IntroductionNeurological injuries because of trauma and accidents are common but rarely reported or examined in Pakistan. In this study, we will determine the frequency of neurological deficits reported in the emergency unit in patients presenting with acute trauma. MaterialThis study was conducted in an emergency unit of tertiary care setting in Karachi, Pakistan. One hundred patients presenting with mild to moderate trauma were enrolled in the study after informed consent. Patients with severe trauma requiring emergency intervention were excluded from the study. ResultsOut of the 100 patients enrolled in our study, 57% presented with neurological deficits after a road traffic accident (RTA), making RTA the most common cause of trauma. The most prominent site of injury was the lower limb (57%). Upper limb examination revealed that out of the 35% patients presenting with upper limb injuries, ten patients (28.6%) had a decreased biceps reflex, while six patients (10.5%) had tingling in their hands. Out of the 57% of patients presenting with lower limb injuries, ten patients (17.5%) had decreased ankle reflexes and six patients (10.5%) had tingling in their legs. ConclusionNeurological deficit is very common in patients presenting to emergency settings in Pakistan. Neurologists should be present in emergency centers to perform detail neurological examinations of patients coming to emergency centers, and follow-up visits should be arranged in Neurology clinics for patients suffering from any neurological deficits.

Objective: To observe the presentation, nature of injury and outcome of patients presenting with trauma in the leading emergency setting of Pakistan. Study Design: Cross Sectional. Setting: Jinnah Sindh Medical University/Jinnah Postgraduate Medical Center. Period: July 2019 to December 2019. Material & Methods: Patient’s age, location and mode of injury, duration from injury to emergency department, Glasgow coma scale (GCS), full outline of unresponsiveness (FOUR) score and outcome of patients were measured. Results: The most common age group presenting to the emergency department in tertiary care hospital in Karachi was between 18 to 40 (61.4%). The most common head injury was laceration (16.9%) and the most common chest injury was pneumothorax (2.6%). The most common mode of injury was road traffic accidents (76.8%). 73.3% had mild Glasgow coma scale (GCS) and the most common full outline of unresponsiveness (FOUR) score was between 13-16 (79.6%). Conclusion: Road traffic accidents are contributing to a significant number of patients coming to the emergency department with trauma. Head injury is very frequent in patients presenting to patients in ER.