Road Traffic Accident Patients Research Articles

A Study Of Spectrum Of Findings Of Magnetic Resonance Imaging In Ankle Joint Pathologies

Aims & Objectives: This study is being carried out to describe various MRI features in the pathologies of ankle joint. Trauma to the ankle joint is a significant cause of morbidity in the young & active individuals especially amongst labourer’s, road traffic accident patients and athletes. A correct diagnosis regarding traumatic/ non traumatic ankle joint pathologies is essential for early operative as well as non-operative treatment. Magnetic resonance imaging (MRI) has now been accepted as the best modality for non-invasive evaluation of ankle pathologies. This study was undertaken to study different pathologies of ankle joint and its incidence by MR imaging.MATERIALS AND METHODS:A total of 50 cases of clinically suspected & diagnosed of having any pathology of ankle joint by MR imaging of the ankle, at the department of Radiodiagnosis, AMC MET Medical college, L.G hospital, Maninagar, Ahmedabad. Study was performed between December 2018 to December 2019. MRI was carried out on SIEMENS 1.5 T MAGNETOM_ESSENZA machineResults:Of the total50 patients evaluated, most common pathology of ankle joint being anterior talofibular ligament tear & tenosynovitis,20(40%) cases of each, followed by stress fractures 17(34%) & contusions 16(32%). Associated findings include joint collection, marrow edema &soft tissue changes.Interpretation and Conclusions:From these observations, it is found that MRI is an excellent, noninvasive, radiation free imaging modality with multiplanar capabilities and better soft tissue delineation. It can accurately detect, localize and characterize various ligamentous, tendinous, bony & soft tissue pathologies related to ankle joint and thereby guiding in further management of the patient.

Clinical and epidemiological characteristics of road traffic accidents patients received at 2 intensive care units in Saudi Arabia-A cross-sectional study.

Background:Road traffic accidents (RTAs) lead to major trauma, which is the greatest cause of morbidity and mortality worldwide. The purpose of the study was to determine the clinical epidemiological profiles of the patients received in intensive care units (ICU) with road traffic injuries (RTIs).Methods:The study, which included 300 patients, was conducted at emergency departments and two reference ICUs in Saudi Arabia. The patients were of varying ages and genders from different demographic backgrounds with different modes of injuries, varying degrees of shock, and multiple types of injury. Study variables included demographics, clinical presentations, and the types of fractures and lacerations.Results:Most of our study population was male (n = 273; 91%). Car accidents were found to be the prevalent cause of injury (n = 267; 89.0% cases). Only 21.7% of the study population (n = 65) needed ICU admission compared to non-ICU patients (n = 235; 78.3%). Injuries to the chest (P = 0.0001), abdomen (P = 0.0001), upper limbs (P = 0.022), and spine (P = 0.001) significantly contributed to ICU admissions.Conclusion:The burden on ICUs due to RTIs can be reduced in Saudi Arabia by adopting strict preventive measures against RTAs.

An assessment of Nurses' knowledge, attitude and practice of emergency care related to road traffic accident victims at three selected hospitals in Rwanda.

IntroductionQuality emergency nursing care is an important variable in reducing death and disability due to road traffic accidents (RTA), yet little is known about emergency nursing care within the Rwandan context. This study aims to describe the knowledge, attitude and practice (KAP) of nurses of the emergency care of RTA patients.MethodWe employed a cross sectional design to survey the full cohort of nurses working in Accident and Emergency (A&E) units in three selected Rwandan hospitals (N = 51).ResultsThis study revealed that the knowledge and practice of nurses is either high or very high and the majority of them (73.657%) had a positive attitude towards emergency management of RTA patients. Being trained before working in A&E units was associated with a significant increase in the likelihood of being at the level of practice which is (1) very high (OR = 5.35, 95%, CI = 5.20–5.50), (2) high (OR = 1.60, 95%, CI = 1.17–2.19) (3), moderate (OR = 5.35,95%, CI = 4.15–6.88) and (4) low (OR = 1.33,95%, CI = 1.33–133) and it decreased more than 99.9% the likelihood of being at low level of practice in all levels.DiscussionThe study showed that training had a significant effect on practice and this is supported by previous studies. Training interventions to improve the management of RTA patients by nurses working in A&E should be regularly audited to ensure ongoing quality of care.

