American Journal of Medical Sciences and Medicine
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American Journal of Medical Sciences and Medicine. 2013, 1(5), 86-91
DOI: 10.12691/ajmsm-1-5-3
Open AccessArticle

Medical -Engineering Pattern of Severe Iraqi Road Traffic Accidents

Sabah S. Razouki1, Fady S. Yasso2, , Saba S. Yaso3, Petra S. Yasso4 and Isam V. Dafdony5

1Nahrain University, Baghdad, Iraq

2Detroit Medical Center, Detroit, USA

3College of Medicine, University of Baghdad, Iraq

4College of Medicine, Al-Mustansiriya University, Baghdad, Iraq

5Departments of Pediatrics, Albert Einstein Medical Center, Philadelphia, USA

Pub. Date: November 13, 2013

Cite this paper:
Sabah S. Razouki, Fady S. Yasso, Saba S. Yaso, Petra S. Yasso and Isam V. Dafdony. Medical -Engineering Pattern of Severe Iraqi Road Traffic Accidents. American Journal of Medical Sciences and Medicine. 2013; 1(5):86-91. doi: 10.12691/ajmsm-1-5-3

Abstract

A combined and thorough medical and engineering study of road traffic accidents in Iraq is presented in this paper. The medical investigation covered about 1500 road traffic accident patients transported by ambulance to various hospitals in Baghdad. In most cases, the medical survey team covered the diagnosis of the injury as soon as it was confirmed and death at the moment of arrival of the patient to the emergency department of the hospital. Multi-organ injury was predominating and the required injuries were performed successfully for single organ injury but the chance of successful operation decreased as the number of injured organs increased. To arrive at the major cause of death and/ or heavy injured road traffic accident patients, analysis of speed of vehicles on rural highways in Iraq was made. The traffic engineering study revealed that high speed of vehicles, exceeding the design speed of the highway with abnormality of spot speed distribution, was the major reason of such severe accidents. Death rate from road traffic accident in Iraq is 44.7 which makes Iraq the fourth country in the rate of road traffic accidents. Road traffic accidents are leading cause of both internal and external injuries and major cause of death. This paper reveals that liver, spleen and neck were the most reported organ injuries in road traffic accidents in Iraq. Pre hospital care, time between the crash and the admission to a trauma center and the availability of trauma center can affect significantly the outcome of the crash. Similarly, the use of seat belt, front and sideway airbags can decrease the rate of organs injuries due to road traffic accidents. A comparison of results of this study with those in other studies in different countries is presented and both agreements and disagreements are discussed.

Keywords:
accident analysis liver injury public health road traffic accident spleen injury traffic engineering

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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References:

[1]  Bambach, M. R., Grzebieta, R. H., Mcintosh, A.S. Thoracic injuries to contained and restrained occupants in single-vehicle pure rollover crashes. Accident Analysis & prevention. 50,115-121. 2013.
 
[2]  Bener, A., Jadaan, K.S. Attitudes of drivers towards usage of safety seat belts in Kuwait. J. Traffic Med. 18(3), 101-107. 1990.
 
[3]  Blaszcynski, A., Gordon, K., Silove, D., Sloane, D., Hillman, K., Panasetis,P. Comprehensive Psychiatry journal. 39(3); 111-21. 1998.
 
[4]  Bowley, D., and Boffard, K., Pattern of injury in Motor vehicle accidents. 2002. Available: http://www.worldwidewounds.com/2002/ctober/Bowley/Patterns-Of-Injury-MVAS.html.
 
[5]  Center for Disease Control 2010. WISQARS (Web-based Injury Statistics Query and Reporting System) Altlanta, GA: US Department of Health and Human Services. Available: http://www.cdc.gov/injury/wisqars.
 
[6]  Center for Disease Control 2011. Vital Signs: Nonfatal, motor vehicle-occupant injuries (2009) and seat belt use (2008) among adults-US. MMWR 2011;59. 2011.
 
[7]  Coats, T. J. and Davies, G. 2002. Prehospital care for road traffic casualties. BMJ; 324(7346), 1135-1138. 2002.
 
[8]  Cramer, H.,. Mathematical methods of statistics. Princeton University Press. 1960
 
[9]  Hoyert, D. and Xu, J. Center for disease control and prevention national vital statistics reports 61(6), 59. 2011
 
[10]  Jaddan, K. The Epidemiology of road traffic accidents in Jordan (1989) Journal of Royal Society of Health 109(4), 141-144.1989.
 
[11]  Khorasani-Zavareh, D., Khankeh, H. R., Mohammadi, R., Laflamme, Lucie., Bikmoradi, A. and Haglund, B. J. Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators. BMC Emergency Medicine. 9:8. 2009
 
[12]  Korte JW, Maecke P and Lapierre R . Grundlagen der Strassenverkehrsplanung in Stadt und Land. Bauverlag GMBH, Berlin. 1960.
 
