Patterns of Death, Complication, and Error in the Management of Motor Vehicle Accident Victims

Lowe, Daniel K.; Gately, H L; Goss, John; Frey, Claude; Peterson, Clare G.

doi:10.1097/00005373-198306000-00011

Cited by 69 publications

(21 citation statements)

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“…The main goals of pre-hospital care are to protect the airway and support circulation such that preventable deaths are reduced substantially [23]. The lack of postmortem studies in this report is a limitation, but it has been suggested that regions lacking mandatory autopsies can perform death studies by using hospital records [24,25]. However, measures to combat the cultural and religious impediments on autopsies are urgently needed.…”

Section: Discussionmentioning

confidence: 90%

Clinical Spectrum of Trauma at a University Hospital in Nigeria

Solagberu¹,

Adekanye²,

Ofoegbu³

et al. 2002

European Journal of Trauma

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Background and Objectives: Data on trauma in Nigeria requires updating just as trauma care needs coordination and organization. This study was done to examine the clinical spectrum of trauma and to propose measures for organization of trauma care. Patients and Methods: A 2-year prospective report of an ongoing trauma research is presented. Data obtained from include name, age, sex, presenting diagnosis at the accident and emergency (A and E) unit, injury-arrival time, mode of transportation of patients to the hospital, and the outcome of care. Results: Trauma patients comprised 2,913 of the 4,164 (70.0%) surgical patients seen in the A and E but 129 of 171 deaths (75.4%). Types of trauma were lacerations (585 patients, 20.1%), fractures (542, 18.7%), head injury (250, 8.6%), multiple injuries (249, 8.6%), burns (159, 5.5%), and others. Road traffic accidents (RTA) occurred in 1,816 patients (62.3%), falls in 308, assaults in 258, burns in 159, home accidents in 122, gunshot injuries in 107, industrial accidents in 73, and foreign body injuries in 70. There was no pre-hospital care. Transport to the A and E was done by relations, the police and a few Good Samaritans. Most of the patients reached the hospital in < 6 h. Common mortalities were from head injury (37 patients, 28.7%), multiple injuries (35, 27.1%), fractures (12, 9.3%), and burns (9, 7.0%). Of 106 deaths with timed records, 22 (20.7%), 56 (53.0%) and 28 (26.3%) occurred in 0-1 h, > 1-24 h and > 24 h, respectively. Conclusions: The spectrum of trauma is predominantly RTA-related, hence, trauma care organization would include prevention of RTA, organization of pre-hospital care aimed at transport time of < 2 h, training volunteers from the populace and the police as emergency medical services technicians for resuscitation during transport and getting patients to hospital in optimal state, and an enhanced in-hospital care by designation and categorization of hospitals. These strategies, including continuous trauma research and funding, would go a long way in reducing mortalities from trauma, especially from RTA.

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Section: Discussionmentioning

confidence: 90%

Clinical Spectrum of Trauma at a University Hospital in Nigeria

Solagberu¹,

Adekanye²,

Ofoegbu³

et al. 2002

European Journal of Trauma

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“…Centralized trauma care has reduced the incidence of preventable death after injury dramatically [1][2][3][4][5][6][7][8]. Improvement in computed tomography (CT) technology has led to the introduction of multislice CT in early trauma diagnostics [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Delays in diagnosis in early trauma care: evaluation of diagnostic efficiency and circumstances of delay

Muhm

Danko

Schmitz

et al. 2011

Eur J Trauma Emerg Surg

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“…Though disaster management systems are well developed in the western world with regard to airport disasters, [3] civilian contingency, [4] terrorist bomb blasts, [5] Þ res, [6] motor vehicle accidents, [7] and general disaster preparedness, [8][9][10] there was no organized system to deliver emergency medical care to victims of disasters in India prior to 1996. During the last decade, EMS systems have been developed to ensure a coordinated response and prevent many agencies from functioning as isolated units.…”

Section: Patterns Of Emergency Medical Services (Ems) Responsementioning

confidence: 99%