Road Traffic Accident Cases Research Articles

Contralateral Expansion of Hemorrhagic Contusion in Patients Undergoing Decompressive Craniectomy: A Series of Two Patients

AbstractContralateral formation and expansion of hemorrhagic contusion is a significant and rare complication following decompressive craniectomy. Decompressive craniectomy is an important surgical tool for management of raised intracranial hypertension secondary to various pathologies including trauma. These uncommon events are reported in the literature along substantive explanations and theories. We present two cases of road traffic accident (RTA) who following decompressive craniectomy developed expansion of contralateral hematoma. In this article, we are focus on the appearance and expansion of contralateral intraparenchymal contusion following decompressive craniectomy with a deep dive into the existing literature.

Analysis of Fatal Blunt Force Head Injuries in cases of Road Traffic Accidents- A study from Civil Hospital, Ahmedabad

Road traffic accidents are a leading cause of death and disability worldwide, with significant implications in India due to its vast and diverse population. Post-mortem studies provide crucial insights into the epidemiology, causes and characteristics of fatal head injuries, informing prevention and management strategies in case of road traffic accidents. This study aims to analyse the epidemiological profile of head injury cases subjected to post mortem, identifying patterns in demographic factors, causes of injury and anatomical characteristics of blunt force head trauma. In this study, analysis was done for blunt force head injury in road traffic accident cases brought to the mortuary of Civil Hospital, B.J Medical College, Ahmedabad, over a one year period from January to December (2019). Among 1138 cases of road traffic accidents, 847 cases with head injury were selected. Data on age, gender, cause of injury, type and location of blunt force head trauma and associated injuries were collected, analysed and compared with other similar studies. Of 847 head injury cases, majority were males and age group of 21 – 40 Years. 43 % of study population died within 1 hour. Predominantly two wheeler’s were involved in RTA and without safety measures. 43.5% of cases showed laceration as external injury and 53.4% of study population showed linear fracture of skull. This study on blunt head injury cases reveals critical epidemiological trends, emphasizing the need for enhanced road safety measures and public awareness. The findings underscore the importance of targeted prevention strategies and improved trauma care to reduce fatalities from head injuries in India.

Injuries to the lower limbs and associated injuries in children and adolescents resulting from road traffic incidents.

Fractures occurring in the lower extremities as a result of road traffic accidents (RTAs) can lead to considerable morbidity and constitute a large proportion of nonfatal injuries that necessitate hospitalization. The present study aimed to examine the epidemiology of lower extremity fractures linked with RTAs in pediatric patients. This is a descriptive retrospective research study carried out between 2015 and 2022 at St. Mary's Children's Hospital, Iasi, Romania, targeting the population below the age of 18 years who experienced trauma from RTAs and received treatment from the trauma department. Data pertaining to various aspects, including age distribution, the frequency of accidents, the types of injuries incurred, and surgical treatment, were gathered. The findings revealed a total of 358 cases of RTAs, out of which 112 fit the required criteria, and a total of 22 patients, accounting for 19.64%, had open fractures. This research provides information on lower extremity fractures and associated injuries in the pediatric population living in urban and rural areas throughout the Moldova region in Romania, subsequent to RTAs. The objective is to deliver the most relevant information at the patient's bedside and provide proper healthcare services.

Study of Pattern of Craniofacial Injuries in Road Traffic Accident Cases Autopsied in Midnapore Medical College

Background: The objective of this study was to investigate the pattern of craniofacial injuries in victims of fatal road traffic accidents, observed through autopsies conducted at Midnapore Medical College, West Midnapore from January 2021 to December 2023. Methods: It is a retrospective, cross- sectional observational study. Data was collected by thorough analysis of the injuries documented in post-mortem reports of all the alleged road traffic accident cases where victim sustained Cranio- facial injuries within a time span of 3 years, from 1st January 2021 to 31st December, 2023. Data was analysed using Microsoft Excel. Conclusion: The study highlights the necessity of context-specific interventions to address the unique injury patterns observed in West Midnapore's road traffic accidents. Improving road infrastructure, raising traffic safety awareness, and promoting protective measures like seat belts and helmets can reduce severe craniofacial injuries. The prevalence of maxillofacial fractures underscores the face's vulnerability, with long-term physical and psychological impacts. Effective prevention strategies, such as strict traffic regulations and awareness campaigns on the dangers of distracted or impaired driving, are essential. Despite limitations, the study provides valuable insights into craniofacial injury patterns in fatal accidents, stressing the need for enhanced road safety, stronger traffic laws, and better post-accident care. Interdisciplinary collaboration among healthcare professionals, law enforcement, and policymakers is crucial for developing comprehensive strategies to manage and prevent these injuries. By examining regional injury characteristics and comparing them with other studies, this research contributes to the broader understanding of craniofacial trauma, offering significant implications for improving road safety, trauma care, and forensic practices.

