scholarly journals ROAD TRAFFIC ACCIDENT CASES AT BPKIHS, DHARAN, NEPAL: ONE YEAR IN RETROSPECT

2003 ◽  
Vol 35 (122) ◽  
pp. 241-244 ◽  
Author(s):  
Nilambar Jha
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
One Year

ABSTRACT

Outcome of Arthroscopic Subacromial Decompression for Shoulder Impingement Syndrome after a Whiplash Type Injury

2012 ◽  
Vol 4 (4) ◽  
pp. 263-265
Author(s):  
Srinivasan Shyamsundar ◽  
Radhakanth Pandey
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Impingement Syndrome ◽  
Study Group ◽  
Subacromial Decompression ◽  
Shoulder Scores ◽  
One Year ◽  
Arthroscopic Subacromial Decompression ◽  
Oxford Score

Introduction Road traffic accident (RTA) particularly with whiplash type injury has been associated with impingement syndrome of shoulder. However, the results of surgery for this group of patients have never been compared to the non accident group to see if the results are any different. In our study we aim to see if the results of these patients are worse after surgery as opposed to a group who did not sustain whiplash type injuries. Background To investigate the association between patients who have been involved in a Road Traffic accident sustaining a whiplash type injury presenting with impingement and asses their outcome after surgery. Methods The study group consisted of 13 patients. All of them where involved in a RTA where they were rear shunted and sustained a whiplash type injury. Arthroscopic subacromial decompression (ASD) was performed in 2005–09 for impingement. The mean age was 49.5 years. All patients were assessed with Oxford shoulder score preoperatively and at least twice post op (once within 3 months and once around the year mark). This group were compared with cohort of 13 consecutive patients (age and sex matched) done during the same period. Their scores were also assessed and analysed. Statistical tools were used to compare the results in the two groups. Results All 13 patients had an improvement in their Oxford score over one year. While the improvement was only marginal ( p = 0.08) in the first three months it was better at the end of the year ( p = 0.04). Comparatively in the cohort who haven't been involved in RTA the improvement was more marked in the first three months ( p = 0.05) and this improvement was maintained over the year ( p = 0.03). The overall improvement in Oxford score was more in the cohort of patients who were not involved in a RTA as opposed to our study group. Conclusion The results of the study show that even though there was an improvement in shoulder scores after an Arthroscopic Subacromial decompression it was much slower and overall results were far poorer in the study group as opposed to the controls. We conclude that caution should be used when offering ASAD for patients with Impingement following an RTA with a whiplash type injury more conservative measure should be pursued in these circumstances and if surgery is to be performed patients to be warned of prognosis.

scholarly journals (A151) The Situation of Reporting Road Traffic Accidents Resulting In Injury and Death in a Suburban Roadway: A Cohort Study

2011 ◽  
Vol 26 (S1) ◽  
pp. s52-s53
Author(s):  
H. Hatamabadi ◽  
H. Soori ◽  
M. Hadadi ◽  
R. Vafaii
Keyword(s):  
Cohort Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Complete Information ◽  
Health Care Facilities ◽  
Injury Surveillance System ◽  
Emergency Medical ◽  
One Year

IntroductionThe prerequisite of improving the situation of traffic accidents and injury prevention is to set up a “Road Traffic Accident and Victim Information System (RTAVIS)” which does not exist in Iran. The objective of this study was to compare the three major sources information including police, emergency medical service and hospitals to show the necessity of integrated road traffic injury surveillance system.MethodThis prospective cohort study has been done by pursuing each road traffic accident (RTA) case within 30 days of its occurrence by a draft questionnaire and data pooling from participating sources during one year.ResultsIn this study, after aggregating/ pooling the data from all organizations, it was finally revealed that during one year 254 injury crashes happened in Tehran–Abali road (with 45 Kilometer distance) in which 434 people were injured or died. Out of these injury crashes, Police and Emergency Medical Services (EMS) stated to be unaware of 67 and 51 cases, respectively. In other words, Police, pre- hospital emergency service and hospital have reported 56.2% 82.9% and 76.4% of the entire number of injuries or deaths respectively.ConclusionNone of the information sources including police, EMS and health care facilities has complete information about injuries and deaths caused by traffic accidents. It seems that formulating and implementing a centralized and multidisciplinary data collection system of national traffic accidents with the collaboration of police, Ministry of health and medical education (EMS and medical centers), forensic medicine, and Iranian Red Crescent is necessary.

scholarly journals Postmortem Study of Head Injury in Fatal Road Traffic Accidents

1970 ◽  
Vol 5 (2) ◽  
pp. 24-28 ◽  
Author(s):  
M Ahmad ◽  
FN Rahman ◽  
MH Chowdhury ◽  
AKMS Islam ◽  
MA Hakim
Keyword(s):  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Parietal Bone ◽  
Medical College ◽  
Abdominal Organs ◽  
One Year ◽  
Type Of Fracture

