ABSTRACT
Objective: To determine the patterns,complications and casualties of road traffic accidents in North West of Iran during 2013 New Year holidays
Methods: One hundred and eighty one patients with trauma-related vehicle crashes were investigated in a cross sectional-descriptive study. We only included those road traffic accidents which were recorded during the 2013 Iranian New Year holidays. Severity of injury based on Glasgow Coma Scale [GCS] score, patient transmission type, damaged organ and the final diagnosis was determined. The mortality rate as well as complications were also recorded and reported. The pattern was analyzed and presented using descriptive statistics
Results: Overall we included 181 patients who were victims of road traffic accidents during the study period. Most cases of multiple traumas were from two car accident [49.2%]. Of 181 cases, 71 [39.2%], 66 [36.5%], 16 [8.8%] and 11 [6.1%] subjects had limb, head and neck, abdominal, and spinal cord injuries respectively, while 16 cases [8.8%] did not have any organ damage. In final diagnosis, a limb fracture was noticed in 32 cases [17.7%] and skull fractures in 5 subjects [2.8%] as the first and second causes
Conclusion: As head and neck were the most damaged organs after the limbs in patients with multiple traumas, it seems that there is a necessity for these patients in transmission and examination of head traumas. So there is a need for a proper referral system
ABSTRACT
Pneumorrhachis as a relatively rare condition may be an indication of substantial intra-spinal column injury. Here we report a 39-year-old man was admitted because of low back pain and dyspenea after locating between motor vehicle and wall three days before admission. On arrival, physical exams and vital signs were normal. Computed tomography [CT] scan showed bilateral pleural effusion, fracture of ribs number 8, 9 and 10 in lower left side of thorax, fracture of vertebra in L2-L4, and air bubbles in upper thoracic spinal canal