www.decadeofaction.org
TRAUMATIC BRAIN INJURY
DR.MUMTAZ ALI NAREJO
CONSULTANT NEUROSPINE & CEREBROVASCULAR SURGEON
ASSISSTANT PROFESSOR OF NEUROSURGERY (GIMS)
www.decadeofaction.org
OUTLINES
• Key facts
• RTA deaths
• Types of head injuries
• Plan of management
www.decadeofaction.org
Key facts

1
2
3

Road traffic
WHO 2004
1.3
Malaria
WHO 2008

<1
Tuberculosis
WHO 2008
1.8
AIDS-related deaths
UNAIDS 2008
Number
of
deaths
(millions)
1.3
• Nearly 1.3 million deaths
• 20-50 million injured
www.decadeofaction.org
The leading cause of death
of young people aged
15-29 years
www.decadeofaction.org
Road traffic deaths
46%
Pedestrian,
cyclists and
motorized
two-wheels
riders and
passengers
6%
Others
48%
Car occupants
www.decadeofaction.org
www.decadeofaction.org
www.decadeofaction.org
www.decadeofaction.org
Pillars of the Plan
Road safety
management Safer
roads and
mobility
Safer
vehicles
Safer road
users Post –crash
response
www.decadeofaction.org
Road safety management
College awareness Programs
Strengthen institutional capacity
Establish lead agency
Develop a national road safety strategy
Set realistic and long-term targets
Develop data systems
Road safety
management Safer
roads and
mobility
Safer
vehicles
Safer road
users Post –crash
response
www.decadeofaction.org
conscious planning
Design
Construction
operation of roads
Assess regularly safety of roads
various forms of transport
safe infrastructure
Road
safety
manageme
nt
Safer
roads
and
mobilit
y
Safer
vehicles
Safer
road
users
Post –
crash
response
www.decadeofaction.org
Safer vehicles
global standards
assessment programmes
safety features
crash avoidance technologies
Regular monitoring
Road safety
management
Safer
roads
and
mobilit
y
Safer
vehicles
Safer road
users
Post –
crash
response
www.decadeofaction.org
Safer road users
Adopt model road safety legislation
Sustain or increase enforcement
Promote public awareness of risk
factors
Call for activities to reduce work-
related road traffic injuries
Establish graduated driver licensing
programmes for novice drivers
Road safety
management Safer
roads
and
mobility
Safer
vehicles
Safer road
users Post –crash
response
www.decadeofaction.org
www.decadeofaction.org
pre-hospital care systems
emergency telephone number
early rehabilitation injured
Establish insurance schemes
Investigate crashes
provide legal response
Road safety
manageme
nt
Safer
roads
and
mobilit
y
Safer
vehicles
Safer
road
users
Post–
crash
response
www.decadeofaction.org
MESSAGE
 Speed reduction
 Seat-belts
 Child-restraints
 Helmets
 Drinking and driving
 Low cost engineering measures
 Safer vehicles
 Pre-hospital and Trauma care
www.decadeofaction.org
Seat-belts and airbags
Front seat :40−65% and
rear-seat : 25−75%.
www.decadeofaction.org
Motorcycle helmets
Dec death by ±40%
Dec severe head injury by >70%.
www.decadeofaction.org
THANK YOU

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