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 Clinical Evalution of the Results of Jewett Nail Plate Fixation for Trochanteric Fracture

1970 ◽  
Vol 15 (2) ◽  
pp. 78-80
Author(s):  
Bipul Kumar Dam
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Plate Fixation ◽  
Nail Plate ◽  
Trochanteric Fracture ◽  
Trochanteric Fractures ◽  
Medical College ◽  
Type Of Fracture

This study was carried out on 53 patients admitted in the Department of Orthopaedics,Rajshahi Medical College who were admitted with trochanteric fractures and were operated.Among them, 37 (69.81%) patients had their fracture due to fall on the ground during walkingand 16 (30.19%) sustained injury due to road traffic accident. Regarding type of fracture 30(56.60%) had stable fracture and 23 (45.40) had unstable fracture.doi: 10.3329/taj.v15i2.3913TAJ December 2002; Vol.15(2): 78-80

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 Comprehensive study of blunt injury abdomen in medical college, Chennai, India

2018 ◽  
Vol 5 (12) ◽  
pp. 3909
Author(s):  
Vimala Gopalakrishnan ◽  
Sangamithra Anandaraja ◽  
Vinayak Rengan ◽  
Chetna Ravindra
Keyword(s):  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Ct Scanning ◽  
The Other ◽  
Blunt Injury ◽  
Medical College ◽  
The Third ◽  
Comprehensive Study

Background: Abdomen is the third most common organ injured following extremities and head injury. CT scanning has increased the identification of injuries. The care of the trauma patient is demanding and requires dedication, diligence, and efficiency. To evaluate the type and frequency of injury of various intraabdominal organs in the blunt trauma of the abdomen.Methods: After a primary survey of these patients, brief history and complete physical assessment all the basic investigations were done. Skiagrams were taken routinely. Ultrasonogram (F.A.S.T SCAN) was done for all cases and a CT scan was done for selected cases.Results: Road traffic accident was the most common mode of injury accounting for 76% cases. 36% of the cases were in the third decade of their lives. Spleen was the most common injured organ accounting for 52% of the cases.Conclusions: Solid organs like spleen and liver were more commonly injured in blunt injury to abdomen than the other organs like mesentery, retroperitoneum, bladder etc.

scholarly journals The Pattern of Injury from Road Traffic Accident Presenting at Emergency Department of Kathmandu Medical College

2019 ◽  
Vol 17 (2) ◽  
pp. 206-208
Author(s):  
Anu Kushwaha ◽  
Pankaj Singh
Keyword(s):  
Emergency Department ◽  
Teaching Hospital ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
College Teaching ◽  
Road Traffic Accidents ◽  
Medical College ◽  
Type Of Injury

Background: Road traffic accidents are the major public health problem. The objective of the study was to analyze road traffic accidents presenting in Kathmandu Medical College Emergency Department.Methods: The data from all consecutive road traffic accident cases brought to Emergency Department Kathmandu Medical College Teaching Hospital were collected from 2018 Jan-2018 June. Factors like age of the patients, time of the accident, influence of illicit substances and type of injury were documented.Results: Males (74) were common victims than the females (26). Eldest patient was 65 years of the age while youngest patient was 4 years. Most common type of injury was fracture in male 28 (37%)and laceration in females8 (38%). Alcohol intoxication was evident by positive alcohol smell test in 10 (13.6%) males and 6(23%) females. Conclusions: Road traffic accidents are major health concern in Kathmandu Medical College Teaching Hospital and preventive measures should be considered to reduce such health burden. Keywords: Alcohol; Injury;Pattern; RTA.

scholarly journals Road traffic accidents with head injury: delay in treatment and socioeconomic and legal impact

2016 ◽  
Vol 4 (1) ◽  
pp. 25
Author(s):  
. Urfi ◽  
Ali Amir ◽  
Salman Khalil ◽  
Mohd F. Hoda
Keyword(s):  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Cross Sectional Study ◽  
Economic Losses ◽  
Hospital Treatment ◽  
Road Traffic Accidents ◽  
Cross Sectional

Background: Road traffic accidents (RTAs) with the head injury warrants early treatment. The delay in receiving the specialized care adversely affects the outcome. Economic losses due to RTA with the Head Injury amount of Rs 550 crores (12.5 billion dollars), an amount that equals our defense budget. Insurance of vehicles and victims and compensation claims are related legal issues. The Objectives of the study were: 1. To analyze the delay in reaching the hospital following the Road Traffic Accident with Head Injury. 2. To study the pattern of pre-hospital treatment received. 3. To measure the socioeconomic and legal impact of Road Traffic Accident cases with Head Injury.Methods: A hospital based cross-sectional study was conducted in casualty and allied departments of Jawaharlal Nehru Medical College and Hospital, Aligarh. All cases of RTA with Head Injury admitted from August 2010 to July 2011 who were 15-45 years of age were included in the study using purposive sampling. Data was analyzed with SPSS 20.Results: A total of 463 patients were included in the study. Almost two-third of patients i.e. 315 (68.0%) were brought to hospital within 6 hours and the remaining 148 (32.0%) reached hospital after lapse of 6 or more hours. Of all patients who reached hospital before 6 hours, only 70 males and 10 females received some form of pre-hospital treatment. The mean expenditure during hospital stay was Rs.3663.71. About 51.6% of patients had to stay for 1-3 days in hospital following a head injury. As many as three-fourth of vehicles involved in accident were insured while just 14.3% of patients were insured. Only 5 (1.1%) out of the 463 patients applied for compensation till the time of interview.Conclusions: Reaching hospital early has direct bearing on final outcome of accidents. RTAs with Head Injury lead to variable out-of-pocket expenditure for patients and their attendants. Majority of victims do not have insurance, though insurance of vehicles is a common practice.

