents with sub-dural hemorrhage. Pedestrians accounted to 38% of the decedents while the remainder 62% accounted for vehicular occupants.

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Epidemiology and Treatment Outcomes of Head Injury in Bangladesh: Perspective from the Largest Tertiary Care Hospital

Indian Journal of Neurotrauma ◽

10.1055/s-0040-1718780 ◽

2021 ◽

Author(s):

Sukriti Das ◽

Bipin Chaurasia ◽

Dipankar Ghosh ◽

Asit Chandra Sarker

Keyword(s):

Head Injury ◽

Road Traffic ◽

Head Injuries ◽

Skull Fracture ◽

Tertiary Care ◽

Acute Subdural Hematoma ◽

Care Hospital ◽

Female Ratio ◽

Mortality And Morbidity ◽

The Government

Abstract Background Traumatic brain injury (TBI) is one of the leading causes of mortality and morbidity. Economic impact is much worse in developing countries like Bangladesh, as victims are frequently male, productive, and breadwinners of the families. Objectives The objective of our study was to highlight the etiological pattern and distribution of varieties of head injuries in Bangladesh and give recommendations regarding how this problem can be solved or reduce to some extent at least. Methods From January 2017 to December 2019, a total of 14,552 patients presenting with head injury at emergency got admitted in Neurosurgery department of Dhaka Medical College and Hospital and were included in this study. Results The most common age group was 21 to 30 years (36%: 5,239) with a male-to-female ratio of 2.6:1. Injury was mostly caused by road traffic accident (RTA [58.3%: 8,484]), followed by fall (25%: 3,638) and history of assault (15.3%: 2,226). The common varieties of head injury were: acute extradural hematoma (AEDH [42.30%: 1,987]), skull fracture either linear or depressed (28.86%: 1,347), acute subdural hematoma (ASDH [12.30%: 574]), brain contusion (10.2%: 476), and others (6.04%: 282). Conclusion RTA is the commonest cause of TBI, and among them motor bike accident is the severe most form of TBI. AEDH is the commonest variety of head injuries. Proper steps taken by the Government, vehicle owners, and drivers, and proper referral system and prompt management in the hospital can reduce the mortality and morbidity from TBI in Bangladesh.

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Modeling the Vehicle-Bicycle Collision - The Analysis of the Projection Distance and Acceleration at the Cyclist's Head

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.880.177 ◽

2018 ◽

Vol 880 ◽

pp. 177-182 ◽

Cited By ~ 2

Author(s):

Oana Victoria Oţăt ◽

Ilie Dumitru ◽

Victor Oţăt ◽

Lucian Matei

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Road Accidents ◽

Speed Variation ◽

Close Analysis ◽

Collision Type ◽

Projection Distance ◽

Negative Effect ◽

Head Area ◽

Road Traffic Networks

The ever-growing demand for transportation and the need to carry both people and goods has led to increased congestions of road traffic networks. Subsequently, the main negative effect is the multiplication of serious road accidents. Of the total number of serious road accidents, a significant increase has been registered among cyclists, with 13.9% in 2014 of total vehicles involved in traffic accidents, compared to 6.6% in 2010. The present paper underpins a close analysis of the kinematic and dynamic parameters in the event of a vehicle - bicycle – cyclist assembly – collision type. To study the vehicle-bicycle-collision type, we carried out a comparative analysis with regard to the distance the cyclist is thrown away following the collision, the speed variation of the vehicle and of the bicycle, and the speed variation in the cyclist’s head area, as well as the variation of the acceleration recorded on the vehicle, the bicycle and the cyclist’s head area. Hence, we modelled and simulated the vehicle – bicycle collision for two distinct instances, i.e. a frontal vehicle – rear bicycle collision and a frontal vehicle - frontal bicycle collision.

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Pattern of major injuries after motorcycle accidents in Egypt: The Mansoura Emergency Hospital experience

Trauma ◽

10.1177/1460408616652924 ◽

2016 ◽

Vol 19 (1) ◽

pp. 39-45 ◽

Cited By ~ 2

Author(s):

El Yamani Fouda ◽

Mohamed Youssef ◽

Sameh H Emile ◽

Hossam Elfeki ◽

Waleed Thabet ◽

...

Keyword(s):

Road Traffic ◽

Head Injuries ◽

Age Groups ◽

Road Traffic Injuries ◽

Emergency Hospital ◽

Chest Injuries ◽

The Common ◽

Orthopedic Injuries ◽

Motorcycle Accidents ◽

Motorcycle Crashes

Background and aim Motorcycle accidents are one of the leading causes of road traffic injuries and mortality. The aim of this study was to determine the common patterns of major injuries associated with motorcycle accidents in patients attending Mansoura University Emergency Hospital in Egypt, and to measure the magnitude of the problem in our community. Patients and methods Patients involved in motorcycle crashes who were admitted to the hospital during August 2014 to April 2015 were retrospectively reviewed. All age groups and both genders were included. Results Two hundred patients (181 males) with a mean age of 30.7 ± 10.5 years were included with the majority of patients aged 20–40 years. Head injuries were the most frequent fatal injuries (9/61) patients; orthopedic injuries were the most common injuries, occurring in 78.5% of victims. Multisystem injuries occurred in 28% of patients. None of the motorcyclists involved in accidents wore helmets. Conclusion Motorcycle accidents are a common cause of road traffic injuries and mortalities in Egypt, occurring mainly in males aged 20–40 years. The majority of victims had an isolated trauma to single body system. Orthopedic injuries were the most common and least fatal type of injuries. The highest fatalities were among patients with chest injuries then patients with head injuries. None of the victims wore protective clothing or helmets at the time of accident.

