Journal of Emergencies, Trauma, and Shock
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Year : 2018  |  Volume : 11  |  Issue : 4  |  Page : 282-287

Epidemiological and clinical profile of fatality in vulnerable road users at a high volume trauma center

1 Department of Surgery, Pondicherry Institute of Medical Sciences, Puducherry, India
2 Medical Superintendent, Indira Gandhi Government General Hospital and Post Graduate Institute, Puducherry, India

Correspondence Address:
Dr. Angeline Neetha Radjou
PIMS, Calapet, Puducherry - 605 014
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JETS.JETS_55_17

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Background: Motorized two-wheelers, pedestrians, and cyclists are termed vulnerable road users (VRUs).Globally up to 50% of road deaths involve VRU and up to 80% in developing and rapidly motorizing economies. Objective: The objective of this study is to study the prehospital and clinical profile of fatally injured VRU. This would help in informed decision-making regarding prevention and trauma care infrastructure. Materials and Methods: A hospital-based study was performed at a Trauma Centre in Puducherry from January 2013 to June 2014 (18 months). Puducherry is a union territory of India in the state of Tamil Nadu. A total of 193 deaths due to Road traffic accident were included in this study. The demographics, prehospital findings, and the clinical progress of fatally injured VRU are described. Results: More than 80% of road traffic collision/crash deaths involved VRU of which the elderly comprised a significant proportion. Alcohol was a serious issue even in the elderly pedestrian. This study revealed specific injury patterns and severity. Head injury was the most common cause of death. Early deaths, that is within 24 h of injury was common at 50%. Conclusion: The majority of deaths were in the early phase of trauma hence mandating a strong call for prevention, along with strengthening of trauma care.

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