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Challenges of Scene Management in Road Traffic Accidents: A Systematic Literature Review

Journal of Injury and Violence Research

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Javad Babaie , Reyhaneh Mostafanejad

Background: Annually thousands of traffic collisions occur on the roads of Iran. The present study aimed to investigate the challenges of car crash Scene Management (SM) in East Azerbaijan, Iran.Methods: In this qualitative study, data were collected using in-depth semi-structured interviews with road accidents responders and analyzed using content analysis coding, and merging. Then, subcategories and themes were extracted from the integration of similar codes. The participants were selected using the purposive sampling method, and the interviews were continued until reaching data saturation.Results: Totally 20 participants were interviewed, out of which 167 challenges, 28 subcategories, and 9 themes were identified including: infrastructural problems, lack of preparedness, challenges of triage, deficiencies and limitations, management of special (hazardous) incidents, communication problems with the casualties, lack of coordination, lack of psychosocial support of responders, cultu...

Australasian Journal of Paramedicine

Reyhaneh Mostafanejad

Introduction Thousands of traffic collisions occur each year on Iran’s roads. This study aimed to investigate the challenges of scene management in road traffic collisions in the East Azerbaijan Province of Iran. Methods Data were collected using in-depth semi-structured interviews and analysed by content coding and merging. Subcategories and themes were then extracted after integrating similar codes. Participants were selected using the purposive sampling method, and interviews continued until data saturation was reached. Results Twenty participants were interviewed; nine categories were extracted from the collected data: infrastructure problems, lack of responders’ preparedness, triage challenges, deficiencies and limitations, management of special (hazardous) incidents, communication problems with casualties, lack of coordination, lack of psychosocial support from responders, and cultural and social challenges. Conclusion Each traffic collision requires an immediate and effective...

Albanian Journal of Trauma and Emergency Surgery

Blerim Krasniqi

Introduction: Around 1.250000 people die each year due to traffic accidents. Traffic accident injuries are the leading cause of death in the most productive age group – 20-45 years old. 20 to 50 million people end up with injuries, disability because of traffic accident injuries. Purpose of study: To identify the most common factors of traffic accidents. To compare the number of accidents and casualties at local, regional and global level. To evaluate the way traffic accidents are handled from urgent medicine services and the Emergency Medical Center (EMC) in particular. To improve the quality of management traffic accident from medical teams. Material and methods: data for this paper is extracted from EMC and archive protocols in different years, carrying out data analysis. We have cooperated with EMC of University Clinical Center of Kosovo (UCCK), and Kosovo Police – Pristina regional unit. Retrospective method of research and afterwards descriptive and analytical method has been ...

The Open Transportation Journal

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A traffic accident, a traffic collision or crash occurs when a vehicle collides with another vehicle, pedestrian, animal, road barriers, or any stationary obstruction such as a tree or a utility pole. Traffic collisions may result in injury, death, vehicle damage and possession damage. Motor vehicle collisions cause death and disability as well as a financial burden. Traffic accidents cause many losses especially of human life, property damages, and loss of resources. Indeed, even in strife influenced countries such as Afghanistan, Libya, Pakistan, and Yemen, road traffic remains the most common cause of fatal injuries, causing between two and eight times more fatalities than war and lawful mediation. The World Health Organization (WHO) 2013 assessed the traffic casualty rate in the Eastern Mediterranean Region (EMR) to be the second most elevated rate universally after the African Region and extending a few other countries in the region. The aim of this paper was to enrich the glob...

Trauma Monthly

mohammad farzinnia

Petrit Borovci

Background: Traffic accident is when only material damage is caused to the vehicle, track or environment, and there are no casualties. Traffic disaster is such an event in which, besides the material damage, there are human casualties. Traffic disaster is such an event in which, besides the material damage, there are human casualties. Aim: Provision of emergency medical care in all phases of the management of injured persons in traffic accidents with basic and abnormal trauma support in order to reduce: morbidity, validity and mortality and increasing the quality of EMS. Materials and methods: Samples of the survey were only injured in traffic accidents and the main causes were; age, sex, place of residence, seasons, weekdays and months, sleepwalking, drug use, alcohol consumption, and medical assessment, poor quality of roads, speed overtaking, car testing, illness, mobile phone use, eating in the car, radio CD player. Results: The research material was obtained from the UCCK - ...