Pre-hospital trauma care and hospital length of stay among road traffic accidents pa-tients: a retrospective cohort study in Nablus/ Palestine

Pre-hospital trauma care and hospital length of stay among road traffic accidents pa-tients: a retrospective cohort study in Nablus/ Palestine

Did the supreme court liquor shop ban in 2017 on highways impact the incidence and severity of road traffic accidents

Background: Alcohol intoxication plays a major role in the causation of road traffic accidents (RTAs) and assault. On April 1, 2017, the honorable Supreme Court of India banned liquor shops on all national and state highways to a distance of 500 m from them. Out of 231 liquor shops, 178 were closed in Vellore district after the ban. This, we assumed, would have reduced the number of drunken drivers and pedestrians, resulting in the fall in the number and severity of the accidents. Materials and Methods: This is a retrospective observational study done in a tertiary hospital in South India. All RTA patients presented to the emergency department (ED) 1 month before the liquor shop ban (March 2017) were included in the preban group and who presented to the ED 1 month after the liquor shop ban (April 2017) were included in the postban group; their incidence and severity of trauma were assessed and compared. A bivariate analysis was done to identify the relationship between these variables and potential determinants, and their 95% confidence interval (CI) was calculated. For all tests, a two-sided P

Epidemiology and cost-analysis of emergency department patients treated following traffic accidents in Iran: A retrospective cross-sectional study

Introduction:Epidemiological analysis of traffic accidents can provide information for future plans to lower the cost and burden of road traffic accidents (RTAs). This study was aimed to determine the epidemiological characteristics of patients with RTAs.Methods:We conducted a retrospective cross-sectional study of RTA patients presenting in 2016 to the Emergency Department at Shahid Bahonar Medical Education Center in Kerman, Iran. A checklist including variables such as age, sex, month, in which the patient referred, final outcome, overall cost and the site of injury used to collect data. The diagnostic criteria were in accordance to ICD 10.Results:Of the total of 3277 patients who were studied, 2713 (82.78%) were men and 564 (16.66%) were women. Most of the accidents occurred at the age group of 16–30 years and the average cost of treatment in the hospital was 2152.45 USD. The most affected area was the lower limb. The majority of accidents occurred in spring and summer. The mortality rate was (2.74%).Discussion:Injuries and deaths due to RTAs are a major public health problem, especially in young age groups. Therefore, more preventive programs targeting young adults should be considered to reduce the burden of RTAs.

The effect of 'THE MOTOR VEHICLES (AMENDMENT) ACT, 2019' on the clinico-epidemiological profile of road traffic accident patients presenting to a tertiary care trauma centre in Bhubaneswar.

Context:Road traffic accidents (RTA) are a foremost rising cause of morbidity and mortality in developing countries like India. The Government of India enacted a new motor vehicle amendment act (MVA) on September 1st 2019 that permits heavy penalties for traffic rule offenders.Aims:To find out the early impact of “THE MOTOR VEHICLES (AMENDMENT) ACT, 2019”.Settings and Design:A retrospective observational study was performed during the time period July to October 2019 on RTA patients admitted to the Trauma and Emergency department.Methods and Materials:Patients studied in two groups – One Pre MVA group (n = 371) and one Post MVA group (n = 415). The data were extracted from medical case records of the department and filled up in a structured format. Detailed demographic profile, including the use of safety measure and clinical variables such as the pattern of injury and injury severity scores, were recorded.Statistical Analysis Used:Statistical analysis was done by R version 3.6.1.Results:There is a 41% drop in RTA victims post MVA implementation. Polytrauma reduced (25% vs 45.5%) significantly (P = 0.002) and so was Injury severity score (6.00 vs 13.00). More RTA victims were wearing helmets as compared to previous (42% vs 18%), and there was a steep decline in the alcohol driving (25% vs 10%) between the pre and post MVA group. A significant reduction noted in the under 18 yrs. Two-wheeler riders in the post MVA group compared to earlier (P = 0.016).Conclusions:The study reveals that there is a commendable reduction in the injury severity, violation of safety gears, alcohol use and rash driving following the implementation of MVA September 2019. Primary care and family physician can play a crucial role in creating public awareness about the personal safety measures, which will help in strengthening of this law to reduce the incidence of RTA and the associated mortality and morbidity

Pattern of Road Traffic Accident Patients Admitted In Government Medical College and Hospital Nagpur – A Cross Sectional Study

Introduction- Injuries are increasingly recognized as a global public health epidemic. Around the world, almost 16,000 people die every-day from all types of injuries. Injuries represent 12% of the global burden of disease, the third most important cause of overall mortality and the main cause of death among 1-40-year age groups.
 Methodology- This hospital based cross-sectional study was conducted among the road traffic accident patients admitted in trauma care center of Government Medical College and Hospital Nagpur.
 Result- Most common type of injury was abrasion in 91.45% followed by laceration in 79.61% of study subjects. Other common injuries were contusion, fracture, internal hemorrhage, crush injury and dislocation. Majority of the study subjects i.e. 67.11% had head injury.
 Conclusion- Head injury was the most common injury found in the study. Abrasion and laceration was also more commonly found in study subjects. Head injury was found more in non-users of personal protective devices which was statistically significant.

