Page 30 - TrafficInfraTech Dec-Jan 2019

ITS

to definitive trauma care.
Providers should be well
trained and should understand
the critical needs of a trauma
victim. Skill-based training
programs for doctors as well
as paramedical staff in Acute
Life Support (ALS) procedures
are needed.
• Organize and integrate pre-
hospital services with definitive
care facilities (hospital) so
that a patient is shifted to
an appropriate facility in
the shortest possible time.
The establishment of the Jai
Prakash Narain Apex Trauma
Highway Call Box Center (JPNATC) at the All India
countries (which include India) to high-cost equipment and Institute of Medical Sciences
contribute about 90% of the technology. Much of this high- in New Delhi is a step forward
global burden of injury mortality, end technology is unaffordable in providing an apex institution
thus highlighting the disparities in and unavailable to victims for quality trauma patient care
outcome of trauma between the from developing nations. facilities, which will act as a role
high, middle, and lower income The organization of a trauma model for other institutions and
nations. centers providing trauma care in
system has four impact pillars:
Injuries affect the productive organization of pre-hospital care the country. More than providing
youth of the country. In addition facilities, hospital networking, the best patient care facilities, the
to excess mortality, there is a communication systems, and role of this apex trauma center
tremendous burden of disability organization of in-hospital has been envisaged as an apex
from extremity, head, and spinal care (acute care and definitive research and training institution
injuries in developing nations. care). An integrated approach that will help the nation’s
The more tragic fact is that injury is required at all levels: human administrators formulate policies
is the third most important cause resources (staffing and training), regarding the organization of
of mortality and the main cause physical resources (infrastructure, trauma care facilities throughout
of death among 1 to 40-year-olds. equipment, and supplies) and the country.
Therefore, trauma effects the the process (organization and The establishment of
productive youth of the country, administration). Most of the innumerable trauma centers with
which is otherwise healthy and physical resources for in-hospital heavy financial burden should not
free from chronic disease. Road care in terms of infrastructure and be the goal of the policy makers.
traffic injuries represent only a equipment are already available Instead, upgrading existing
fraction of the trauma spectrum. at secondary and tertiary care hospital infrastructure to treat
In India, most of the available severely injured patients should
literature regarding trauma hospitals and need moderate be undertaken can be more
epidemiology is pertaining to upgrades. Therefore, the thrust beneficial.
road traffic injuries and there areas in the field of trauma
are hardly any studies done on services are as follows: Atul Kumar, Former Managing
the other causes of trauma. • Provide physical resources Director, Uttrakhand Infrastrasture
The improved survival and for pre-hospital care and Development Corporation and
functional outcome among communication systems. Chief General Manager, National
injured patients in developed • Provide well-trained staff at all Highways Authority of India
countries can be partly attributed levels of care from pre-hospital

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