Evaluation of the effectiveness of road safety measures and their impact on the pattern and distribution of extracranial and intracranial hemorrhages in fatal head injury cases in Uttar Pradesh, India.

In Uttar Pradesh, India, there are many fatal head injuries as a result of road traffic accidents (RTAs). Studying the pattern and distribution of intracranial hemorrhages, a frequent complication of severe head trauma might provide vital information on the efficacy of traffic safety regulations. To improve road safety tactics and lower fatal head injuries in Uttar Pradesh, this study intends to assess the effect of road safety measures on the frequency and distribution of intracranial hemorrhages in fatal head injury patients. This study's objective is to assess the influence of current road safety initiatives on intracranial bleeding distribution and patterns in fatal head injury cases in Uttar Pradesh. The 604 RTA cases with head injuries that were brought to the mortuary of the S.R.N. Hospital in Prayagraj for a medical-legal postmortem assessment over the course of a year, from April 2021 to March 2022, make up the entirety of this prospective study. Following receiving institutional ethical approval and informed consent, structured interviews with attendees utilizing a questionnaire were done to gather the data. The results show that certain traffic safety measures have reduced the frequency of fatal head injuries in RTAs. A decreased incidence of intracranial hemorrhages was linked to improved traffic infrastructure, including well-planned junctions, pedestrian crossings, and distinct bicycle lanes. Similar results were shown in serious head injuries when traffic restrictions including speed limits, seat belt use, and helmet legislation were strictly enforced. There are still issues with fatal brain injuries from car accidents, despite some encouraging results. Safety legislation violations, a lack of public knowledge, and inadequate enforcement all contribute to the issue. Disadvantaged groups like walkers and users on two-wheelers continue to be especially susceptible. The results of this investigation offer important new understandings of the efficiency of traffic safety measures and their influence on the distribution and pattern of cerebral hemorrhages in Uttar Pradesh, India. The results point to the necessity of improved public education efforts and traffic safety laws. More research and focused interventions are required to address specific risk factors among various road user groups. This will result in a safer driving environment and a decline in catastrophic brain injuries.

Seasonal and Time-Series Analysis of Road Traffic Accidents

Road Traffic Accidents (RTAs) contribute a significant and escalating rate in harm, hospitalization, and mortality. This study assesses the seasonal trend and time series analysis of RTAs cases brought to casualty department of Liaquat University Hospital, Hyderabad, Pakistan. Objective: To conduct seasonal and time series analysis of RTA cases at Casualty Department of Liaquat University Hospital Hyderabad. Methods: Nine hundred and sixty-six road traffic accidents-related cases were examined through prospective study at casualty department, Liaquat University Hospital, Hyderabad, Pakistan from January 2020 to December 2022. The seasonal trend was demonstrated by drawing seasonal index plot and time series plot. Results: The largest occurrences of RTA-related cases were reported in the month of December, having 103 total cases with a mean of 34.33 ± 18.92. July had the second highest frequency of RTAs-related cases, with a total of 94 cases having a mean of 31 ± 5.43 cases. The second-highest number of cases was observed in July and November with approximately equal mean number of RTAs. The time series analysis demonstrated an increasing trend of RTAs-related cases in the last three months of the year. Conclusions: The number of cases connected to RTAs increased during seasons of extreme weather, such as the summer and winter, and it also showed an increasing tendency in the last quarter of 2022.

Epidemiological profile of reported road traffic accident cases to emergency medicine department of a teaching medical college in South Karnataka

Epidemiological profile of reported road traffic accident cases to emergency medicine department of a teaching medical college in South Karnataka

Pattern of Head Injury in Fatal Road Traffic Accident: Retrospective Study

Road traffic Accident have been reported to be a major cause of morbidity and mortality. Due to increasing modernization, road traffic accidents have become exponentially more frequent and dangerous. Mortality rate from road traffic injuries accounts 29.2 per 100000 people5. This study was conducted in the Department of Forensic Medicine, Silchar Medical College, Silchar, from 1st November 2021 to 31st October 2022. The aim of the study is the pattern of head injuries in fatal road traffic accident. Out of the 981 autopsy cases were conducted during the above-mentioned period, a total of 200 cases were found deaths due to head injuries. Out of 200 cases, common age group involved was from 40-50 years, the deceased were more from rural areas. Maximum cases during winter season. Commonest injuries were scalp abrasion, linear fracture of skull and subdural haemorrhage. Head injury has become a common cause of death and disability among Road Traffic Accident cases. This further shows the need of strict implementations of traffic rules. Positive policy initiatives such as mandatory helmet legislation need reliable and consistent data to support ongoing monitoring and enforcement of such initiatives.