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A Study of the Investigation of Death (Coroner System) in Sri Lanka

Medicine Science and the Law ◽

10.1258/rsmmsl.43.3.236 ◽

2003 ◽

Vol 43 (3) ◽

pp. 236-240 ◽

Cited By ~ 2

Author(s):

R Fernando

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Sri Lanka ◽

Traffic Accidents ◽

Road Traffic ◽

Head Injuries ◽

The Other ◽

Road Traffic Accidents ◽

Natural Death ◽

Early Nineteenth Century

Sri Lanka (Ceylon) inherited the `coroner system' of investigating death in the early nineteenth century. Unlike in England and Wales, the coroner system in Sri Lanka did not change much in the last century. This study, the first of its kind, was performed for a period of three months in 1995 to analyse the causes and circumstances of deaths reported for inquest, and the number of autopsies performed. Of the 868 cases reported to the Inquirer, the circumstances were not determined in 94 cases at the initial inquest proceedings. Of the other 774 cases, 454 (58.7%) were natural deaths. Autopsies were performed on 44.5% of natural deaths, 58.2% of accidental deaths, 96% of road traffic accidents, 44.9 % of suicides and 81.6% of homicides. Coronary heart disease was the leading cause of natural death (33.9%). Head injuries were responsible for 31.8% of accidental deaths while burns accounted for 24.5% of accidental deaths and 46.3% of suicides. There were 38 cases (4.9%) of homicide of which autopsies were performed in 31. There is an urgent need to reform the century-old laws relating to inquest procedures in the country.

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Road Transport Accidents in Nigeria and the Role of Automotive Active Safety System

TRANSACTIONS of the VŠB – Technical University of Ostrava Safety Engineering Series ◽

10.1515/tvsbses-2016-0007 ◽

2016 ◽

Vol 11 (1) ◽

pp. 49-54

Author(s):

Olasunkanmi Oriola Akinyemi ◽

Hezekiah O Adeyemi ◽

Olusegun Jinadu

Keyword(s):

Traffic Safety ◽

Traffic Accidents ◽

Road Traffic ◽

Transportation Network ◽

Road Transport ◽

Road Accident ◽

Active Safety ◽

Road Accidents ◽

Road Transportation ◽

Road Traffic Safety

Abstract Analysis of road traffic accidents revealed that most accidents are as a result of drivers’ errors. Over the years, active safety systems (ASS) were devised in vehicle to reduce the high level of road accidents, caused by human errors, leading to death and injuries. This study however evaluated the impacts of ASS inclusions into vehicles in Nigeria road transportation network. The objectives was to measure how ASS contributed to making driving safer and enhanced transport safety. Road accident data were collected, for a period of eleven years, from Lagos State Ministry of Economic Planning and Budget, Central Office of Statistics. Quantitative analysis of the retrospective accident was conducted by computing the proportion of yearly number of vehicles involved in road accident to the total number of vehicles for each year. Results of the analysis showed that the proportion of vehicles involved in road accidents decreased from 16 in 1996 to 0.89 in 2006, the injured persons reduced from 15.58 in 1998 to 0.3 in 2006 and the death rate diminished from 4.45 in 1998 to 0.1 in 2006. These represented 94.4 %, 95 % and 95 % improvement respectively on road traffic safety. It can therefore be concluded that the inclusions of ASS into design of modern vehicles had improved road safety in Nigeria automotive industry.

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The system analysis and mathematical modeling road accidents in the metropolis

«System analysis and applied information science» ◽

10.21122/2309-4923-2019-1-4-8 ◽

2019 ◽

pp. 4-8

Author(s):

A. G. Davidovsky ◽

A. M. Linnik

Keyword(s):

Mathematical Modeling ◽

Traffic Safety ◽

System Analysis ◽

Safety Management ◽

Road Traffic ◽

Time Of Day ◽

Road Accidents ◽

Traffic Incidents ◽

Day Of The Week ◽

Pedestrian Collisions

The article presents the results of correlation analysis of the causes of road accidents in such a modern metropolis as Minsk. Has been identified the most frequent causes of road accidents, including pedestrian collisions caused by drivers, collisions at intersections, incidents at controlled and unregulated pedestrian crossings, as well as on the roadway. The dependence of transport incidents on the time of day, day of the week and month of the year was investigated. Shows the periods when road traffic incidents occur from 3.00 to 6.00 h, from 15.00 to 18.00 and from 21.00 to 24.00 on Monday, Friday and Sunday in January, March, June, September, October and November. Methods of correlation and multiple regression analysis can be the basis of preventive traffic safety management in a modern metropolis.

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Epidemiological study of fatal road traffic accident cases

Indian Journal of Forensic and Community Medicine ◽

10.18231/j.ijfcm.2021.051 ◽

2021 ◽

Vol 8 (4) ◽

pp. 255-257

Author(s):

O Gambhir Singh

Keyword(s):

Epidemiological Study ◽

Traffic Accident ◽

Road Traffic ◽

Head Injuries ◽

Case Fatality ◽

Lower Limbs ◽

Care Centre ◽

Health Care Centre ◽

Female Ratio ◽

Male Female Ratio

The present study is an epidemiological study of fatal Road Traffic (RTA) cases brought and admitted in our tertiary health care centre from Nov 2017 to December 2019. There were 148 fatal RTA cases involving 112 males and 36 female. In the present study males cases outnumbered the female with an approximate male female ratio of 3.1:1. Many cases of fatal head injuries were due to four & two wheelers. Most commonly seen external injuries were abrasions. Lower limbs showed fractured in 31 cases, 20.95%, and upper limbs showed fractured in 22 cases, 14.89%. So, far case fatality is concerned involvement of head plays the most important role.

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