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conditions including fog, rain and gross health care systems in the
water logging, innovations like all- country. The acute, trauma or
weather performance, abrasion emergency system is a subset of
and skid-resistant reflective tapes the wider health care services.
can be directly pasted on the In addition, India has very low
surface. Other road furniture spending on healthcare, about
like median markers, aluminium 2.4% of the GDP. There is a lot of
backed flexible prismatic, vertical variability in health care within the
delineators and Smart VMS country, even within cities and their
(variable message sign) are also periphery. The private health care
used to promote road safety. sector plays an important role not
Dr Amit Gupta’s focus was in emergency care but in elective
on emergency care. What goes care where one has the option
behind every accident is a personal to choose between hospitals and
tragedy which affects not only the doctors but a road accident victim
victim but his family and relatives. is taken to the nearest government
The majority of patients coming hospital whose trauma care has We do keep hearing
to the trauma centre are left limited infrastructure, untrained the same story year
disabled lifelong with amputations, manpower and unstructured
spinal cord or brain injuries and processes. after year that the
cannot go back to society without An injured person in India has number of fatalities
rehabilitation. India is not only 16 times more likelihood of dying is rising, despite the
number one in road fatalities than a person with the same injury
but also the first in the disability- in developed countries, the reason best efforts of the
adjusted life years lost, because being lack of a robust emergency government, NGOs and
most of the victims are young or trauma care system. Police civil societies. We are
between the ages of 18 and 40.
vans are still the major carriers obviously going wrong
Emergency health care systems of the trauma victims from the somewhere. I believe
in India are the reflections of the road followed by auto rickshaws,
technology, more than

awareness, is going to
improve road safety.

Changing needs require – Akhilesh Srivastava
superior technology. In
order to communicate ambulances and private four
with the motorist (caution wheelers. The majority of the

and warn) and relay patients are being brought in
information in order to by family, relatives or the police
and not trained healthcare
prevent accidents, various professionals. Though states have
products like signage, started 108 ambulance services,
vehicle parking signs, road the problem remains that there
is no legislation and no authority
furniture and pavement which controls what is happening
marking are being in these ambulances and how such
developed. patients are being taken care of.
And finally, there is no data which
– Swatantra Kumar can help improve emergency care
systems. TT

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