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

Uthkarsh, Pallavi Sarji; Suryanarayana, S P; Gautham, S; Murthy, N S; Pruthvish, S

doi:10.4103/2229-5151.97278

Cited by 5 publications

(7 citation statements)

References 5 publications

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“…In the current study, most commonly lay first responders transported cases to a nearby government hospital (50%) or private nursing homes (50%) which most often lacks the definitive care, leading to delay in definitive care ( 17 , 18 ). Other than ambulance autos (40%) and other private vehicles were commonly used to transfer cases to hospitals which is similar to other studies ( 19 - 21 ) showing that auto drivers are the first responders in most of the emergencies where ambulance personnel are not available. Taking an injured person to a hospital is considered the most effective way to save lives ( 22 ) and in the present study, nearly 50% have reported that it took them more than an hour to reach a hospital in the last emergency they handled, which is consistent with the other studies ( 17 - 19 ).…”

Section: Discussionsupporting

confidence: 86%

“…Other than ambulance autos (40%) and other private vehicles were commonly used to transfer cases to hospitals which is similar to other studies ( 19 - 21 ) showing that auto drivers are the first responders in most of the emergencies where ambulance personnel are not available. Taking an injured person to a hospital is considered the most effective way to save lives ( 22 ) and in the present study, nearly 50% have reported that it took them more than an hour to reach a hospital in the last emergency they handled, which is consistent with the other studies ( 17 - 19 ). Delays in availability of definitive care could be an important reason for poor and negative outcomes in many LMICs.…”

Section: Discussionsupporting

confidence: 86%

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Practice and Perception of First Aid Among Lay First Responders in a Southern District of India

2013

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BackgroundInjuries rank among the leading causes of morbidity and mortality worldwide, and are steadily increasing in developing countries like India. However, it is often possible to minimize injury and crash consequences by providing effective pre-hospital services promptly. In most low-and middle-income countries (LMICs), transportation of road traffic victims, is usually provided by relatives, taxi drivers, truck drivers, police officers and other motorists who are often untrained.ObjectivesThe current study was conducted to understand the current practice and perception of first aid among lay first responders in a rural southern district of India.Materials and MethodsThe current cross sectional descriptive study was conducted in the southern district of Tumkur in India within three months from January to March 2011 and covered the population including all police, ambulance personnel, taxi drivers, bus and auto drivers, and primary and middle school teachers within the study area.ResultsNearly 60% of the responders had witnessed more than two emergencies in the previous six months and 55% had actively participated in helping the injured person. The nature of the help was mainly by calling for an ambulance (41.5%), transporting the injured (19.7%) and consoling the victim (14.9%). Majority (78.1%) of the responders informed that they had run to the victim (42.4%) or had called for an ambulance. The predominant reason for not providing help was often the ‘fear of legal complications’ (30%) that would follow later. Significant number (81.4%) of respondents reported that they did not have adequate skills to manage an emergency and were willing to acquire knowledge and skills in first aid to help victims.ConclusionsRegular and periodical community-based first aid training programs for first care responders will help to provide care and improve outcomes for injured persons.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 86%

Practice and Perception of First Aid Among Lay First Responders in a Southern District of India

2013

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“…Most reached the hospital beyond the golden hour, as many were not aware of which hospital to contact soon after the injury and nearly half of them changed the hospital before visiting the tertiary hospital. The present study revealed that out of the children admitted after the golden hour only 2.5% gave the reason as delayed at first center without facility (20).…”

Section: Discussionmentioning

confidence: 49%

Pre-hospital care received by injured children less than five years admitted to the Lady Ridgeway Hospital for Children, Colombo

Gunawardhana

Goonewardena

2016

J Coll Community Phys Sri Lanka

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ObjectiveTo describe the pre-hospital care received by injured children less than five years admitted to the Lady Ridgeway Hospital and associated factors. MethodsA hospital based descriptive cross sectional study was carried out at the Lady Ridgeway Hospital accident ward. A sample of 400 pairs consisting of a pre-hospital care giver and child were recruited. Structured pre-tested interviewer administered questionnaire was used for data collection and descriptive analysis was used. ResultsMean age of the children and pre hospital care giver was 38 months (SD±13.27) and 32.8 years (SD±5.9) respectively. Majority 90.5% (N=362) of care givers were mothers and only 15.7% of had first aid training. However, most (60.5%) of care givers had good knowledge on first aid. First aid box with basic equipment was available for 56.8% injured children. Majority (59.3%) of children was transported within the golden hour and used three wheelers (57%). Although a majority (87.5%) of care givers had access to communication methods only 21.5% knew the emergency telephone number. ConclusionsCorrect first aid practice was significantly associated with first aid training of the care giver. Since most injured children were transported by three-wheelers, it is imperative to train three-wheeler drivers about how to transport injured children safely.

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“…Ambulances (common emergency number 108) and auto-rickshaws are the most frequently used transport from the AS to the hospital as well as the interhospital referral. 10 Prehospital transport is restricted in poor resource settings, and families use the available transport to reach the hospital. 8 17 The present finding is consistent with the fact that transport facilities during prehospital care were available but far away from complete satisfaction of family members.…”

Section: Discussionmentioning

confidence: 99%

“…Nonexistent prehospital trauma care services in rural or semiurban areas, minimal first aid provided by untrained bystanders, lack of transport facilities, lack of awareness, and poor socioeconomic conditions have worsened the emergency. [9][10][11] Experiencing a range of psychosocial problems, difficulty in accessing trauma care, lack of awareness regarding trauma care centers during golden hour, emotional problems like shock, uncertainty, anxiety, fear, hopelessness, helplessness, and arranging finance to meet the medical expenses are significant factors which impact on family members. [12][13][14] Besides, prehospital care and psychosocial research in TBI is lacking.…”

Section: Introductionmentioning

confidence: 99%

Prehospital Impact on Family Members of Road Traffic Accident

Raju¹,

Kanmani

Konar

et al. 2021

JNRP

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Background Prehospital care is nonexistent in most rural and semiurban areas. The implementation of golden hour care is still unachieved. The psychosocial problems of family members who accompany the traumatic brain injury (TBI) survivors after road traffic accidents (RTA) are not given attention during prehospital care. Therefore, the current study was aimed to understand the prehospital psychosocial impact on family members. Methodology A cross-sectional study was conducted at the Emergency and Trauma Care Centre at National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru between July 2017 to April 2018. Forty-five (n = 45) referred family members providing care for trauma survivors were purposively recruited in the study. Structured checklists were administered to measure the psychological reactions and psychosocial problems experienced by the family members during prehospital care. Data analysis was analyzed using the R software 3.0.1 version. Results TBI survivor's mean age was found to be 33 years (33.09 ± 13.20), of which males were 23 (51.1%) and females were 22 (48.9%), respectively. The result depicted first aid was provided by unskilled people after an average of 41 minutes (41 ± 30). The results further showed that family members had experienced agitation (100%), shock (82.2%), fatigue and headache (75.6%), depression (66.7%), feeling of hopelessness (55.6%) helplessness, and lack of support from family and financial constraints (48.9%) during prehospital care. Conclusion Psychosocial interventions need to be provided during prehospital care by trained medical and psychiatric social work professionals to address the need of family members during the crisis.

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

Cited by 5 publications

References 5 publications

Practice and Perception of First Aid Among Lay First Responders in a Southern District of India

Practice and Perception of First Aid Among Lay First Responders in a Southern District of India

Pre-hospital care received by injured children less than five years admitted to the Lady Ridgeway Hospital for Children, Colombo

Prehospital Impact on Family Members of Road Traffic Accident

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