@article{ref1,
title="Study of pre-hospital care, patterns of injury and outcomes of suburban railway accident victims in Mumbai, India",
journal="National medical journal of India, The",
year="2020",
author="Bhoyar, Ruchita and Borle, Nitin and Khajanchi, Monty and Nagral, Sanjay",
volume="33",
number="4",
pages="201-204",
abstract="BACKGROUND:. India has one of the largest railway networks, with a high incidence of railway-related accidents and fatality rate of 150/million passengers per year. We evaluated the pre-hospitalization period, pattern of injury and outcome of train accident victims in a metropolitan city. <br><br>METHODS:. For this prospective observational study, we included victims of railway accidents presenting to a public hospital of Mumbai (a metropolitan city) from November 2014 to September 2016. We documented a detailed history of the victims and patterns of injury. Injuries were assessed using the revised trauma score, injury severity score (ISS) and trauma score-ISS. The outcome of surviving persons was assessed using the European quality of life questionnaire (EQ-5D-5L) and visual analogue scale (EQ-VAS). <br><br>RESULTS:. Eighty-one accident victims were admitted during the study period, of which 37 (46%) were seriously injured. The victims were predominantly male (85%), in the age group of 14-45 years (91%), 23 (28%) were in an intoxicated state. Most accidents happened during morning and evening peak hours (60%). The average time for victims to reach hospital was 38.1 minutes and 77 (95%) were transported by an ambulance accompanied by a doctor, while 8 (10%) received first aid at the railway station or in the ambulance. Ten (12%) accident victims died while 71 (88%) were discharged. <br><br>CONCLUSIONS:. We found a high incidence of people in their productive age group losing their lives to railway accidents, which can be prevented with the help of a robust transport system and training the first responder emergency medical care providers.<p /> <p>Language: en</p>",
language="en",
issn="0970-258X",
doi="10.4103/0970-258X.316263",
url="http://dx.doi.org/10.4103/0970-258X.316263"
}