scholarly journals Risk Factors of Road Traffic Accidents (RTA) in context of Bangladesh

1970 ◽  
Vol 18 (2) ◽  
pp. 161-165 ◽  
Author(s):  
MA Jabbar ◽  
MZ Islam ◽  
R Sultana ◽  
SFU Akhter
Keyword(s):  
Risk Factors ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Traffic Signal ◽  
Protective Measure ◽  
Public Health Issue ◽  
Road Traffic Accidents ◽  
Medical College

Objective: To explore the risk factors related to road traffic accident in context of Bangladesh. Design: This was a cross sectional type of descriptive study. Settings: The study was conducted at emergency and casualty department of Dhaka Medical College Hospital (DMCH) and Sir Salimullah Medical College (SSMC) & Mitford Hospital, Dhaka respectively. Study Period: The study was conducted from July 2007 to June 2008. Subjects: A total of 400 Road Traffic Accident (RTA) patients attended during data collection period of 3 months at Dhaka Medical College and Sir Salimullah Medical College (SSMC) & Mitford Hospitals were consider as the study population. Result: This study included 400 Road Traffic Accident (RTA) patients. Among them, 23.8% patients due to accidents were related to truck accidents followed by bus (20.3%) and CNG Taxi (11.3%) respectively It has been revealed that frequency of accidents caused by new vehicles and old vehicles were almost equal (36.5%) and 13.5% vehicle were overloaded when accidents happened. Fast speeds of the vehicles (62%) were responsible for accidents. About 31% stated that even with normal speed accident was happened. About 44.8% accidents were caused due to collision with other vehicles as stated by the patients. Majority of the patients (52.8%) stated that drivers were looked healthy, 17.8% drunker and 5.5% looked drowsy when they drove vehicles during accident. Majority (55%) of them drove in wrong side of the road. In 78.3% cases, there was no traffic signal and though available, 39.1% driver did not follow traffic signal. About 25% patients stated that defective road is the factor of causation of accidents. Majority (76.75%) of the patients opined that accident was happened during day time and in sufficient light (66%). Weather was foggy stated by 16% patients. Only 6.75% victims used protective measure during accidents. Conclusion: This study was conducted with a view to explore the risk factors related to road traffic accident. Nevertheless, it is not feasible to draw a concrete conclusion. But on the basis of this study findings, it may be stated that a greater part of Road Traffic Accidents (RTA) can be prevented by specific preventive measures and also taking personal precautions. It is also to be concluded that countywide wide mass scale study should be carried out in this specific emerging field to combat road traffic accidents as a major public health issue. Key words: Road traffic accidents (RTA); Risk Factors. DOI: 10.3329/jdmc.v18i2.6279 J Dhaka Med Coll. 2009; 18(2) : 161-165

scholarly journals Epidemiological Study of Fatal Head Injury in Road Traffic Accident Cases: A Study from BPKIHS, Dharan

1970 ◽  
Vol 8 (2) ◽  
pp. 97-101 ◽  
Author(s):  
S Jha ◽  
BN Yadav ◽  
A Karn ◽  
A Aggrawal ◽  
AP Gautam
Keyword(s):  
Head Injury ◽  
Epidemiological Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Focal Point ◽  
Road Traffic Accidents ◽  
Keywords Head Injury ◽  
Two Wheeler

Setting: Study was performed in mortuary of B P Koirala Institute of Health Sciences (BPKIHS), Dharan. Objectives: 1. To know the various epidemiological factors related to road traffic accident cases. 2. To know the relationship of head injury in road traffic accidents with the factors like helmet use, type of vehicle involved in accident. Study design: longitudinal descriptive study. Study unit: 77 Dead bodies with fatal head injury from RTA coming to BPKIHS mortuary, a focal point in eastern Nepal Study variables: Demographic characteristics of the victims, time, day and month of accidents, type of accidents, vehicle involved in accidents etc. Statistical analysis: Proportion. Results: There were approximately 78% male and 22% female road traffic accident victims with head injury. Students were the highest (20.7%) among the victims. The highest number of accidents took place in the month of June (11.7%) and on Saturdays (24.6%). The pedestrians were the largest (45%) group of the victims. Among the motorized vehicles, two wheeler drivers were more (34%) victims in accidents. Out of 77 fatalities, 22% were found to have consumed alcohol. Conclusion: Due to bad and mismanaged roads and poor road traffic knowledge to the citizens, road traffic accidents are the most common cause of unnatural deaths in this region. Minimal use of helmet is the main cause of fatal head injury in two wheeler occupants. Keywords: Head injury; Road traffic accident; Epidemiological study; Trauma; Injuries DOI: 10.3126/hren.v8i2.4420 Health Renaissance, May-Aug 2010; Vol 8 (No.2):97-101

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

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.

Cerebral Aqueduct Stenosis Presenting after Head Injury

1975 ◽  
Vol 61 (1) ◽  
pp. 41-43
Author(s):  
W. M. Edmondstone
Keyword(s):  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Cerebral Aqueduct ◽  
Aqueduct Stenosis ◽  
Accident Investigation ◽  
Neurological Disturbance

AbstractA case is demonstrated of a man presenting with neurological disturbance dating from a head injury sustained in a road traffic accident. Investigation revealed a cerebral aqueduct stenosis which was successfully treated at operation.

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