Pre-hospital care: demography, current profile and future trends Improving the health of traumatic brain injury patients

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Sateesh Chandra Verma
Abhijeet Singh Sachan
Surjeet Singh
Prakrati Sachan

Abstract

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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How to Cite
Verma, S. C., Sachan, A. S. ., Singh, S., & Sachan, P. (2020). Pre-hospital care: demography, current profile and future trends: Improving the health of traumatic brain injury patients. Romanian Neurosurgery, 34(4), 518–523. Retrieved from http://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1472
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Articles
Author Biographies

Sateesh Chandra Verma

Department of Neurosurgery, Sawai Man Singh Medical College, Jaipur, India

Abhijeet Singh Sachan

Department   of Neurosurgery, Sawai Man Singh Medical College, Jaipur, India

Surjeet Singh

Department of Neurosurgery, Sawai Man Singh Medical College, Jaipur, India

Prakrati Sachan

Department of Neurosurgery, Sawai Man Singh Medical College, Jaipur, India