A CITYWIDE TRAUMA EXPERIENCE IN NIGERIA: THE WAY FORWARDS
Journal Title: European Journal of Pharmaceutical and Medical Research - Year 2019, Vol 6, Issue 5
Abstract
Trauma is increasing in developing countries following technological and vehicular transportation advancement with attendant heightening of morbidity and mortality. As part of quest to reduce agony of trauma to barest minimum in Africa, Kampala Trauma Score was formulated in Uganda and validated across the globe. Considering our limitations of trauma management, this study was designed to investigate the issues surrounding trauma management in this locality by investigating injury pattern, pre-hospital and hospital responses, and formulation of innovative policies on trauma prevention. In 2013 to 2015, data were collected in three stages from each patient using a registry form: at presentation (Accident and Emergency), second and sixth weeks on admission. Included in the registry: socio-demographics; aetiology; timing sequence; categorization, management modalities; and outcomes. Out of 1392 patients recruited, male was 1028(74%) and female 364(26%) with age range from 2months to 94years. Traffic crashes accounted for 64% of trauma. Main social classes involved were civil servant/private employee, students and business owners. Most of the patients were multiply injured with extremities ranked 87%. Ninety-two percent of the injury was sustained unintentionally. Alcohol/drug use was registered in 12% and 81% had surgical operations. Kampala Trauma Score graded the injury as: severe 4%, moderate 11% and mild 85%. Conclusively, road traffic was the major cause of injury and mainly on musculoskeletal system. Pre-hospital management was non-existing while hospital response was rapid but with poor and inadequate facility. Kampala Trauma Score was then ranked to have the best policy on trauma management amongst others.
Authors and Affiliations
Prof. Sunday Ogunsuyi Popoola
Keywords
Related Articles
- EP ID EP673307
- DOI -
- Views 143
- Downloads 0
THE LEVEL OF CYTOKINES IN PATIENTS WITH CHRONIC VIRAL HEPATITIS C, DEPENDING ON THE IL-28B GENOTYPES
The imbalance in the of cytokines plays a pivotal role in pathogenesis of various diseases, and chronic viral hepatitis C is not an exception. Various cytokines, namely IL-2, IL-4, IL-6, TNF-α, IFN-α and IFN-γ, are studi...
IMPACT OF UTERINE FIBROIDS ON THE EFFECTIVENESS OF ICSI IN WOMEN OF ADVANCED REPRODUCTIVE AGE
This publication presents the results of a study conducted among women of older reproductive age on the impact of uterine fibroids on the effectiveness of ICSI.
OUR EXPERIENCE USING DIFFERENT BARICITIES OF BUPIVACAINE FOR UNILATERAL SUBARACHNOID BLOCK ANESTHESIA IN DIFFERENT LOWER LIMB ORTHOPEDIC SURGICAL PROCEDURES
Background: Unilateral subarachnoid block anesthesia uses decreased dosage, low speed of administration and lateral positioning to enhance unilateral drug distribution. Aim: To assess the effect of various baricities of...
THE EFFECT OF 5 FRACTIONAL EXTRACTS OF ACER TEGMENTOSUM MAXIM. CONCENTRATED IN DECOMPRESSED VACUUM ON DENTAL CARIES-INDUCING BACTERIA
Acer tegmentosum Maxim. (Acer TM) was concentrated in decompressed vacuum to obtain 5 factional extracts, and the amount of dental caries-inducing bacteria and periodontitis-inducing bacteria that were inhibited dependin...
THE AMELIORATIVE EFFECTS OF THE AQUEOUS EXTRACT OF ROSEMARY AGAINST MONOSODIUM GLUTAMATE NEUROTOXICITY IN ADULT MALE ALBINO RATS: HISTOLOGICAL, ULTRASTRUCTURAL AND BIOCHEMICAL STUDIES
Background: monosodium glutamate (MSG) is a major flavor enhancer is still being used as food additive. Despite its taste stimulation and improved appetite enhancement, many reports indicated that MSG is toxic to human a...