Pre-hospital care: demography, current profile and future trends
Introduction. Traumatic brain injury (TBI) is a major public health problem throughout the world. It is one of the leading causes of mortality and disability as a consequence results in a great financial burden on societies. Damage to the brain following trauma does not occur only at the moment of i...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
London Academic Publishing
2020-12-01
|
| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1472 |
| _version_ | 1819240789846261760 |
|---|---|
| author | Sateesh Chandra Verma Abhijeet Singh Sachan Surjeet Singh Prakrati Sachan |
| author_facet | Sateesh Chandra Verma Abhijeet Singh Sachan Surjeet Singh Prakrati Sachan |
| author_sort | Sateesh Chandra Verma |
| collection | DOAJ |
| description | Introduction. Traumatic brain injury (TBI) is a major public health problem throughout the world. It is one of the leading causes of mortality and disability as a consequence results in a great financial burden on societies. Damage to the brain following trauma does not occur only at the moment of injury but also develops over a period of hours to days with the further secondary insult of the brain.
Methods. This was a prospective study done between April 2017 to March 2019. A total of 2134 patients were enrolled for this study with a collection of data in a formatted proforma. All the patients of trauma with clinical or radiological evidence of head injury coming to the trauma centre were included.
Results. In our study patient, mortality was 6.79% in patients receiving pre-hospital care compared to 12.03% in patients not receiving adequate pre-hospital care. 29.42% were in the age group of 21–30 years. RTA (overall 64.45%) was the most common mode of injury in the age group 21–30 years with 81.36% cases. Mortality in first emergency care provider by ambulance paramedics was 5.69% and member of the public was 10.10%.
Conclusion. It was observed that mortality was higher in patients not receiving adequate pre-hospital care. Early resuscitation facilities at the site of the accident have to be introduced and improved with the execution of rapid transportation to trauma care centres. |
| first_indexed | 2024-12-23T14:13:36Z |
| format | Article |
| id | doaj.art-0543892abdf44256bb67f25d14d43209 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-12-23T14:13:36Z |
| publishDate | 2020-12-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-0543892abdf44256bb67f25d14d432092022-12-21T17:43:58ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592020-12-01344Pre-hospital care: demography, current profile and future trendsSateesh Chandra VermaAbhijeet Singh SachanSurjeet SinghPrakrati SachanIntroduction. Traumatic brain injury (TBI) is a major public health problem throughout the world. It is one of the leading causes of mortality and disability as a consequence results in a great financial burden on societies. Damage to the brain following trauma does not occur only at the moment of injury but also develops over a period of hours to days with the further secondary insult of the brain. Methods. This was a prospective study done between April 2017 to March 2019. A total of 2134 patients were enrolled for this study with a collection of data in a formatted proforma. All the patients of trauma with clinical or radiological evidence of head injury coming to the trauma centre were included. Results. In our study patient, mortality was 6.79% in patients receiving pre-hospital care compared to 12.03% in patients not receiving adequate pre-hospital care. 29.42% were in the age group of 21–30 years. RTA (overall 64.45%) was the most common mode of injury in the age group 21–30 years with 81.36% cases. Mortality in first emergency care provider by ambulance paramedics was 5.69% and member of the public was 10.10%. Conclusion. It was observed that mortality was higher in patients not receiving adequate pre-hospital care. Early resuscitation facilities at the site of the accident have to be introduced and improved with the execution of rapid transportation to trauma care centres.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1472pre-hospital carehypoxiahypotensionambulanceintubationtraumatic brain injury |
| spellingShingle | Sateesh Chandra Verma Abhijeet Singh Sachan Surjeet Singh Prakrati Sachan Pre-hospital care: demography, current profile and future trends Romanian Neurosurgery pre-hospital care hypoxia hypotension ambulance intubation traumatic brain injury |
| title | Pre-hospital care: demography, current profile and future trends |
| title_full | Pre-hospital care: demography, current profile and future trends |
| title_fullStr | Pre-hospital care: demography, current profile and future trends |
| title_full_unstemmed | Pre-hospital care: demography, current profile and future trends |
| title_short | Pre-hospital care: demography, current profile and future trends |
| title_sort | pre hospital care demography current profile and future trends |
| topic | pre-hospital care hypoxia hypotension ambulance intubation traumatic brain injury |
| url | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1472 |
| work_keys_str_mv | AT sateeshchandraverma prehospitalcaredemographycurrentprofileandfuturetrends AT abhijeetsinghsachan prehospitalcaredemographycurrentprofileandfuturetrends AT surjeetsingh prehospitalcaredemographycurrentprofileandfuturetrends AT prakratisachan prehospitalcaredemographycurrentprofileandfuturetrends |