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Improving trauma care for road traffic injuries could save many lives in lower income countries

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Improved trauma care can save the lives of thousands of people injured in motor vehicle accidents in low- and middle-income countries each year, according to a study led by Weill Cornell Medicine and a NewYork-Presbyterian researcher. In particular, the study found that establishing comprehensive injury management programs that have access to 100 percent of road injuries could save 200,000 lives each year.

The newspaper, published June 30 a Lancet, is part of a series of specialized programs focused on road safety. “Complete wound careincluding life-saving activities in the field, during transportation and in the hospital, works well to reduce the number of deaths related to road injuries on the road. developing countries“said our co-author Dr. Junaid Razzak, who is considered a professor of emergency medicine and vice president of research at the Department of Emergency Medicine at Weill Cornell Medicine.” deaths from road injuries in low- and middle-income countries, where most of these deaths occur. ”

Road injuries are the eighth leading cause of death in the world, and are the leading cause of death for children and adolescents aged 5 to 29, causing 1.35 million deaths each year, according to the World Health Organization. World. The 2018 Global Positioning Report on Accident Prevention also found that 93 percent of deaths due to road injuries occur in low- and middle-income countries. Mortality-related deaths have increased in 104 countries over the past decade, despite major initiatives such as the World Health Organization’s 10-20-year road safety plan with the goal of sustainable development. sustainability by the United Nations which requires a 50 per cent reduction of procedures. traffic deaths in 2020.

Dr. Razzak and his colleagues have identified more than 1,900 research on motor vehicle injuries published in the last 20 years and have narrowed their study to 28 containing fatal data. They estimate that more than 200,000 lives could be saved in optimal conditions if adequate injury care is provided for 100 per cent of people injured on the road, and more than 100,000 lives could be saved in any situation. meaning where the care of the injury was. accessible to half of all road victims.

The researchers also identified clinical factors that may have saved lives. Early recovery with bleeding control is the most effective measure, with a potential saving of about 35,452 lives per year. Radiology intervenes, which includes imaging for diagnosis internal bleeding and the least likely to be managed without major surgery, is the next most effective intervention. Researchers estimate its implementation could save 29,029 lives each year. Other measures of bleeding control, such as administering a so-called treatment tranexamic acid and touring before reaching the hospital, can save an estimated 9,999 and 5,743 lives, respectively.

One of the defining conclusions is that only one study from a low-income country has sufficient data to include, indicating the need for additional funding for injury management research. road safety injuries, especially in low-income countries where the death toll is high.

“We hope policymakers in the small- and middle-income countries consider the number of lives that can be saved by improving trauma care, “said Dr. Razzak, who is also an emergency physician at the NewYork-Presbyterian / Weill Cornell Medical Center.” Where resources are limited , our research may work. as a roadmap for interventions. ”


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Learn more:
Junaid A Razzak et al, Improvement in trauma management for motor vehicle injuries: assessment of the impact of mortality in low- and middle-income countries, Lancet (2022). DOI: 10.1016 / S0140-6736 (22) 00887-X

hint: Improving trauma care for motor vehicle injuries could save many lives in small countries (2022, July 1) restored 1 July 2022 from https://medicalxpress.com/news/2022-07- trauma-road-traffic-injuries-income .html

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Improving trauma care for road traffic injuries could save many lives in lower income countries Source link Improving trauma care for road traffic injuries could save many lives in lower income countries

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