Pattern and distribution of injuries associated with road traffic accident in Haldwani (Nainital) - An autopsy based study

Indiais one of the fastest growing economies. There is a rapid inflation of vehicles on the road that range from motorcycles to heavy vehicles which also shows an active surge in the fatal road accidents. This study is focussed to find out the pattern and distribution of injuries in fatal road traffic accident cases in Kumaon region of Uttarakhand as to plan at the time of policy making and traffic law implementation.: The present study was conducted in the department of Forensic Medicine & Toxicology of Government Medical College, Haldwani from January 1 2019 to December 31 2019, on total 110 cases of RTA brought to mortuary for medico-legal post mortem examination.: Maximum number of cases sustained head and neck injuries (42 out of 110 externally) followed by extremities injury (28 out of 110). Total 38 cases out of 110 sustained head and neck injuries internally, followed by abdominal injuries (28 cases). Abrasions (30 cases) and laceration (29 cases) were commonest type of external injury noted in RTA cases followed by contusion (22 cases) and fracture (19 cases). Most common cause of death among RTA victims was head injury (40 out of 110 cases) followed by shock and haemorrhage (37 out of 110 cases).

Trauma Outcomes in Pediatric Nonfatal Road Traffic Accidents.

By 2025, road traffic injuries are projected to rank third in the global burden of disease, posing a significant challenge that affects health, social well-being, and economic aspects. According to data from the Romanian Police National Statistics Center, there have been an average of 342 traffic accidents per year involving pediatric patients over the past 10 years. A retrospective research study was conducted, encompassing 358 cases of road traffic accidents identified for the study, with data collected over a span of eight years, and with the aim of analyzing the types of injury and treatment methods in relation to age and sex, while also focusing on the duration of hospitalization and the occurrence of complications. An oscillating trend is observed from 2015 to 2020, with its lowest value recorded in 2017 at around 6.8% and its peak in 2019 at 20.1%. Notably, post-pandemic (COVID-19), the cases underwent a substantial decline of approximately 60%. At least 78.7% of those who did not undergo orthopedic reduction required surgery, whereas among those who underwent orthopedic reduction, only 23.4% needed surgery. Regarding the frequency of complications 17.3% of the total cases experienced complications. According to our findings, age has a significant effect on the type of accident (p < 0.05). Complications occurred in 17.3% of patients, most commonly surgical (24 cases, 38.7%), orthopedic (17 cases, 27.4%), and neurological (15 cases, 24.2%).

A Cross-Sectional Study on Pattern of Thoraco-abdominal Injuries in Victims of Fatal Road Traffic Accidents

Background: Road traffic accidents are preventable public health issues and are becoming more common. These accidents can be linked to a number of factors, including an increase in the number of vehicles on the roads, changes in daily life, a nasty habit of breaking traffic laws, anarchic traffic systems, and risky driving practices. Thoraco-abdominal injury in different forms is one of the major causes of mortality in the victims of fatal road traffic accidents. The aim of this study was to know the pattern of thoraco-abdominal injuries in victims of fatal road traffic accident cases. Material &amp; Method: The present study was conducted at the tertiary healthcare centre in southern Haryana. Total of 75 cases of fatal road traffic accident cases were enrolled during one year of study period. The basic information about the deceased like age, gender, mode of travel of the victim was obtained from investigating officer narration and inquest papers. During autopsy, detailed examination of injuries was carried out and the autopsy findings were recorded and analyzed. Results: It was observed that out of 75 cases male outnumbered females in ratio 5.25:1. Majority of the victims belonged to the age group 21-30 years. The commonest injury of the thoracic region was rib fracture (41.3%). It was also observed that 17.3% of victims had pelvic fracture. Conclusion: Human error is a major contributing factor to fatal RTAs, which can be avoided in many cases. A more stringent licensing policy, particularly for four-wheelers, increased knowledge of traffic laws, the reduction of drug abuse and an appropriate road network that is in line with traffic volume can help to reduce the number of fatal road traffic accidents.

