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6. OBSERVATIONS (PART 3)

6. INCIDENCE OF PENETRATING AND NON-PENETRATING INJURIES

The incidence of penetrating and non-penetrating trauma cases is shown in Table-VI(a) and Figure-V.

TABLE VI(a) :SHOWING INCIDENCE OF TYPE OF TRAUMA

S.NO.

TYPE OF TRAUMA

NO. OF CASES

PERCENTAGE OF CASES (%)

1.

NON-PENETRATING TRAUMA (BLUNT TRAUMA)

115

94.26%

2.

PENETRATING TRAUMA

7

5.74%

 

TOTAL CASES

122

 

 

The non- penetrating trauma cases were 115 and penetrating trauma cases were 7 in total 122 cases. The incidence of various penetrating and non-penetrating injuries of abdomen and pelvis is shown in Table-VI(b) and Figure-VI.

TABLE VI(b): SHOWING INCIDENCE OF PENETRATING AND NON-PENETRATING INJURIES OF ABDOMEN & PELVIS. (TOTAL CASES=122)

 

 

S.NO.

 

 

AGE

GROUPS (IN YRS)

NON-PENETRATING CAUSES

PENETRATING CAUSES

VEHIC. ACC. (RTA)

FALL FROM HEIGHT (FH)

COLLAPSE OF ROOF/DROP OF HEAVY OBJECT (CR)

ASSAULT BY BLUNT WEAPONS (AS)

BEATEN BY HANDS AND LEGS (BE)

STAB INJURY (SI)

FIREARM INJURY (FI)

1.

0-10

2

-

1

-

-

-

-

2.

11-20

16

1

-

-

-

2

-

3.

21-30

41

3

1

1

-

1

-

4.

31-40

17

2

0

2

1

0

2

5.

41-50

11

1

-

-

-

2

-

6.

51-60

4

-

1

-

-

-

-

7.

61-70

8

-

-

-

-

-

-

8.

71-80

1

-

-

-

-

-

-

9.

81-90

-

-

1

-

-

-

-

 

TOTAL

100

7

4

3

1

5

2

 

Percentage (%)

81.96%

5.73%

3.27%

2.45%

0.82%

4.09%

1.63%

 

It was observed that majority of the injuries were non-penetrating (94.26%), out of which 86.96% of total blunt trauma cases were due to vehicular accidents. Other causes of blunt trauma includes fall from height in 7, collapse of roof/fall of heavy object like machine in 4, assault by blunt weapons in 3 and manual beating in one case. In penetrating trauma category, stab injury accounted for 5 cases. Firearm injury was noticed in remaining two cases.

7. INCIDENCE OF TYPE OF VICTIMS AND OFFENDING VEHICLES IN 100 VEHICULAR ACCIDENT CASES

In the present series, buses caused maximum accidents, i.e., 38 which amounts to 38% of the total cases. The second major killer were the trucks which caused 16 accidents, i.e., 16% of cases. Three wheelers (auto- rickshaws) and two wheelers (scooters/ motorcycles) claimed 3% and 2% of total cases respectively. The Car/Jeep/Taxi(four wheelers) caused 13% of the total cases. In 21 cases, the offending vehicle could not be identified but it was clear that the victims died due to road traffic accidents. In the present series, pedestrians were the worst sufferers. A total of 53 pedestrians were killed in 100 vehicular accident cases. The next common category was the bus occupants which accounted for 13% of the cases. The scooterists/motorcyclists accounted for 12% of total cases. 9% of the victims were three wheeler (auto-rickshaw) occupants. The Car/Jeep occupants accounted for 4% of the cases. Cyclist were killed in 4% of the cases. Rickshaw occupants and Truck/Tempo occupants accounted for 2% of cases each. Handcart puller victim was observed in one case of vehicular accident. The incidence of victims versus different offending vehicles in 100 cases of vehicular accidents is shown in the Table-VII.

TABLE VII: SHOWING INCIDENCE OF VICTIMS VERSUS OFFENDING VEHICLES IN 100 CASES OF VEHICULAR ACCIDENTS INVOLVING ABDOMEN AND PELVIS.
MOST COMMON OFFENDING VEHICLE =BUS
MOST COMMON VICTIM = PEDESTRIAN

 

 

S.NO.

 

 

OFFENDING VEHICLES
TYPE OF VICTIMS

PEDESTRIAN

BUS OCCUPANTS

TRUCK/ TEMPO OCCUPANTS

CAR/JEEP OCCUPANTS

TSR OCCUPANT

SCOOTER/MOT OR-CYCLIST

RICKSHAW puller

CYCLIST

HAND CART PULLER

TOTAL NO. OF INVOLVED

1.

BUS

18

10

-

1

2

4

2

1

-

38

2.

TRUCK

7

1

-

2

2

4

-

-

-

16

3.

TRAIN

1

-

-

-

-

-

-

-

-

1

4.

SELF

-

2

-

-

-

1

-

-

-

3

5.

TEMPO

-

-

2

-

-

-

-

-

-

2

6.

CAR

4

-

-

1

3

1

-

1

-

10

7.

JEEP/TAXI

1

-

-

-

1

1

-

-

-

3

8.

SCCOTER/

M. CYCLE

2

-

-

-

-

-

-

-

-

2

9.

THREE WHEELER/ (TSR)

1

-

-

-

-

-

-

1

1

3

10.

BULLOCK CART

-

-

-

-

1

-

-

-

-

1

11.

UNKNOWN

VEHICLE

19

-

-

-

-

1

-

1

-

21

 

TOTAL

53

13

2

4

9

12

2

4

1

 

 

8. INCIDENCE OF VISCERAL INJURIES OF ABDOMEN AND PELVIS

Incidence of various organs involved in abdominal and pelvic trauma in shown in Table-VIII.

TABLE VIII: SHOWING INCIDENCE OF VARIOUS ORGANS INJURED IN 122 CASES OF ABDOMINAL AND PELVIC TRAUMA VICTIMS.

S.NO.

ORGANS INVOLVED

NON-PENET. TRAUMA

Cases no. (%)

PENET. TRAUMA

 

Cases no (%)

TOTAL CASES

PERCENTAGE

(%)

1.

Diaphragm

12

9.83%

4

3.28%

16

13.11%

2.

Peritoneal haemorrhage

98

80.33%

7

5.74%

105

86.07%

3.

Retroperitoneal haemorrhage

5

4.1%%

1

0.82%

6

4.92%

4.

Stomach

5

4.1%

3

2.46%

8

6.56%

5.

Omentum

21

17.21%

-

-

21

17.21%

6.

Small Intestines

13

10.65%

1

0.82%

14