Pre-Hospital First Aid Strategy for Highway Traffic Accident

Road traffic accidents have become an enormous global public health problem. Traffic accident injuries on highways can cause severe trauma. The death rate of the injured is very high within 30[Formula: see text]min after injury. According to statistics, about 75–95% of the people with fatal traffic injuries died before being taken to the hospital. If these casualties can be effectively treated, about 1/3 can be prevented from death. Therefore, pre-hospital first aid plays a very important role in the treatment of major traffic accident injuries. Paying attention to the pre-hospital emergency treatment is crucial to ensure the success of a major accident damage, and to improve treatment results and reduce mortality and morbidity. A good relationship between the doctor and ambulance officers is essential for efficient team work. All emergency surgical procedures in the case of severely injured patients are generally performed in accordance with the Damage Control Orthopedics (DCO) principle. In order to improve the pre-hospital rapid response and first aid capabilities, the government should establish independent trauma disciplines and trauma specialist training systems, and must build the regional trauma care system as well as the standards for graded treatment, thus establishing a multi-disciplinary team (MDT) for severe trauma. In this way, we can reduce the mortality and disability risks of severe trauma, improve the quality of patients’ life and save more lives.

Factors influencing clinical symptoms and treatment of patients with traffic accident injuries: A retrospective chart review with a questionnaire survey

This study analyzed factors influencing clinical symptoms and treatment of patients with traffic accident injuries. It used a retrospective chart review and questionnaire survey obtained from 560 patients (266 men and 294 women). It also conducted follow-up observations of progress after car insurance settlements and investigated the usefulness of and patient satisfaction with integrative Korean medicine treatment for traffic accident injuries. Retrospective data of patients admitted for traffic accident injury were obtained. A questionnaire survey was conducted to collect data regarding the degree of traffic accident damage, severity of pain at settlement, any treatment after settlement and duration and cost of such treatment, and patient satisfaction with car insurance services and Korean medicine treatment for traffic accident injury. The results showed no significant association between pain and the degree of damage to the car at the time of traffic accident (P = 0.662), although the degree of damage to the car was more significantly associated with time to reach a car insurance settlement than severity of pain in the patient (P = 0.003). There was no significant association between the degree of damage to the car in a traffic accident and pain after a traffic accident. Greater severity of pain at the time of the car insurance settlement was associated with greater cost and longer time spent in treatment after the car insurance settlement.

PENANGANGAN BANTUAN HIDUP DASAR (BHD) DAN KESEHATAN DAN KESELAMATAN KERJA (K3) LINGKUNGAN RUMAH TANGGA

Kecelakaan bisa terjadi kapan pun, di mana pun dan dapat pula menimpa siapa saja. Umumnya, kecelakaan pun menjadi penyebab utama trauma yang kemudian menyebabkan kematian. cedera kecelakaan lalu lintas dan kematian yang terjadi sudah menjadi masalah sangat serius. Prevalensi cedera hasil Riskesdas 2013 meningkat dibandingkan Riskesdas 2007, penyebab akibat kecelakaan sepeda motor 40,6 persen, terbanyak pada laki-laki dan berusia 15-24 tahun. Proporsi cedera karena kecelakaan transportasi darat (sepeda motor dan kendaraan lain) meningkat dari 25,9 persen menjadi 47,7 persen. Dalam menghadapi kasus kecelakaan dengan kondisi kegawatdaruratan diperlukan suatu keterampilan usaha untuk mengembalikan dan mempertahankan fungsi vital organ pada korban kecelakaan atau biasa disebut bantuan hidup dasar. Adapun dalam kegiatan pengabdian kepada masyarakat (PKM) ini dilakukan dengan tahapan melakukan kegiatan sosialisasi dengan kepala dan pegawai puskesmas, petugas kesehatan, beserta kader tentang pelatihan penanganan bantuan hidup dasar (BHD) dan k3 lingkungan rumah tangga, Pengidentifikasian kader kesehatan sebagai calon peserta tersebut lingkungan rumah tangga kepada kader dan evaluasi dan monitoring hasil kegiatan. Berdasarkan hasil pelatihan, pengetahuan kader tentang penanganan BHD dan K3 lingkungan rumah tangga meningkat. dalam hal ini pengetahuan yang didapatkan peserta yaitu mengenai teknik dalam memberikan bantuan hidup dasar khususnya resusitasi jantung paru (RJP).Kata Kunci : Kecelakaan; Bantuan Hidup Dasar; K3 Rumah Tangga; Resusitasi Jantung Paru.AbstractAccidents can happen anytime, anywhere and anyone. Generally, accidents also become the main cause of trauma which then causes death. Traffic accident injuries and deaths that occur have become very serious problems. The prevalence of injury results from Indonesia Basic Health Research (Riskesdas) 2013 increased compared to Riskesdas 2007. The proportion of injuries due to land transportation accidents (motorbikes and other vehicles) increased from 25.9 percent to 47.7 percent. In dealing with accident cases with emergency conditions, a skill is needed to restore and maintain the vital functions of organs in the accident commonly called basic life support (BLS). These activities are carried out with the stages of conducting socialization activities with the head and staff of the health center, health workers, and cadres on training in handling BLS and household safety, Identification of health cadres as prospective participants in BLS, and evaluation and monitoring of activity results. Based on the results of the training, knowledge of cadres about handling BLS and Health Safety in the household environment increased. In this case, the knowledge gained by participants namely about techniques in providing basic life support, especially cardiac pulmonary resuscitation (CPR).Keywords: Accident; Basic Life Support; Household Health Safety; Cardiac Pulmonary Resuscitation.

Prevalence and associated factors of motorcycle accident injuries in public Hospitals of Southern Ethiopia.

Objective The objective of this study was to assess the prevalence and associated factors of motorcycle accident injuries in hospitals of Sothern Ethiopia, 2018/2019.Result Of the total 423 road traffic injury, motorcycles were involved in 213 (50.4%) of the road traffic accidents. The presence of poor road conditions like loose gravel, steep descent, and rough road was responsible for 44.6% of motorcycle accident injury. The odds of motorcycle accident injuries were 50% and 52% less likely to occur during sunny and foggy weather conditions respectively compared to rainy weather conditions.