Are Holidays or Festive Periods to blame for Seasonal Spikes in Road Traffic Accidents in Nigeria?

Over the years, citizens have characteristically viewed festive and holiday seasons in Nigeria as a period when there are spikes in traffic and road crashes. These spike in road crashes have been ascribed to some spiritual or mystical powers which often possess the road ways especially the intercity or highways within the country. The paper examined the impact of holiday and festive periods on the recorded road traffic accident cases in Nigeria for a period ten years (2012 – 2021) using weekly data obtained from the Federal Road Safety Corps Office, the research adopted exploratory data analysis conducted on the Road Traffic accidents data suggests that the data is not normally distributed (Shapiro-Wilk = 0.94, p = .002) hence Kruskal-Wallis test -a non-parametric statistics equivalent of Analysis of Variance (ANOVA) was adopted for test of difference. The aim was to isolate the actual period when road accidents occurred most between ordinary day, non-festive holiday and festive holiday periods. National holiday and festive dates were marked on the data sheet and a hypothesis was tested. A Kruskal-Wallis test was conducted to compare the median ranks of three groups: Festive Holiday, Non- holiday, and Non Festive Holiday. The test revealed a significant difference among the groups (χ2(2) = 11.02, p = .004.). Post hoc tests using the Dunn-Bonferroni method showed that Festive Holiday (FH) and Non-holiday (NH) groups had a significantly different median rank (KW = 58.38, Mdn_FH = 220, Mdn_NH = 180, adj.p = .007). Similarly, the Festive Holiday and Non Festive Holiday (NFH) groups had a significantly different median rank (KW = 84.16, Mdn_FH = 220, Mdn_NFH = 177.5, adj. p = .017). However, there was no significant difference in median rank (Mdn) between Non-holiday and Non Festive Holiday groups (KW = 25.77, Mdn_NH = 180, Mdn_NFH = 177.5, adj. p = .948). The study concluded that most road traffic accidents occur during festive holidays.

Pattern, Severity of Injuires Sustained in Road Traffic Accident: An Autopsy Based Study

Road Traffic Accidents (RTA’s) constitute a significant public health problem, they are rising in an alarmingrate and causing increased morbidity and mortality among people. Motor vehicle accidents are complex events resulting primarily from human, technical, and environmental contributing factors. That is the reason, road traffic accidents are creating the burden for people related to mortality and morbidity.Objectives: The following study analyses the following: 1) Age and sex distribution of the deceased in RTA. 2)Month and Time of occurrence of RTA. 3) Pattern of injury sustained in RTA.Methodology: A retrospective study was conducted for a period of three month (October 2022-December 2022), in cases of road traffic accidents brought for autopsy at tertiary care teaching hospital, Madurai. All the data regarding the age, sex, month, time and place of occurrence, type and site of injuries and outcome are collected based on autopsy report. Data was analysed using standard statistical method.Results: Of the total 330 road traffic accidents cases, 81.8% cases were males, 18.2% females. Majority of the victims were in the age group of 41-50 years (21%), Urban victims found to be on the highest side (77.2%), compared to Rural victims 22.8%. Most of the RTA happened during the month of NOVEMBER (38.2%) and during the time period between 2 PM and 1 0PM (40.6%). Head injuries contributes the most common injury pattern (60.7%) compared to other pattern of injury.Conclusion: The present study concluded that head injuries were the most common injury pattern in RTAs and it is the main factor for death. Proper awareness about usage of helmets, punishment regarding drunk &amp; driving and rash driving among the common people will help to reduce the mortality due to Road traffic accidents.

Motion Artifact Mimics Subdural Hemorrhage on CT Scans: A Case Series

The aim of this paper is to show a common phenomenon seen in brain computed tomography scans. This phenomenon is seen when the patient slightly moves during the brain scan which creates a motion artifact that appears like pathology and the radiologists might misdiagnose the case as a false positive case. A slight motion artifact appeared as a subdural hemorrhage in five cases. Some of these cases came to the hospital as road traffic accident cases, while others have only suffered a chronic headache. In this case series, five cases are presented, scanned again to rule out any pathology, and these cases are discussed in this paper to find any common pattern among these cases.