Selective Conservatism vs Mandatory Exploration – Lessons from Managing Traumatic Vascular Injuries

Introduction: Vascular trauma though accounting for only 2-3% of overall injuries in a trauma patient is often the most urgent due to risk of rapid exsanguination. Incidence of penetrating injuries is increasing at a rapid rate across our cities with increasing knife crime. We present a review of all vascular injuries in trauma patients over a 5-year period. Methods: Data was collected from 2012-2017 using a prospectively maintained trauma database (Trauma and research Network-TARN) and electronic patient records. All patients admitted as a major trauma call and identified as having a vascular injury were included. Individual patient records were examined to assess injury characteristics, demographics and outcomes. Results: A total of 203 vascular injuries cases were recorded on the trauma database during the study period. The mean injury severity score was 17, with 46 (69%) patients meeting the criteria of 'major trauma' with a score greater than 15.There were 172 (85%) male patients and 31 (15%) female patients. A total of 82 cases were due to road traffic accidents (RTA) and 73 were due to stabbings. The majority (84%) of the stabbing victims were male. Median age for patients who came in with a stabbing injury was 26.2 years compared to 43 years for RTA patients. Stabbing injuries most frequently required vascular surgery with 75% of the cases (55 out of 73) requiring urgent vascular surgery compared to 46% of the RTA cases (38 out of 82). Of the stab injuries 82% were arterial with 7% patients having an additional visceral injury. The anatomical site of the injury was the thorax in 48%, abdomen and pelvic in 30%, head and neck in 11%, lower limb in 8% and upper limb in 3%. In RTA too the majority (80%) of injuries were arterial, with 14% suffering associated visceral damage. The commonest anatomic location of injury was abdominal and pelvic injuries (41%), lower limbs (30%) and thorax (14%). Median time from admission to theatre was 1.6 hours. Interventional radiology was needed in 11%. 52% patients required more than one operation. Mortality from stab injuries was 3%, compared to 13% in the RTA group. Conclusion: The majority of traumatic vascular injuries from stabbings need immediate surgery and inspite of major vessels being involved the outcomes are good and mortality is low in this cohort of young patients. On the other hand vascular injuries associated with RTA are associated with poorer outcomes due to other associated injuries. Disclosure: Nothing to disclose

Pattern of Injury in RTA Patients in Department of Neurosurgery, Rangpur Medical College Hospital

Background: Road traffic accident (RTA) is a common problem of neurosurgery department. It is one of the leading causes of death in Bangladesh; the World Health Organization estimated that it kills over 21,000 people in the country annually. Aims: This study aims at to give special attention to RTA patients having head injury or spine injury rather than other injury. Method: The data were collected using a set of structured questionnaires from January/2018 to December/2018. Result: Maximum (93.3%) of RTA patients were managed conservatively and only a few number (6.7%) of patients needed surgery. Recovery was 83% and death was in 17% cases. Conclusion: Head injuries remain the most common and serious type of trauma in RTA and demand good neurosurgical care for such patients. Immediate attention is needed to reduce preventable deaths and morbidities in rural Bangladesh. Bang. J Neurosurgery 2019; 9(1): 22-25

Pre-hospital care of road traffic accident victims in the Niger Delta: a private initiative and experience.

This is a review of pre-hospital care of road traffic accident (RTA) victims in the Niger Delta covering the highway linking Benin to Warri in Delta State, Nigeria, from January to December (2017). The non-availability of these services in the South South Nigeria prompted this initiative. Ambulance services with technicians and doctors attended the patients when accidents occurred. This was done in collaboration with the Nigeria Red Cross, Police, Army, and Road safety patrol teams. The information from the patrol team through dedicated lines initiated the emergency response. Response time was an average of 10–30 minutes. A major benefit of this initiative is early commencement of resuscitation and prevention of secondary injuries. A total of 70 RTA victims were salvaged from the accident scene by the Red Cross Society in 2017. A total of 29 RTA patients were salvaged through this initiative in 2017, in Delta State, Nigeria. The main challenges of this effort were delayed communication, insufficient ambulance manpower, and limited funding. Government involvement in public enlightenment, training paramedics, and provision of ambulance services to reduce deaths on our highways is needed.