This study was conducted at the Dhaka Medical College (DMC) morgue among 100 postmortem cases of Road Traffic Accident (RTA) victims over a period of one year. The objective of this study was to find out incidences of head injury among the RTA victims along with other injuries and also to overview the present situation of RTA in the country. Out of 100 cases, 64% were male and 36% female. The highest incidence of RTA (28%) was observed among the age group 31 to 40 years. The highest number of victims were pedestrians (68%). Considering recorded causality by type of collision, hit pedestrian was the most common (39%), followed by head on collision (20%). Regarding injury pattern in different parts of body, all the victims had multiple abrasion and bruise, 90% had laceration, 78% had injury to brain and 77% victims had injury to abdominal organs like liver and spleen. In the skull, Linear/fissured fracture was the commonest type of fracture (36%), followed by comminuted fracture (18%). Temporal bone was observed most prone to be fractured (23%), followed by parietal bone (17%). Most of the victims had subdural haemorrhage (43%), followed by sub arachnoid haemorrhage (36%). Key words: Road traffic accident, head injury, postmortem. DOI: 10.3329/jafmc.v5i2.4579 JAFMC Bangladesh Vol.5(2) (December) 2009, pp.24-28

scholarly journals Predicting self-reported recovery one year after major road traffic accident trauma

2011 ◽  
Vol 43 (9) ◽  
pp. 776-782 ◽  
Author(s):  
M Hours ◽  
HT Nhac-Vu ◽  
P Charnay ◽  
L Chossegros ◽  
D Boisson ◽  
...  
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Major Road ◽  
One Year

Post-traumatic para-ureteral urinoma (uriniferous pseudocyst) in a cat

2002 ◽  
Vol 15 (02) ◽  
pp. 123-126 ◽  
Author(s):  
D. M. Anderson ◽  
E. A. Baines ◽  
R. A. S. White ◽  
N. J. Bacon
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Abdominal Distension ◽  
Retroperitoneal Space ◽  
Fibrous Capsule ◽  
Low Grade ◽  
Left Ureter ◽  
Post Traumatic ◽  
One Year

SummaryA para-ureteral urinoma was diagnosed in a one year old domestic longhaired cat presented with signs of lethargy and abdominal distension three weeks after a road traffic accident. The urinoma was caused by chronic low-grade extravasation of urine from the left ureter into the retroperitoneal space, resulting in cellulitis producing a thick fibrous capsule around the urine. Left sided ureteronephrectomy with capsular resection and omentalisation was curative.

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital-One Year Experience

2020 ◽  
Vol 23 (1) ◽  
pp. 19-24
Author(s):  
Md Mahmudul Islam ◽  
Khondkar A K Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Flail Chest ◽  
Ventilatory Support ◽  
Tube Thoracostomy ◽  
Female Ratio ◽  
Chest Wall Injury ◽  
One Year

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after trauma. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Methods: This is an observational study carried out in the department of Casualty, Chittagong Medical College Hospital over a period of one year (from April 2015 to March 2016). All the patients (both male and female) admitted in the casualty units within the specified period were included in this study. Result: The mean age was found 37.7±18.1 years and male-female ratio was 11.8:1. Almost one third (35.7%) patients were affected by road traffic accident. 42(27.2%) patients were found open pneumothorax followed by rib fracture-41(26.6%), haemopneumothorax-31(20.1%), pneumothorax- 14(9%), haemothorax-12(7.8%), chest wall injury-6(3.9%), tension pneumothorax-5(3.2%), and flail chest-3(1.9%). More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. Re-insertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients recovered well, 43(27.9%) patients developed complications and 6(3.9%) patients died. Conclusion: Most of the patients were in 3rd decade with male predominance. Road traffic accident was the commonest cause and open pneumothorax was the commonest chest trauma. Three-fourths were managed by tube thoracostomy. Nearly one third of the patients had developed complications and about four percent of patients died. Journal of Surgical Sciences (2019) Vol. 23 (1) : 19-24

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

Epidemiological Study of Road Traffic Accident Cases Attending the Civil Hospital, Ahmedabad

2012 ◽  
Vol 3 (8) ◽  
pp. 282-283
Author(s):  
Dr. Chhaya Lakhani ◽  
◽  
Dr. Rachana Kapadia ◽  
Dr. Dhara Prajapati ◽  
Dr. A.Bhagyalaxmi Dr. A.Bhagyalaxmi
Keyword(s):  
Epidemiological Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Civil Hospital

ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain
Keyword(s):  
Risk Factor ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Fatality Rate ◽  
Road Traffic Accidents ◽  
Road Crashes ◽  
Road Crash ◽  
Day By Day

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.

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