A Cross-sectional Study on the Pattern of Skull Fractures in Fatal Two-wheeler Road Traffic Accidents at a Tertiary Care Hospital in Northeastern India

Introduction: Death due to Road Traffic Accidents (RTA) is one of the leading causes of mortality and morbidity in a developing country like India. As there is a paucity of literature on the nature and type of injuries in RTAs in the locality of Upper Assam, a retrospective study on postmortem cases of fatal two-wheeler accidents was conducted to address the magnitude of the problem. Aim: To analyse different types of skull fractures and causes of death among two-wheeler RTAs at tertiary care Hospital in Northeast India. Materials and Methods: The present cross-sectional study was conducted in the mortuary of Assam Medical College, Dibrugarh, Assam, India, for a period of one year from August 2020 to July 2021. The records of all RTA cases involving twowheeler motorcycles brought for postmortem examination during this period were studied for parameters including age, gender distribution, cause of death, type of skull fracture, intracranial haemorrhage, and time of occurrence, and analysed using descriptive statistics. Results: There were 532 fatal RTA cases recorded, out of which 292 involved two-wheelers (54.89%). Males (87.67%) outnumbered females (12.33%). The most affected age group was between 21-30 years with a total of 98 cases (33.56%), followed by 31-40 years with 68 cases (23.29%). Skull fracture was present in 103 cases (35.27%). Fissured fracture was the most common type seen in 64 cases (62.14%) followed by depressed fracture in 19 (18.45%). The most common single bone fracture was of the Temporal bone in 44 cases (42.72%), followed by frontal bone in 18 (17.48%). Coma was the most common cause of death, seen in 214 cases (73.29%), followed by haemorrhagic shock in 42 (14.38%). Subdural Haemorrhage (SDH) alone was the most common intracranial haemorrhage found in 159 cases (74.30%), followed by Extradural Haemorrhage (EDH) alone in 7 cases (3.27%). Conclusion: Injuries to the skull and brain are the leading cause of death in RTAs. Adequate measures should be taken to prevent mortality and morbidity, achievable through strict enforcement of road safety measures, awareness among the people, and improving road infrastructure along with emergency medical services.

Resolving insurance claims with Artificial Intelligence powered decision making

This study explores how Artificial Intelligence (AI) can improve the speed and efficiency of dispute resolution in road traffic accident (RTA) insurance claims, which can benefit the society and the economy. We propose and apply a systematic AI-based method to estimate the costs and guide the negotiation process, instead of relying on official guidelines and lawyer expertise. We use 88 real-life RTA cases and find a strong correlation between the final judicial cost and the length of the most severe injury, with a high predicted R2 value of 0.527. We also demonstrate how various AI tools can help with information extraction and outcome prediction: · How regular expression (regex) can obtain accurate injury data for further analysis; · How different natural language processing (NLP) techniques can make predictions directly from text. Our RegEx framework can automatically extract information from different report formats; different NLP methods can produce similar reasonable results. This research shows how AI can be used for social good to transform legal-related decision-making processes, support legal actions, and optimize legal resource use.

AI-powered decision-making in facilitating insurance claim dispute resolution

AbstractLeveraging Artificial Intelligence (AI) techniques to empower decision-making can promote social welfare by generating significant cost savings and promoting efficient utilization of public resources, besides revolutionizing commercial operations. This study investigates how AI can expedite dispute resolution in road traffic accident (RTA) insurance claims, benefiting all parties involved. Specifically, we devise and implement a disciplined AI-driven approach to derive the cost estimates and inform negotiation decision-making, compared to conventional practices that draw upon official guidance and lawyer experience. We build the investigation on 88 real-life RTA cases and detect an asymptotic relationship between the final judicial cost and the duration of the most severe injury, marked by a notable predicted $${R}^{2}$$ R 2 value of 0.527. Further, we illustrate how various AI-powered toolkits can facilitate information processing and outcome prediction: (1) how regular expression (RegEx) collates precise injury information for subsequent predictive analysis; (2) how alternative natural language processing (NLP) techniques construct predictions directly from narratives. Our proposed RegEx framework enables automated information extraction that accommodates diverse report formats; different NLP methods deliver comparable plausible performance. This research unleashes AI’s untapped potential for social good to reinvent legal-related decision-making processes, support litigation efforts, and aid in the optimization of legal resource consumption.

