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Table of Contents
Year : 2012  |  Volume : 2  |  Issue : 2  |  Page : 108-109

Status of pre-hospital care among injury cases admitted to a Tertiary hospital in South India

1 Department of Community Medicine, Sri Siddharta Medical College, Tumkur, India
2 Department of Community Medicine, M.S. Ramaiah Medical College, Bangalore, India

Date of Web Publication16-Jun-2012

Correspondence Address:
Pallavi S Uthkarsh
Department of Community Medicine, Sri Siddhartha Medical College, Tumkur, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5151.97278

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How to cite this article:
Uthkarsh PS, Suryanarayana S P, Gautham S, Murthy N S, Pruthvish S. Status of pre-hospital care among injury cases admitted to a Tertiary hospital in South India. Int J Crit Illn Inj Sci 2012;2:108-9

How to cite this URL:
Uthkarsh PS, Suryanarayana S P, Gautham S, Murthy N S, Pruthvish S. Status of pre-hospital care among injury cases admitted to a Tertiary hospital in South India. Int J Crit Illn Inj Sci [serial online] 2012 [cited 2022 Nov 30];2:108-9. Available from: https://www.ijciis.org/text.asp?2012/2/2/108/97278


Injuries are steadily increasing in developing countries like India. The way in which the persons injured are dealt with following an injury determines their chances and quality of survival. Each year, many of the 1.2 million lives lost globally could be saved and much of the ensuing disability suffered by the 50 million injured could be prevented if rapid and competent pre-hospital services were available at the crash scene. [1],[2]

A cross-sectional study was conducted, for a period of six months (October 2008 to April 2009), in a multispecialty, tertiary care referral hospital attached to a teaching institution, to know the kind of pre-hospital care that was availed by injury cases admitted to a hospital. All injury cases admitted to a hospital during the six-month period (except cases such as poisoning and burn cases, which were not accidental in nature, patients not willing to participate in the study, injury cases coming for follow-up, dead, and comatose cases) were included in the study.

Among the total of 363 injury cases, 251(69.1%) were injured due to road traffic accidents, whereas, 104 (28.7%) were injured due to falls, and eight (2.2%) due to burns. Only 96 (26.4%) cases received first aid. The median time gap between injury and first aid was five minutes. The median time interval between injury and admission to a tertiary hospital was more than 60 minutes. Most of the injured reached hospital beyond the golden hour, [3] as many were not aware of which hospital to contact soon after injury and nearly half of them had changed more than one hospital before visiting the tertiary hospital. Among the 96 people who received first aid, 74 (75%) were given first aid by bystanders, police, and family members. Stopping bleeding and immobilization was the most common type of first aid received. An auto was the most common mode of transportation [240(66%)] used to reach hospital from the site of injury, similar to other studies. [4],[5] An ambulance was most commonly used for inter-hospital referral. Among the total of 363 injured, 223(61%) were not aware of the Common Emergency Number (108).

The status of pre-hospital care of the injured is very poor and needs to be strengthened to reduce mortality and disability.

   Acknowledgment Top

Dr Gururaj.G., Professor and Head of Department of Epidemiology NIMHANS. Dr Gopinath., Professor of Community Medicine International Medical College, Bangalore. Dr Shivram C., Professor Emeritus of Community Medicine International Medical College, Bangalore.

   References Top

1.Peden M, Scurfield R, Sleet D, Mohan D, Hyder A, Jarawan E, et al. World Report on Road Traffic Injury Prevention. Geneva: World Health Organization; 2004.  Back to cited text no. 1
2.Von Elm E. Prehospital emergency care and the global road safety crisis. JAMA 2004;292:923.  Back to cited text no. 2
3.Carr BG, Caplan JM, Pryor JP, Branas CC. A meta-analysis of prehospital care times for trauma. Prehosp Emerg Care 2006;10:198-206.  Back to cited text no. 3
4.Gururaj G. Emergency and Trauma Care - Road Safety Injury Prevention series. Bangalore: National Institute of Mental Health and Neuro Sciences; 2010.  Back to cited text no. 4
5.Roy N, Murlidhar V, Chowdhury R, Patil SB, Supe PA, Vaishnav PD, et al. Where there are no emergency medical services-Prehospital care for the injured in Mumbai, India. Prehosp Disaster Med 2010;25:145-51.  Back to cited text no. 5

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