Accidents And Road Safety – The Medical Way

While we were determining that what should be our next topic of discussion, we came across an unnerving fact. This was the Fatality Count of the year 2018, due to Road Accidents in India. In 2018, India endured a colossal death toll of over 1,50,000 which means over 400 deaths daily. This made us question that what can we offer to have an impact on these figures, as not only it is our Civil Responsibility but also our Obligation due to our background and field of work. We have already written on numerous things which cover Techniques, Information and Maintenance such as – The Correct Helmet Choice!, Choosing The Most Suitable TyresHow Well Do You Brake?Driving In Rains, etc. But there is one thing which we cannot do, that is to contribute in Medical Know-How but that is where our friend from https://medfriendhelp.wordpress.com/ comes to the Fray! Below is her experience and guidelines which she not only learnt from her Odyssey of becoming a Doctor but through life as well.

“It was evening. The cold sun was setting on the horizon. I was sitting at this new ice-cream outlet near my college, taking a well-deserved short break from the truck-load of case histories that I had to submit as a part of my Clinical Surgery exam. It was off a busy road, almost impassable at that time of the day, as the traffic jostled to snake its way through.

Just then; I heard a loud blare of horn, a squeal of brakes and I saw a car ram into a motorcycle. The Motorcycle Rider flipped head over heels and hit the concrete.

My first thought was that it was nothing too serious. But as I saw swarm of people gathering on the site, a rush of adrenaline swept through my body and in a mix of fear and concern, I started walking towards them.

The sight was enough to leave an indelible imprint in my mind. The traffic on the road came to a grinding halt. The Motorcycle Rider had received head injuries and was lying unconscious. The fall had cracked his skull into pieces, and a gush of blood from his torn arteries was painting the dusty road into a gruesome red. There were unintelligible shouts from here and there; some shouting frantically at the frightened Car Driver. I saw that his eyes were closed, respiration faster than normal, and shallow, like someone trying to fetch scarce air in a closed room.

As I knelt beside him, my thoughts were muddled and before I could even sympathize, I mechanically took his head into my lap and started looking for the source of the leak. I checked his carotids. His heart was still beating, the pulse getting faster and fainter with each passing second. In a flash of reminiscence, I recalled the text box titled ‘Things To Do’ from my textbooks. In big, bold letters, the phrase ‘DO NOT PANIC’ stood out. Calming myself, I signaled a man standing close to ask the crowd to step away and make the place less suffocating. To another, I bawled out orders about making a call for an ambulance. As the crowd pulled back, I focused on the boy. I tried putting pressure on the sites from where he was bleeding. All the while, I kept talking to him, reassuring him. He was drowsy from all the blood loss, but I knew that my words were getting registered in his cortex. It didn’t seem too long (a couple of minutes, at best) before the ambulance arrived and parked right in front of us. The back door flew open and two men jumped out, one caring a mask bag, the other a stretcher. In a flurry of motion they had the boy on the stretcher, and the doors slammed shut before I was on my feet. As I watched the ambulance speed away, the crowd dispersed in a matter of seconds.

People often fail to respond correctly at the time of emergency. Their panic and non-timely support often leads to a catastrophic result. To avoid this there are some basic rules that we need to keep in mind. We all need to know it because an emergency can happen anywhere may it be at home, a shopping mall, a swimming pool, a city street or a grocery store.

The Basics :

  1. DO NOT PANIC

It gets worse before it gets better. Never panic. It eats your brain deranging the cognitive skills. Relax. Take a few deep breaths and get to work!

  1. CHECK FOR RESPONSE

See if they are alert or able to talk. Ask questions like ‘Are You Okay?’ If they respond, ask ‘What is happening to you?’. Sometimes it is easily determined with their posture. A patient with Myocardial Infarction (Heart Attack) would be found clenching his fist over the front of the chest. It is called a Levine sign. Check for their level of consciousness. If they become unresponsive in the middle, check for respiration and pulse.

  1. CALL FOR HELP

This is the most important step. People often forget this and jump to step 4. If you don’t activate a help team, all your efforts would go wasted and you would only be left helpless and exhausted.

  1. LOOK FOR RESPIRATION

The fundamental management of an emergency case is ABC i.e., airway, breathing and circulation. See if the chest expands and put your hand around the nose to look for exhaled air.

  1. LOOK FOR PULSE

Pulse is a reflection of your heart activity. For every beat of your heart, there is a wave felt at the peripheral arteries. A failing heart will have a thready pulse, often irregular. Look for the pulse at the neck (carotids) for 5 secs.

  1. START THE CPR

CPR stands for Cardiopulmonary Resuscitation. People often believe only a medical professional can give CPR; well, anybody can provide this. It is the most used life-saving maneuver.

Brain can survive without oxygen for only 3 mins. Even before the ambulance arrives the brain can permanently go into a vegetative state of coma due to lack of oxygen. To avoid this, heart is mechanically caused to pump the blood with manual compression.

The Procedure is: Give a chin lift head low position to open up the airway. Start giving compression in the center of the chest right at the lower end of sternum (It’s a long flat bone placed in the mid-line). The compression should be rapid almost at the speed of 100/min. It should be deep and equal, giving the same time for recoil (This ensures proper filling of blood).”

You can read the Full Blog here – https://medfriendhelp.wordpress.com/2014/11/29/life-on-a-fast-lane/

With this we conclude our Article and hope we further increased the depth of your Automobile and Motorsports Vision, but this time your Medical Know-How too. Stay Safe.

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