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...

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Main Authors: Sateesh Chandra Verma, Abhijeet Singh Sachan, Surjeet Singh, Prakrati Sachan
Format: Article
Language:English
Published: London Academic Publishing 2020-12-01
Series:Romanian Neurosurgery
Subjects:
Online Access:http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/1472
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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.
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spelling doaj.art-f58864c56e50498a95a54704bde0e80e2022-12-22T04:17:58ZengLondon 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.http://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 http://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