Blood alcohol levels in road traffic accidents: Factors associated and the relationship between history of alcohol consumption and blood alcohol level detection.

Introduction:Alcohol consumption contributes to a significant number of road traffic accidents (RTAs), and data regarding the reliability of history and blood alcohol content (BAC) in RTA victims are scant.Methodology:This retrospective study was conducted in the emergency departments (EDs) over 6 weeks. All adult RTAs presenting within 12 h of the incident were included for analysis.Results:The study cohort included 369 RTA patients, with the mean interval before presentation being 3 h (standard deviation: 2.22). Two-wheeler accidents (77.2%) were the predominant mode of injury. Usage of a helmet and seat belt was documented in a meager (6.4% [17/267] and 8.8% [3/34], respectively). A positive history of alcohol consumption was reported by 19.5% of cases (72/369). However, BAC was detectable in 30.1% of cases (111/369), with an alarming 19.78% (73/369) being above the legal limit for driving. Nearly 77.5% (86/111) of those who tested positive for alcohol consumption were driving the vehicle involved. Positive BAC levels showed a significant association with young age (18–39 years), male gender, two-wheeler usage, and between 5 PM and 12 AM.Conclusion:A history of alcohol consumption leading to an RTA is not reliable in the ED. Hence, measuring BAC levels in all RTA patients provides an objective and reliable form of documentation for medico-legal purposes.

Analysis of retinal nerve fiber layer thickness and visual function in road traffic accident patients with ocular complains

Background: Trauma to eye can cause severe and permanent visual impairment. In some instances there may be vitreous hemorrhage, choroidal hemorrhage, globe rupture and traumatic optic neuropathy. Spectral domain optical coherence tomography (SD-OCT) is a quick, sensitive, non-invasive device that provides high-resolution images of the circumpapillary retinal nerve fiber layer (cp RNFL), yielding reproducible and reliable measurements. Aims and Objectives: TO study visual functions (BCVA, CV, CS) and retinal nerve fiber layer thickness by SD-OCT. Materials and Methods: This was a prospective observational study on 108 patients, performed from Sept 2016 to July 2017. RTA patients with visual loss/visual complaints between ages of 18 – 60 years included. Log Mar BCVA, Colour vision and contrast were noted. RNFL analysis was done by SD-OCT. Results: The mean age was 28.33± 8.70 yrs, There were 19 (17.6%) female, 89(82.4%) male in case group. At first visit, there were significant difference between BCVA, CV and CS between right and left eyes of cases and controls. Significant difference were seen in mean RNFL in right and left eye of cases and control. After follow up,insignificant change in BCVA and CV in both right and left eye. Significant change in CS in both right and left eye. Mean change in RNFL thickness was insignificant. Conclusion: Decrease in visual function occurs following RTA. Also, RNFL thinning occurs which remains persistently thin thereafter.

Role of computed tomography scan in assessment of skull fracture patterns among motorcycle road traffic accident patients in South Western Nigeria

Background: Commercial motorcycling is a common means of transportation in Nigeria, and motorcycle road traffic accidents (MCRTAs) are commonly associated with multiple skull fractures. Cranial computed tomography (CT) scan is the standard imaging modality of patients with head injury. Aim: The aim of this study is to describe the pattern of skull fractures on cranial CT scan in patients with head injury following MCRTA. Patients and Methods: This was a descriptive cross-sectional study conducted at the University College Hospital, Ibadan, between June and October 2016. Noncontrast cranial CT scan was performed on 190 patients who presented with head injury following MCRTAs. Results: Over half (n = 59.8%) of the patients were within the ages of 20–39 years with a mean age of 33 ± 14.37 years. A total of 183 patients did not use crash helmet at the time of accident, out of which 168 (n = 88.4%) sustained skull fractures. Six different skull fracture patterns were identified on cranial CT scan of these patients. The most common fracture pattern seen was the combined calvarial, facial, and base of skull fractures representing 22.1% while the least fracture pattern was the base of skull fracture (n = 4.7%). Most of the patients with calvarial fractures were without helmet at the time of injury (n = 98.3%) compared to 1.7% of patients who wore helmet at the time of injury. This was statistically significant (P = 0.040). Conclusion: This study further underscores the usefulness of cranial CT scan in identifying and evaluating patients with skull fractures following MCRTA in our environment, thus guiding proper medical and surgical management of such patients in a low-resource setting.

