Medicolegal Aspects during Mass Casualty Due to Road Traffic Accidents in the Era of Covid: A Tertiary Care Institutional Experience

A. Kumar, A. Chaudhary
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Abstract

Background: In March 2020, the world health organization declared COVID-19 a world wide pandemic. Countries introduced public health measures to contain and reduce its spread. The effect of mandated societal lockdown to reduce the transmission of corona virus disease 2019 (COVID-19) on road traffic accidents is not known. For this we performed an in-depth analysis singdata of emergency and trauma centre UPUMS, Saifai. As most of the manpower was involved in managing Covid patients directly or indirectly, it was a challenge to manage these mass casualty patients who require intensive care as well as Medicolegal documentation, record keeping, Consent for life saving procedures in absence of Relatives. Material(s) and Method(s): We reviewed data on total 2876 road traffic accident records in UPUMS, Saifai from January 1, 2020 through September 30, 2020. We treated March 20th as the first day of mandated societal lock down and 1st July as the first day of re-opening. Result(s): We have found that the reis increase in road traffic accidents resulting in serious or fatal injuries during lockdown and post-lockdown period. There was increased Medicolegal burden in spite of the decreased medical resources, manpower as most of manpower and resources were being utilized for covid patients. Conclusion(s): Road traffic accidents are a prominent contributor to hospitalization and may negatively impact the existing hospital resources directed towards COVID-19.Copyright © 2023, World Informations Syndicate. All rights reserved.
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新冠肺炎时代道路交通事故造成大规模伤亡的医学法律问题:三级医疗机构的经验
背景:2020年3月,世界卫生组织宣布COVID-19为全球大流行。各国采取了公共卫生措施来遏制和减少其传播。为减少2019冠状病毒病(COVID-19)传播而强制实施的社会封锁对道路交通事故的影响尚不清楚。为此,我们对赛法伊UPUMS急救和创伤中心的数据进行了深入分析。由于大多数人力都直接或间接参与了对新冠肺炎患者的管理,因此管理这些需要重症监护、医疗法律文件、记录保存和在亲属缺席的情况下同意救生程序的大规模伤亡患者是一项挑战。材料和方法:我们回顾了2020年1月1日至2020年9月30日期间赛法伊UPUMS共2876起道路交通事故记录的数据。我们把3月20日作为强制封锁的第一天,把7月1日作为重新开放的第一天。结果:我们发现,在封城期间和封城后,造成严重或致命伤害的道路交通事故有所增加。虽然医疗资源和人力有所减少,但由于大部分人力和资源都用于治疗新冠患者,医疗法律负担有所增加。结论:道路交通事故是导致住院的一个重要因素,并可能对现有的用于COVID-19的医院资源产生负面影响。版权所有©2023,世界信息集团。版权所有。
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