{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:26:20Z","timestamp":1787775980690,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Prehospital capabilities are inadequately developed to meet the growing needs for emergency care in most low- and middle-income countries. This study aims to describe the prehospital care received by the road traffic injury (RTI) victims presenting to a level I Trauma Care Center in Central Kerala, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a hospital-based prospective observational study, which included consecutive victims of RTI attending the emergency department within 24-h of the event. A structured interview schedule was developed for collecting the data on various domains and the patients were followed up for their duration of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 920 RTI victims, were included in this study. Two percent (17\/920) of first responders had some sort of training in trauma care whereas the rest were untrained. The time taken to get any help at the scene after an RTI was 8 \u00b1 12.9 min (95% confidence interval [CI] 7.16\u20138.84) and for first medical contact 25 \u00b1 16 min (95% CI 24\u201326). No attempt at field stabilization occurred in any case. Three percent (26\/920) had received some form of prehospital care, like arrest of hemorrhage using a compression bandage and splinting of the fractured limb with a wooden plank. None of the patients received supplemental oxygen, airway management, or cervical spine immobilization at the site of the accident or en route to the hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A lack of an organized prehospital care system results in minimal care before hospital admission. Urgent establishment of ambulance services and structured prehospital care tailored to our health-care system is imperative.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jets.jets_139_23","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T12:14:58Z","timestamp":1722600898000},"page":"166-171","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Prehospital Care for Road Traffic Injury Victims"],"prefix":"10.4103","volume":"17","author":[{"given":"Alphonsa","family":"Mathew","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salish","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev Punchalil","family":"Chathappan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babu Urumese","family":"Palatty","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.B","family":"Vijay Chanchal","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siju V.","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,8,2]]},"reference":[{"key":"R1-20240927","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1111\/1742-6723.12840","article-title":"Comparison of trauma care systems in Asian countries: A systematic literature review","volume":"29","author":"Choi","year":"2017","journal-title":"Emerg Med Australas"},{"key":"R3-20240927","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1007\/s00268-019-05056-1","article-title":"Are pre-hospital trauma deaths preventable? 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