BMC Emergency Medicine

Davoud Khorasani-zavareh

Shahnewaz Rabbi

VSRC, Loughborough University). Report prepared for UK DETR (VSE Division)

Pete Thomas

Summary This report set out to develop an 'On-The-Scene'(OTS) protocol for investigation of road traffic accidents. It was intended that the main outcome would be to produce a methodology for investigating both accident and injury causation factors relating to road traffic accidents. These protocols are intended for use in a new research project working closely alongside police forces to gain a level of insight beyond existing studies without overtly concentrating on any one aspect of transport safety. This protocol report is an ...

Faheem Ahmed malik

—Road accidents cannot be stopped despite providing the best possible roads and intersections, however there are ways to reduce the impact of road accidents on road-users and the vehicles plying on the road.The incidence of accidental deaths has shown an increasing trend during the period 2005-2015 with an increase of 54.3% in the year 2015 as compared to 2005 increase in the rate of accidental deaths during the same period was 25.5%.A total of 4,00,517 accidental deaths were reported in the country during 2015 (5,535 more than such deaths reported in 2014) showing an increase of 1.4% as compared to 2014. However, the average rate of Accidental Deaths has remained same 32.6 in 2014 and 2015.In the stretches we studied the road accidents are increasing rapidly .We studied accidental records of various police-stations ,identified the black-spots of accidents and then analyzed the geometric features of those spots whose observation is given in this paper .The identification of such points provides us ease to work on some section of road which is most prone to accidents .We analyzed the geometric deficiencies and they recommended ways to reduce their affects. The findings indicated that large radii right-turn curves were more dangerous than left curves, in particular, during lane changing maneuvers. However sharper curves are more dangerous in both left and right curves. Moreover, motorway carriageways with no or limited shoulders have the highest CR when compared to other carriageway width. Proper traffic guidance and control system to guide road users ensuring safe movement of vehicles has been recommended and some of the facilities such as pedestrian crossings and median openings, acceleration and deceleration lanes were redesigned in order to improve the safety of the road and minimize the accidents. I. INTRODUCTION The problem of accident is a very acute in highway transportation due to complex flow pattern of vehicular traffic, presence of mixed traffic along with pedestrians. Accidents are multifactor and random. Traffic accident leads to loss of life and property. Thus it is imperative that traffic engineers take the big responsibility of providing safe traffic movements to the road users and ensure their safety. The aim of zero causality is although difficult even considered impossible by some, but with the latest technologies and advancement in the field it is possible to reduce this in fractions per 100,000 population. This will require a significant investment. By suitable traffic engineering and management the accident rate can be reduced with scare resources. For this reason systematic study of traffic accidents are required to be carried out. Proper investigation of the cause of accident will help to propose preventive measures in terms of design and control.. A primary source of highway safety data is crash data collected by police officers at the scene. Police are unique in their ability to collect on scene crash data shortly after the crash occurs, as well as the transient data that may erode (i.e., tyre marks) or be removed from the scene. Although police are in a unique position to collect crash data, data collection is not their only responsibility. Their primary on scene responsibilities includes securing the crash site, caring for injured persons, and re-establishing traffic flow. Therefore, on scene data collection systems must consider the officer's needs when implementing new technologies. Once a series of data collected, accident sites are selected for possible treatment and before a decision can be made which sites will be treated and the type of improvement work necessary, further information is usually needed. This extra data, obtained through site visits, should relate to both the site accident data and to the other factors that might help to determine what the problem at the site is. On site visit, data should include details of the road, its environment, vehicle features and road user

