ObjectiveTo assess the prevalence, nature of trauma, reason(s) behind these trauma and first-aid care provided during transportation to hospital in Karachi Pakistan. Study also presents the framework of a national trauma registry and comparatively analyzes data between other registries.MethodThis cross sectional observational/descriptive study was conducted from July 2015 to Dec 2015. An informed verbal consent was taken and preformed questionnaire was filled. Patient brought dead and who did not give consent were excluded.ResultsThe study conducted on 1500 patients includes 1030 males (68.7%) and 470 females (31.3%). Mean age was 45 SD 28.69 Maximum injuries occurred in age group of 11–20 year. By occupation most were found to be students and children 350 (23.3%). Most traumas occurred on road 919 (61.3%) and other occurred in home 349 (22.7%). Road traffic accidents are found to be major cause of injuries 730 (48.7%) and rest was due to other causes 630 (42.0%).The vehicle involved in majority of cases was motorcycle 340 (22.7%). In most of the cases emergency medical service 72148.0% was used for the transportation of the patients. During transportation (100%) of victims were not provided with first aid, breathing care/bleeding care/iv fluids and splints/slabs. Severity at emergency room of patients was mainly moderate (52.7%) while severe condition was suffered by (32.0%) of patients and mild (14.7%).ConclusionThis study concluded that the transport accidents are the major health problems especially in young population. For better transportation of patients it is needed to upgrade facilities of ambulances and other emergency medical services. Emergency medical care facilities establishment at district level, sub-divisional level are needed to provide good and quality care to trauma patients. Improvement in trauma care depends on the establishment of functioning trauma care systems, of which a trauma registry is a crucial component.
BackgroundThe proximal tibia with the meta-diaphysis junction is a critical weight-bearing area. An injury around this region may be restricted to the tibia or associated with a significant soft-tissue injury. The objective of the present study is to assess the results of closed reduction and Ilizarov external fixation in the management of complex tibial plateau fractures.Patients and methodsThe study included 26 patients with high-energy tibial plateau fractures (Schatzker types V and VI). The ages ranged from 23 to 60 years, with an average of 35 years. The trauma was a road traffic accident in 19 cases and a fall from a height in eight cases. The fractures were closed in 18 cases and open in five. The open fractures were Gustilo-Anderson type I in three cases and type II in five cases. Soft-tissue injuries associated with closed fractures were classified according to the Tscherne system. The follow-up period averaged 24 months. The average time of surgery was 85 mins (range: 60-120 min). The mean time to union was 12 weeks. At the final follow-up, the average total range of knee flexion was 120° (range: 0-170°).ResultsResults were satisfactory in 22 cases and unsatisfactory in four cases according to Rasmussen's knee functional score. Complications included pin-tract infection in 10 cases, an extension lag in three cases and varus deformity of about 17° in one case.ConclusionHybrid external fixation is a good method for the treatment of comminuted tibial plateau fractures. It allows for early joint movement and reduces the risk of serious complications.
Malnutrition is a clinical disorder caused by insufficiency of dietary nutrients and characterised clinically by a broad range of presentations, predominantly affecting infants and young children. 1 Worldwide, malnutrition is a crucial health problem chiefly in the underdeveloped and developing countries. According to estimates, the affected population mostly belongs to developing countries which is divided across Asia (70%), Africa (26%) and (4%) in Latin America and Caribbean. 1 The proportion of children with malnutrition is highest in Asian countries, estimated as 70% of undernutritioned children belonging to this portion of the globe. Around half of preschool children in South Asia have restricted growth and low body weight. 2 Malnutrition of children, increasing infantile death rates and illiteracy are the most serious endemic issues in several developing countries, including Pakistan. Nutritional deficiencies in children in Pakistan have been reported in several studies. One of these studies report low weight in 33.03% of children under 5 years, inhibited growth in 53.38% and muscular wasting in 11.52%. 3Malnutrition in children is accounted as the main risk factor for diseases and mortality, causing mortality of more than half of children worldwide. 4 Furthermore, it increases morbidity of children
<p><strong>Background:</strong> The objective of our study is to assess the impact of COVID-19 pandemic on clinical practice as well as psychological impact on orthopedic surgeons of Pakistan.</p><p><strong>Method</strong>: An online survey involving orthopedic surgeons through social media platforms like WhatsApp and Facebook and also through email, to assess the impact of COVID-19 pandemic. Our survey also aims to evaluate their state of mind and physical as well as emotional wellbeing in the wake of COVID-19 pandemic.</p><p><strong>Results</strong>: Among 77 respondents, mostly 31 (40.3%) were consultant and mostly 28 (36.4%) having experience in field of orthopedics was between 5-10 years. This data revealed 48 (62.3%) respondents did not received any specific training or recommendations about COVID pandemic from their institute and only 37 (48.1%) reported they are well informed on latest COVID guidelines. Interestingly, this data revealed the willingness of orthopedic surgeons 30 (39%) to take care of COVID-19 positive patients in ICU.</p><p>67 (87%) feel anxious, stressed, furious, angry or depressed due to pandemic and most common fear among them was to infect their family members followed by getting infected and loss of their life and health. 40 (51.9%) did not think their institute is well equipped to deal COVID pandemic.</p><p><strong>Conclusions</strong>: Orthopedic community nevertheless have to play an important role in the face of an increasing psychological and emotional stress which comes from working in a post COVID era. The dread of getting infected while treating and the sinking feeling of spreading the contagion to their loved ones has put a massive toll on the emotional well-being and needs to be addressed through open and fair discussion.</p>
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.