Clinico-Epidemiological Study of Fatal Head Injuries in an Autopsy

Introduction: Head injury is a significant public health problem worldwide. Traumatic head injury is a leading cause of death and disability in children and adults in their most productive years. The morbidity and mortality due to head injury is on the rise and is one of the prime importance in today’s medical practice. Objective: To assess the clinico-epidemiological study of fatal head injuries in an autopsy. Methods: The present study was conducted of the Department of Forensic Medicine &amp; Toxicology, Dhaka Medical College Hospital, Dhaka, Bangladesh from January to June 2022. Total 250 patients included in this present study. We selected only fatal head injury cases due to mechanical violence. However, we included severe facial injury cases too as these cases were associated with head injury. But, the present study doesn’t involve crushed head injury or survived cases, referred or LAMA cases brought in the hospital. Results: Maximum cases were seen in the age range of 21-30yrs, 57 cases (22.8%). Maximum cases were seen amongst males, 196 cases, 78.4%. The commonest causes of fatal head injuries are Road Traffic Accident (RTA) cases. Other important causes of fatal head injuries are fall from height, assault &amp; railway accidents. External head injuries were mainly seen on frontal and parietal regions. Amongst the scalp injuries lacerations were very common seen in 114 cases, 36.19%. Skull bone fractures were frequently seen in fatal head injury cases. Presence of skull bone fractures are associated more frequently with fatal complications. Though linear fractures are common in general we observed the comminuted fractures as the commonest type of skull fractures in fatal head injury cases, seen in 73 cases, (58.4%). Depressed fractures were less common in fatal cases. Involvement of cranial fssa was seen in 108 cases. Linear type of fractures both transverse and horizontal type was more common seen in 66 coases amongst the 108 cases of cranial fossa involvement i.e. 61.11%. Involvement of middle cranial fossa was high seen in 45 cases of the 108 cases i.e. (41.66%). Presence of comminuted skull bone fractures is associated with higher rate of mortality. Conclusion: Most of the cases were due to road traffic c accidents and males are more prone to get Head injury. Other important causes of fatal head injuries are fall from height, railway accidents and assaults in descending order. To reduce the morbidity and mortality it’s high time for the concerned authority to take appropriate actions.

Road traffic accidents presenting to the emergency department of a tertiary care hospital in North-East India: A cross-sectional study

Road traffic accidents (RTA) are one of the most common cases brought to a hospital daily. The severity of the situation is not known to most of the masses. It has a high chance of mortality and high disabling capacity due to injuries to the main vital parts of the body.: A cross-sectional study was conducted to analyse the pattern of road traffic accidents as regards the type of victims, offending vehicle, place &amp; time of occurrence, type of injuries sustained, fatality among the RTA victims admitted in the emergency department of a tertiary care hospital in North-East India during January 2021-June 2022.A total of 1002 RTA cases were reviewed, and it was found that most of the RTA (76.3%) were males and 32.7% of the cases belonged to the age group of 21-30 years, followed by the age group of 31-40 years (20.5%). RTAs commonly occurred between 12:01 p.m-6 p.m.; the offending vehicles were 4-wheelers (38%) followed by 2-wheelers (36.4%). Most of the victims were 2-wheeler riders (62.2%) followed by pedestrians (16.8%); the head &amp; face were most affected body parts (42.2%) followed by lower limbs (30.6%) and Imphal West was the most common place of occurrence (48.8%).With the increasing use of motor vehicles, the number of road traffic accidents is rising. It is important to find a pattern of these cases in this part of the country so that we can prevent such unfortunate and unnatural deaths.

Injury pattern of road traffic accident cases attending trauma centre of tertiary care hospital of North India

Introduction: Injury is a significant global health burden and can result in mortality if not attended to on time. Trauma system refers to a collection of services provided by various super-specialties. According to the WHO-World Bank Report, RTA will rise from ninth place to the third biggest cause of mortality. Materials and Methods: The study was done at Advanced Trauma Centre (ATC) at PGIMER, a teaching hospital of north India. Study included area from most of the patient come for treatment (rural/urban) and injury patterns seen in these patients, which included mode of injury, type of injury, type of road accidents and location of injury. Results and Observations: In maximum cases, 60.2% (245) of the mode of injury was RTA. It was seen that the maximum number of patients, 44.4%, (115) had motorbike/scooter collisions with vehicles. In most patients, the type of injury seen was 35.9% (147) head, neck and back injuries, and in maximum cases, the location of the accident site was road/street 63.2%. Discussion: In our country, where the trauma delivery system is poorly developed, teaching hospitals have to bear the burden of treating many patients. No concept of emergency medicine or trauma care is in use, even in urban areas. As a result, teaching hospitals’ emergency departments receive many referrals for emergency conditions.