Prevalance of Prehospital care among road traffic accident patients admitted to Dessie Referral Hospital at Dessie, Ethiopia 2019 G.C.

Prevalance of Prehospital care among road traffic accident patients admitted to Dessie Referral Hospital at Dessie, Ethiopia 2019 G.C.

Patterns of injury detected by pan-computed tomography after road traffic accidents: retrospective review from a trauma center in Saudi Arabia

BACKGROUNDPan-scan (whole-body) computed tomography (CT) has a paramount role in the diagnosis of injuries in road traffic accidents (RTA).OBJECTIVEIdentify patterns of injuries on pan-CT scans.DESIGNRetrospective medical record review.SETTINGTertiary care center.PATIENTS AND METHODSThe records of all RTA patients who presented to the radiology department at King Fahad Military Medical Complex (KFMMC) in Dhahran for the 3-year period from July 2014 to July 2017 and underwent pan-CT were retrospectively reviewed. Drivers and front-seat passengers with complete clinical information on seating, safety and mechanism of injury were selected. Children under 5 years of age, pregnant women and back-seat passengers were excluded. Patterns of injuries were categorized as ‘no abnormality detected’ (NAD), isolated or combined head, face and neck (H), isolated or combined chest, abdomen and pelvis (C) or both regions of the body (B).MAIN OUTCOME MEASURESInjury patterns on pan-CT scans.SAMPLE SIZE305RESULTSMost patients were males (n=287, 94.1%). The median age was 26 years for males (IQR, 22–33 years) and 30 years for females (IQR, 28–39). More than two-thirds were drivers (all males); the remainder were front-seat passengers. Young males were most often involved. The most common type of accident was a roll-over. Of those who sustained injuries, 273 (89.5%) were not wearing a seat belt (unrestrained). The patterns of injuries were NAD (87, 28%), H (27, 9%), C (93, 30.5%), B (98, 32%).CONCLUSIONWhen abnormalities were detected, most high-speed vehicular injuries affected the torso. Unrestrained young male drivers are most often involved in RTAs in Saudi Arabia.LIMITATIONSRetrospective study with a small sample size. Types and severity of injuries on pan-CT were not documented.

Upper extremity open fractures in hospitalized road traffic accident patients: adult versus pediatric cases

BackgroundFractures in pediatrics show epidemiological characteristics which are different from fractures in adults. The objective of this study was to examine the injury profiles of open upper extremity fractures (UEFs) in all modes of injury related to road traffic accidents (RTAs) in adult and pediatric hospitalized patients.MethodsData on 103,465 RTA patients between 1997 and 2013 whose records were entered in a centralized country trauma database were reviewed. Data on open UEFs related to mode of injury (car, motorcycle, bicycle, and pedestrian) was compared between adult (18+ years) and pediatric (0–17 years) RTA patients.ResultsOf 103,465 RTA cases, 17,263 (16.7%) had UEFs. Of 73,087 adults, 13,237 (18.1%) included UEFs and of 30,378 pediatric cases, 4026 (13.2%) included UEFs (p < 0.0001). Of 17,263 cases with UEFs, we reviewed 22,132 fractures with 2, 743 (12.4%) open fractures. Adults had a greater risk for open fractures (2221, 13%) than the pediatric cases (522, 10.3%) (p < 0.0001). Overall, of a total of 22,132 UEFs, most of the fractures were in the radius (22.8%), humerus (20.3%), clavicle (17.5%), and ulna (15.4%). The adult pedestrian group had a significantly higher risk for open UEFs than the pediatric group (11 vs 8%, p = 0.0012).ConclusionsThis study demonstrates the difference between adult and pediatric open fractures in hospitalized RTAs. We showed that adults had a greater risk for open UEFs compared to children, and the adult pedestrian group particularly had a significantly higher risk for open UEFs than the pediatric group.