[13]  Laurusonis, J. D. MVA Motor Vehicle Accidents. Health and Wellness. 1960. Available: http://www.upublish.info/Article/MVA-Motor-Vehicle-Accidents/393052.
 
[14]  Matsumoto, M., Ichihara, D., Okada, E., Toyama, Y., Fujiwara, H., Momoshima, S., Nishiwaki, Y., Takahata, T. Modic changes of the cervical spine in patients with whiplash injury: A prospective 11-year follow-up study. Pubmed 2012 Dec 26. pii: S0020-1383(12)00534-7.
 
[15]  Nicholson, A. A strategic plan to improve urban road safety. First Jordanian Conference on Traffic Engineering and Environment, Amman –Jordan (2), 1-17. 1997.
 
[16]  O'Flaherty, C.A. Highways. Volume 1, Highway.Engineering. Edward Arnold Co., London. 1988.
 
[17]  Oglesby, C., and Hicks, R. Highway Engineering, fourth edition, John Wiley and Sons, New York. ., 1982.
 
[18]  Okeniyi, J.A.O., Oluwadiya, K.S., Ogunlesi, T.A., Oyedeji, O.A., Oyelami, O.A., Oyedeji, G.A., Adesunkanmi, A.K. Road traffic injuries among semi-urban African children: assessment of severity with the pediatric trauma score. The internet journal of third world medicine. 2005.
 
[19]  Pestana, C., Farooqui, A., Levy, E., McGreevy, K., Surgery Lecture Notes. 2009. PP 1-12, PP 75-102. Publisher Kaplan, INC.
 
[20]  Razouki, S.S., 1997. A modified normal distribution for spot speed spectra of Iraqi rural highways. Proceedings of the First Jordanian Conference on Traffic Engineering and Environment 2, 166-176.
 
[21]  Rivara, F.P., Grossman, D.C., Cummings, P. Injury prevention. First of two parts. N Engl J Med; 337(8), 543-48,1997
 
[22]  Salter, R., Highway traffic analysis and design, second edition, Macmillan. 1989.
 
[23]  Samona, J., Colen, R.Orthopedic Considerations in the Pedestrian versus Motor Vehicle Accident Polytrauma Patient. 2012.
 
[24]  Sells, C. W. and Blum, R. W. Morbidity and Mortality among US adolescents. An overview of data and trends. American Journal of public health. 86(4); 513-519. 1996.
 
[25]  Sleet, D. A., Ballesteros, M. F. Injury and safety. CDC Chapter 2The Pre-Travel Consultation Counseling & Advice for Travelers. 2011. Available: http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-2-the-pre-travel-consultation/injuries-and-safety.htm.
 
[26]  Suárez-Peñaranda, J.M., de la Calle, M.C., Rodrìguez-Calvo, M.S., Muñoz, J.I., Concheiro, L. Rupture of liver cell adenoma with fatal massive hemoperitoneum resulting from minor road accident. Am J Forensic Med Pathol. 2001 Sep; 22(3), 275-7.
 
[27]  Sweedler, B.M.Speed and traffic safety. Proceedings of the 12th World Congress of the International Association for Accident and Traffic Medicine and 7th Nordic Congress on Traffic Medicine, June 23-25, 1992, Helsinki, Finland. Journal of Traffic Medicine, Supplement Vol. 21, No.1, 27-38. 1992.
 
[28]  United States department of commerce, 2012. Transportation: Motor vehicle accidents and fatalities. The 2012 Statistical Abstract of The National Data Book2012.
 
[29]  Wani, I., Parray, F. Q., Sheikh, T., Wani, R. A., Amin, A., Gul, I. and Nazir M,.2009. Spectrum of abdominal organ injury in a primary blast type. World Journal of Emergency Surgery, 4:46. 2009.
 
[30]  West, J.G., Trunkey, D.D., Lim, R.C., 1979. Arch Surgery. Systems of trauma care: a study in two countries. 114, 455-60.1979.
 
[31]  World Health Organization, 2012. Fact sheet N 358.available: http://www.who.int/mediacentre/factsheets/fs358/en/index.html
 
[32]  World Health Organization. World health ranking Road traffic accidents death rates. 2011. Available: http://www.worldlifeexpectancy.com/cause-of-death/road-traffic-accidents/by-country/.
 
[33]  World Health Organization. Road safety training manual Unit 2, P 28. 2006. Available: http://www.who.int/violence_injury_prevention/road_traffic/activities/roadsafety_training_manual_unit_2.pdf.