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Road traffic accidents: a pictorial review

• Pictorial Essay
• Published: 04 April 2018
• Volume 25 , pages 425–433, ( 2018 )

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• Sanaa Kissi   ORCID: orcid.org/0000-0003-0663-0823 1 ,
• L. Fournier 1 &
• N. How Kit 1  

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Road traffic accidents are still a major cause of morbidity and mortality. With well-established whole-body CT protocols in trauma, radiologists are an integral part of trauma diagnosis and management teams. Five well-recognized traumatic syndromes (seat belt syndrome, handlebar syndrome, scapulothoracic dissociation, dashboard syndrome, and brake pedal injury) with their frequent associated complications should be diagnosed precociously according to the accident mechanism to avoid diagnostic delays and poor prognosis even if the circumstances seem minor.

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Department of Diagnostic Imaging and Interventional Radiology, Caen University Hospital Center, Normandy University (UNICAEN), Caen, France

Sanaa Kissi, L. Fournier & N. How Kit

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Kissi, S., Fournier, L. & How Kit, N. Road traffic accidents: a pictorial review. Emerg Radiol 25 , 425–433 (2018). https://doi.org/10.1007/s10140-018-1603-1

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Received : 07 February 2018

Accepted : 23 March 2018

Published : 04 April 2018

Issue Date : August 2018

DOI : https://doi.org/10.1007/s10140-018-1603-1

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Quality of life following road traffic injury: A systematic literature review

Affiliations.

• 1 Department of Public Health, Tomtebodavägen 18A, Karolinska Institutet, 171 77 Stockholm, Sweden. Electronic address: [email protected].
• 2 Department of Public Health, Tomtebodavägen 18A, Karolinska Institutet, 171 77 Stockholm, Sweden; Swedish Transport Agency, SE-781 23 Borlänge, Sweden.
• 3 Department of Public Health, Tomtebodavägen 18A, Karolinska Institutet, 171 77 Stockholm, Sweden.
• PMID: 28942041
• DOI: 10.1016/j.aap.2017.09.013

Purpose: To assess and provide a systematic overview of current knowledge about the relationship between quality of life (QoL) and road traffic injury, and to appraise how QoL is affected by road traffic injury.

Methods: A systematic review of the literature published since 1990 on QoL after a road traffic injury, including adult and paediatric populations, from three databases (Pubmed, PsychInfo and SafetyLit) was undertaken. The methodological quality was assessed according to the Newcastle-Ottawa Quality Assessment Scale.

Results: Thirty articles were included and assessed for quality. The QoL scores of those injured were similar to population norms at the first assessment, followed by a drop at the second assessment. An increase of QoL from the second to third assessment was reported, but participants never reached the population norms at the last follow-up (range six weeks to two years), with an exception of those claiming compensation and those with lower extremity fractures. Age, gender, socioeconomic status, injury severity, injury type and post-traumatic stress disorder were associated with reduced QoL.

Conclusions: Available literature regarding QoL among injured in road traffic crashes is heterogeneous with regard to aims and tools used for assessment. Our review confirmed that independent of measure, the overall QoL was significantly reduced after a road traffic injury compared to the general population norms. Persons who are older, of female gender, lower socioeconomic status, diagnosed with post-traumatic stress disorder, with more severe injuries or injuries to the lower limbs are more vulnerable to loss of QoL following road traffic injury compared to other patient groups injured in road traffic crashes.

Keywords: Health related quality of life; Quality of life; Road traffic injury; Systematic review.

Copyright © 2017 Elsevier Ltd. All rights reserved.

Publication types

• Systematic Review
• Accidents, Traffic / psychology*
• Age Factors
• Compensation and Redress
• Follow-Up Studies
• Injury Severity Score
• Quality of Life*
• Sex Factors
• Stress Disorders, Post-Traumatic / psychology
• Wounds and Injuries / psychology*