scholarly journals ASSESSMENT OF INJURIES IN ROAD TRAFFIC ACCIDENTS ADMITTED TO EMERGENCY DEPARTMENT OF GMCH, BETTIAH, WEST CHAMPARAN, BIHAR

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Arun Kumar Singh
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Health Sector ◽  
Road Traffic Accidents ◽  
Road Traffic Crashes ◽  
Pattern Of Injury ◽  
Traffic Rules

Majority of the world's fatalities on the roads occur in low-income and middle-income countries, even though these countries have approximately half of the world's vehicles. India is no exception and data showed that more than 1.3 lakh people died on Indian roads, giving India the dubious honour of topping the global list of fatalities from road crashes. Road traffic injuries have been neglected from the global health agenda for many years, despite being predictable and largely preventable. Evidence from many countries shows that dramatic successes in preventing road traffic crashes can be achieved through concerted efforts that involve, but are not limited to, the health sector. Hence based on above findings the present study was planned for Assessment of Injuries in Road Traffic Accidents Admitted to Emergency Department of GMCH, Bettiah, West Champaran, Bihar. The present study was planned in Department of Forensic Medicine, Government Medical College, Bettiah, West Champaran, Bihar, India from jan 2018 to Dec 2018.In the present study 20 cases suffered from the road traffic accidents were evaluated for the pattern of injury. A predesigned and pretested questionnaire especially designed for this purpose was used for interviewing the accident victims, either in the emergency itself or in the wards. In India, there are ample risk factors for RTAs to occur because of lack of proper infrastructural facilities, poor designs of roads, improper implementation of traffic rules and a high load of variety of vehicles on the roads.  Road traffic accidents with head injuries are much more common in young working males as compared to females and that to in those who were pedestrians and motor cyclists. The rate of incidence is higher in India because of bad traffic patterns and possibly the lack of awareness about traffic rules and also lack of good hospital services to our victims of RTAs. Keywords: Injuries, Road Traffic Accidents, Emergency Department, GMCH, Bettiah, West Champaran, Bihar, etc.  

scholarly journals Ocular morbidity following road traffic acccidents: a retrospective analysis

2017 ◽  
Vol 4 (4) ◽  
pp. 968
Author(s):  
Shubhra Das ◽  
Dipak Bhuyan ◽  
Sujit Addya
Keyword(s):  
Emergency Department ◽  
Visual Impairment ◽  
Retrospective Analysis ◽  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Visual Outcome ◽  
Road Traffic Accidents ◽  
Traffic Rules ◽  
Final Visual Outcome

Background: Ocular trauma is a well-known cause of blindness and visual impairment and in industrialised nations it has become the reason for extended hospitalization of ophthalmologic patients. Anually, there are in excess of 2 million cases of ocular trauma, with more than 40,000 individuals sustaining significant visual impairment on a permanent basis. The aim of the present study was to study the pattern of ocular involvement in variety of road traffic accidents, attending the emergency department of Gauhati Medical College and Hospitals; analyse and correlate various factors playing roles in etiology and evaluate the final visual outcome. Methods: The study was conducted at a tertiary care centre in which retrospective analysis of 500 cases, who sustained injury involving any part of eye due to road traffic accidents attending emergency department from 1st January 2014 to 31st December 2016, was performed. Results: The predominant age group was between 21-30 years of age with males (75.2%) dominating over female (24.8%). Lid injury in the form of abrasions, lacerations, oedema to full thickness tear, is the commonest presentation in majority of the studies. RTA is more common in rainy and winter months and during the daytime. Two (2) wheelers is the common type of vehicle involved. Final visual outcome in the present study is good and comparable to other studies. Conclusions: Driving under the influence of alcohol is an important etiology in Northeast India. A significant section of the patients were driving two-wheelers and not following the safety precautions as advised, which calls for rigorous implementation of traffic rules. Last but not the least, it is often said that the prevention is the best way to minimise such unwanted events. Public sensitisation, strict adherence to traffic rules and improved roads are some of the few steps that can go a long way to reduce such events. 

scholarly journals Head Injuries at the Emergency Department of a University Hospital

2020 ◽  
Vol 42 (3) ◽  
pp. 47-51
Author(s):  
Thérèse Henriksson ◽  
Jacob Kjellberg ◽  
Yogendra Shakya ◽  
Göran Kurlberg
Keyword(s):  
Emergency Department ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Head Injuries ◽  
University Teaching ◽  
University Hospital ◽  
Road Traffic Accidents ◽  
Emergency Visits ◽  
Traumatic Head

Introduction Traumatic head injuries constitute a major cause of morbidity and mortality worldwide. The developing world is particularly affected due to a high prevalence of risk factors and difficulties in enforcing preventive efforts. This study was carried out at the Emergency Department (ED), Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal – where head injuries account for five per cent of all emergency visits. The aim was to describe demographics, cause of trauma, type of injury, and severity according to the Glasgow Coma Scale (GCS), as well as the outcome of emergency attendance in patients seeking medical care for traumatic head injuries. Auxiliary aims were to study correlations between age, cause of trauma and injury severity. MethodsData from 577 cases of head injuries from June to October 2019 were collected retrospectively. ResultsTraumatic head injuries accounted for 5.2 % of all emergency visits. The median age was 23 years. Patients were predominantly male. Superficial injuries and concussions were the most common. Most injuries were mild (94.4 %, GCS 13–15) and caused by falls (51.3 %) or road traffic accidents (19.1 %). Fall accidents and mild injuries had the lowest median age. Patients from outside Kathmandu Valley constituted 44.9 % of the cases. Only 12.1 % of the patients were admitted to the hospital. ConclusionCommonest head injuries are mild and superficial; and are caused by falls and road traffic accidents. Most head injury patients are children.