Aerobic Bacteriological Profile from Wound Site Infections in Road Traffic Accident (RTA) Patients

Background: Infections of musculoskeletal injuries due to road traffic accidents, especially open fractures, continue to pose a challenge. There is limited information on the early bacterial contaminants of these wounds and their antibiotic sensitivity patterns in our environment. This study was done to determine the aerobic bacteriological profile of wound site infections in road traffic accident patients at initial presentation and their antibiotic susceptibility profile. The study was carried out over a one year period. Method: Discharge and swabs from the wounds of 247 patients presenting to the Casualty, KIMS Hospital were collected with aseptic precautions prior to the initiation of empiric antibiotic therapy. Gram stain, culture were performed and the isolates were subjected to antibiotic susceptibility testing by Kirby-Bauer disc diffusion method, as per CLSI guidelines. Results: Of the 247 samples studied, growth was observed in 232 samples of which 221 were monomicrobial and 11 were polymicrobial. A total of 273 bacterial isolates were recovered. Gram positive cocci constituted 40.3% and gram negative bacilli constituted 59.7% of the isolates. The most common pathogen isolated was Staphylococcus aureus followed by Pseudomonas spp. and Coagulase Negative Staphylococci. 36.5% of the Staphylococcus aureus isolates were found to be methicillin resistant. Conclusion: This study shows that Staphylococcus aureus and pseudomonas were the commonest organisms associated with the RTA wound site. A high rate of MRSA, MBL and ESBL producers was observed which imply treatment failure with empirical antibiotics. Hence the antibiotic susceptibility pattern of the isolated organisms should be obtained at the earliest to avoid unwarranted prolonged empirical therapy and to administer appropriate and effective treatment. Keywords: Bacterial, Bacterial infections, Injuries, Infection, Trauma, Wounds, Wound infections

Injury pattern of road traffic accident patients admitted in Assam medical college and hospital, Dibrugarh, Assam

BACKGROUND: Worldwide 1.24 million people died and 50 million people were injured due to road traffic accidents in 2010. India tops the list of road traffic accident fatality. There is a rising trend in the road traffic accident fatalities in Assam from 2291 deaths in 2012 to 8872 in 2014. Without appropriate action, by 2030; road traffic injuries are predicted to be the fifth leading contributor to the global burden of disease and injury. Methods: A hospital based descriptive study was done for duration of one year. All the admitted road traffic accident cases were followed from OPD and Causality registers to the respective departments. After obtaining written consent, data were collected by conducting oral interview using a pre-designed and pre-tested schedule. Results: Fracture (71.79%) was found to be the most common internal injury and Abrasion (72.8%) the most common external injury. Injury to brain was found in 16.84% of the patients. Visceral injuries were found in 10.64% of the patients. Conclusions: Motor vehicle injuries are major cause of both external and internal injuries. There is importance of identifying typical patterns of injury associated with road traffic accidents. It may help in the logical management of the victims and capacity building of trauma centres according to regional needs. Language: en

A Clinico - Epidemiological Study of Traumatic Chest Injuries in a Rural Tertiary Care Centre in India: Our Experience

Introduction: Traumatic chest injuries are on the rise mainly due to increased frequency of road traffic accidents (RTAs) and rise in community disharmony. Chest injuries are one of the common causes of major mortality and morbidity. The management of traumatic chest injuries depends on the severity of injury, patient accessibility to nearby hospital and availability of resources at tertiary care Centre. Objectives: To analyze the Clinico - epidemiological pattern of traumatic chest injuries in our institution which is a rural tertiary care center. To recognize the common modes of traumatic chest injuries and their presentations to a tertiary care center. To assess the mode of management with the available facility. To assess the level of knowledge of the rural population about chest injuries and to create awareness among them regarding safe driving practice. Materials and Methods: It is a retrospective study of total 52 patients presenting to the emergency department with chest injuries of varying severity at SDUMC, Kolar from Jan 2013 to Dec 2013. Data collected regarding common injury modes, age and gender distribution, pre-hospitalization practices, clinical presentations, associated injuries, severity of injuries and management options from the hospital record section and these data were analyzed with descriptive statistics.Results: Chest trauma is most common in males in their thirties with mean age of presentation 39 years. The most common mode of injury was RTAs (67.3%) followed by fall from height (15.3%). Most of the pats were brought by patients attenders (46.1%). Most common presentation was chest pain and clinical sign was positive chest compression. Soft tissue injury to chest in the form of abrasions were most common injury type. About 21.1% of patients were presented with some form of pleural space collection, most common being combined Haemo-pneumothorax. Most of the patients treated symptomatically and in 10 patients (19.2%) Intercostal drain was placed. Conclusions: Chest injury are seen commonly in RTA patients. Most of the patients of chest injury had soft tissue trauma over chest in the form of abrasions and majority of these patients can be managed by symptomatic care and simple life saving intervention i.e., intercostal drainage. With increased RTAs it is needed to have public awareness regarding road safety measures and educating them about the first aid measures for trauma patients.