RETROSPECTIVE STUDY OF PATTERN OF HEAD INJURIES IN ROAD TRAFFIC ACCIDENTS INVOLVING TWO WHEELERS AT BHAVNAGAR REGION-GUJARAT
Keywords:
Road traffic accidents, Two wheelers, Skullfracture, HaemorrhageAbstract
Introduction: Road traffic accidents (RTA) have been the bane of the modern civilization accounting for considerable loss to the nation. Head injuries are leading causes of death from motorcycle crashes with many deaths occurring despite optimal use of the available treatment facilities. Hence the present study was conducted to know the patterns of head injuries in fatal accidents involving two wheelers. Methods: This retrospective study was conducted from 1stJanuary 2011 to 31st December 2012 at Sir Takhtsinhji General Hospital, Bhavnagar, Gujarat. The present study entirely focuses on the patterns of head injuries in fatal accidents involving two wheelers who were autopsied during this period. A total of 125 cases of deaths due to two wheeleraccidents were reported for the autopsy. Results: Observation shows Riders constituted (64%) and pillion riders (36%).Linear fracture was the commonest pattern of fracture observed in riders (42.50%) and pillion riders (35.55%). Sub-dural haemorrhage was also the commonest intracranial haemorrhage observed in riders (32.50%) and pillion riders (33.33%). Conclusion: In this study it has been observed that for reducing fatalities among victims of two wheeler road traffic accidents, it is essential to study the cause of RTA, which revolves around factors responsible as Human errors, Machine (Vehicle) errors, and environment.
References
Dr. K.S. Narayan Reddy, Dr. O.P. Murty.The Essentials of Forensic Medicine and Toxicology, 33rdedition, Chapt.-9 (Regional injuries), pp-242.
Kumar A, Lalwani S, Agarwal D, Rauti R, Dogra TD.Fatal Road Traffic Accidents and Their relationship with head injuries, An Epidemical survey of 5 years; Indian Journal of Neurotrauma 2008, 5(2): p63-67.
Singh YN, Bairagi KK, Das KC. An epidemiological study of road traffic accident victims in medico-legal autopsies, JIAFM, 2005, 27(3); 166-169.
Sirathanout J. Kasantikul V. Mortality and injury from motorcycle collision in phetchaburi province, J. Med Assoc. Thai 2003; 86; p97-102.
Ding SL, Pai L, Wang JD, Chen KT.Head injuries in traffic accidents with emphasis on the comparisons between motorcycle–helmet users and non users. J Formos Med Assoc.1994.
Nupur Pruthi, Chandramouli, Sampath S, BI Devi. Patterns of head injury among drivers and pillion riders of motorized two-wheeled vehicles in Bangalore, Indian Journal of Neurotrauma 2010, 7(2): p123-128.
SharmaBR, Gupta Neha, Sharma AK, Sharma Swati. Pattern of fatal motorized Two-Wheeler Crash Injuries in Northern India: is safety Helmet adequate prevention. Trends in Medical Research, 2007, 2:27- 36.
Mumtaz B, Hussain Khan M, Wasif Khan M, Ahmed M, Mahmood A.Frequency of helmet used among motorcycle riders in Rawalpindi, Professional Med Journal, 2007 Dec; 14(4): p663-668.
Cawich SO, Harding HE, Evans NR, Crandon IW, Mitchell DIG, Martin AC et al. “Strategies for secondary prevention of Motorcycle road traffic injuries” Time for policy re-evaluation in Jamaica, The internet journal of emergency med, 2010; 12(1).
B.V.Subramanayam (editor).Modi’s Medical Jurisprudence and Toxicology, 22 ed., edited by 2001; 393-396.
Bairagi, KK, Barbhuiyan SI, Hazarika N. Injuries in riders and pillion riders of two wheeler road traffic accidents in city of Guwahati, Indian Journal of Forensic Medicine and Toxicology; Jul-Dec 2010, 4(2), p25.
Kraus JF, Rice TM, Peek Asa C, Mc Arthur DL.Facial Trauma and the risk of intracranial injury in motor cycle riders, Ann Emerg Med, 2003 Jan, 41(1); 18-26.
Singh B, Palimar V, A run M, Mohanty MK. Profile of trauma related mortality at Manipal, Kathmandu University Medical Journal, 2008, 6(3); 393-398.
Menon A, Nagesh KR.Pattern of fatal head injuries due to vehicular accidents in Manipal, Journal of Indian Academy of Forensic Medicine, 2005, 27(1); 19-22.
Shivakumar BC, Srivastava Prem Chandra, Shantakumar HP.Patterns of head injuries in mortality
due to road traffic accidents involving Two-Wheelers. JIAFM, 2007; 32(3), p239-242
Pathak A, Desania NL, Verma R. Profile of Road Traffic Accidents and head injuries in Jaipur (Rajasthan), JIAFM 2008, 30(1); 6-10.