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

2003 ◽  
Vol 43 (3) ◽  
pp. 236-240 ◽  
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.

scholarly journals Characteristics of Road Traffic Accident Cases Reported in a Tertiary Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin
Keyword(s):  
Cause Of Death ◽  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Military Hospital ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Road Traffic Crashes

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents.  Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217

Profile of Road Traffic Accidents–related Head Injuries in Alexandria During the Egyptian Revolution 2011

2015 ◽  
Vol 25 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Osama S. Abdelaziz ◽  
Mohamed N. Elwany ◽  
Mahmoud A. Abbassy ◽  
Mona S. Mostafa
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Road Traffic Accidents ◽  
Egyptian Revolution

Epidemiology of Traumatic Injuries in the Northeast Region of Haiti: A Cross-sectional Study

2015 ◽  
Vol 30 (6) ◽  
pp. 599-605 ◽  
Author(s):  
Adam R. Aluisio ◽  
Annelies De Wulf ◽  
Ambert Louis ◽  
Christina Bloem
Keyword(s):  
Emergency Department ◽  
Head And Neck ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Cross Sectional Study ◽  
Road Traffic Accidents ◽  
Sectional Study ◽  
Cross Sectional ◽  
Traumatic Injuries ◽  
Northeast Region

AbstractIntroductionMore than 90% of traumatic morbidity and mortality occurs in low- and middle-income countries (LMIC). Haiti is the poorest country in the Western Hemisphere and lacks contemporary statistics on the epidemiology of traumatic injuries. This study aimed to characterize the burden of traumatic injuries among emergency department patients in the Northeast region of Haiti.MethodsData were collected from the emergency departments of all public hospitals in the Northeast region of Haiti, which included the Fort Liberté, Ouanaminthe, and Trou du Nord sites. All patients presenting for emergent care of traumatic injuries were included. Data were obtained via review of emergency department registries and patient records from October 1, 2013 through November 30, 2013. Data on demographics, mechanisms of trauma, and anatomical regions of injury were gathered using a standardized tool and analyzed using descriptive statistics. Temporal analysis of injury frequency was explored using regression modeling.ResultsData from 383 patient encounters were accrued. Ouanaminthe Hospital treated the majority of emergent injuries (59.3%), followed by Fort Liberté (30.3%) and Trou du Nord (10.4%). The median age in years was 23 with 23.1% of patients being less than 15 years of age. Road traffic accidents (RTAs) and interpersonal violence accounted for 65.8% and 30.1% of all traumatic mechanisms, respectively. Extremity trauma was the most frequently observed anatomical region of injury (38.9%), followed by head and neck (30.3%) and facial (19.1%) injuries. Trauma due to RTA resulted in a single injury (83.8%) to either an extremity or the head and neck regions most frequently. A minority of patients had medical record documentation (37.9%). Blood pressure, respiratory rate, and mental status were documented in 19.3%, 4.1%, and 0.0% of records, respectively. There were 6.3 injuries/day during the data collection period with no correlation between the frequency of emergent trauma cases and day of the week (R^2=0.01).ConclusionsTraumatic injuries are a common emergent presentation in the Northeast region of Haiti with characteristics similar to other LMIC. Documentation and associated data to adequately characterize the burden of disease in this region are lacking. Road traffic accidents are the predominate mechanism of injury, suggesting that interventions addressing prevention and treatment of this common occurrence may provide public health benefits in this setting.AluisioAR,De WulfA,LouisA,BloemC.Epidemiology of traumatic injuries in the Northeast region of Haiti: a cross-sectional study.Prehosp Disaster Med.2015;30(6):599–605.

scholarly journals Pattern of traffic rules violations and the risk of fatal injuries in Mysuru city

2017 ◽  
Vol 4 (5) ◽  
pp. 1608
Author(s):  
Rashmi A. ◽  
Shrinivasa B. M. ◽  
Shrinivasa B. M. ◽  
Shrinivasa B. M. ◽  
Narayanamurthy M. R. ◽  
...  
Keyword(s):  
Road Safety ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Negative Impact ◽  
Case Fatality ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
The Government ◽  
Traffic Rules ◽  
Fatal Injuries

Background: In India, Road safety is an issue of national concern. Road accidents create negative impact on the economy, public health and the general welfare of the people. Every year the lives of approximately 1.25 million people are cut short as a result of road traffic accidents. Between 20 and 50 million more people suffer non-fatal injuries, with many incurring a disability as a result of their injury. Reliable road traffic injury surveillance is an important component of evidence based road safety policy making. Methods: A cross sectional study was conducted for the period of 3 months in Mysuru city. The present study included all the 5 Traffic Police stations coming under Mysuru city. Before conducting the study, permission to collect all the relevant information is obtained from the in charge of the stations. Retrospective data regarding the traffic rules violations, fatal and non-fatal injuries are obtained in the fixed format prescribed by the government which is maintained uniformly by all the police stations. Data collected was entered in MS office excel sheet and analyzed using statistical package for social sciences (SPSS) software version 22.0. Results: From the study we can observe that there is a drastic increase in the total number of traffic crimes in 2015 compared to 2014. Case fatality of road traffic accident showed decreasing trend from the year 2013. It was evident from the study that there was no significant correlation between total number of accidents every year with violation of traffic rules (r = -0.86 p =0.338). Similarly  There was no significant correlation between the number of persons killed every year with violation of rules by riding two wheeler without helmet(r = -0.380 p =0.752). Conclusions: With massive investment in roads and the exponential growth in the number of vehicles it has become necessary to have a system, which integrates all disciplines that influence road safety. In depth evaluation of the road traffic accidents to build infrastructures and to reinforce the regulations specific to local needs is required. 

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