Comparative Study / Dr Akshat Pandey
Dr Akshat Pandey
Development of Express Highways and Trauma Care Centers
In Indian Scenario
This is with reference to the recently constructed express national
Highways by the Honorable State Governments in India, for the
Sole purpose of speedy connectivity and hustle free transport
From place to another the aim lies good as far as accident does
Not occur. State Governments are doing really excellent jobs by
Connecting major cities and metros across India but side by side
Creating an open space for accidents to happen and casualties to
Be added to annual tally of Indian Road traffic accidents list.
We have express highways with very good road management
But we are lacking an excellent trauma management centers
Across express highways within approachable limit and well
Equipped ambulance system backup with across India Toll
Free number as compared to any of the developed nation
Basically what constitutes express highways are speedy traffic
In terms of two wheelers and four wheelers, absence of proper
Lightening polls, improper traffic sense and accident caused
Due to above mentioned factors
To a certain extent accidents on national highways / express
Highways can be prevented as far as Indian Scenario is
Concerned by managing fallowing factors –
1 Control Driving – It applies to all the vehicles running on
Highways irrespective of personal / private / or any other use
2 Standing of Vehicles – We have heard a lot about road traffic
Accidents where a moving vehicle had a head on collision with
Standing truck / without its light displayed causing casualties
Right on spot it’s in our hand to display the emergency system
Of our vehicles if there is technical breakdown and it should be
Stand away from the road as far as possible as to avoid the
Impact of road side moving vehicles
3 Absence of proper lightening – Its being observed on Express
Highways that there are more toll plazas to collect the money
As compare to electricity and light polls. This factor affects the
Safety protocols as laid down by international road safety org.
Compromising this creates lots of accidents in absence of
Proper lightening and electric polls and as far as casualties
Due to this factor can be averted by accurate safety measures
4 Proper Traffic Sense- Proper traffic sense also constitute an
Important factor in prevention of Road Traffic accidents. It
Includes judicial use of safety measures such as helmets for
Riders; safety belts in cars and other precautions as per the
Demand. It also include driving sense of vehicles i.e. be in one
Lane; use of lights when changing the lane; use of horn as per
Above are the some of important factors which are crucial and
Critical for prevention of Road traffic injuries and judicial use
Of above factors can lead to drastic change in reduction of
Deaths due to it
Specialized Trauma Centers and its Importance –
With reference to above mentioned sub heading fallowing are
Two case scenarios which clearly proves the importance of
Specialized Trauma Centers across India
Case 1 – In a first case near Mathura a road traffic accident
Occurred. It results into two casualties and one person
Critically injured battling for life at some private hospital
In Mathura. In this post accident scenario rescue was done by
Local villagers with the help of some workers of Jaypee Group
Rescue was compromised as per medical guidelines and in
Absence of expert medical assistance. Even the transport of
Injured was compromised in absence of equipped ambulance
Ethics of Golden Hour Management was compromised in
Absence of Trauma Center on Highway. Had there was good
Trauma center available then valuable time in transfer of
Patients would have been saved and possible two casualties
Would have been averted
Case 2 – In a recent accident near Greater Noida on Delhi
Agra Express Highway where a BMW car got damaged
Resulting into injuries to two boys and two girls on board
No casualties reported since the area has bunch of medical
Setups / trauma management hospitals near by. Rescue
Was done and medical aid was provided in time
Comparative Scenario- Both the case scenario represent the
Typical dissymmetrical approach of Indian society towards
Trauma Management In the first case we lack a established
Trauma set up and in second we have bunch of hospitals as
The place is near to metro politan Absence of trauma centers
In first case scenario causes death and bunch of hospitals in
Case 2 save lives of injured
Conclusion – India requires more specialized Trauma centers
On express Highways. They should either come under public
Private partnership or State Government should initiate the
Trauma project of India parallel to express Highways. They
Should also have guidelines at par to National Trauma centers
As that of AIIMS with proper connectivity to ambulances so
That Golden Hour should be used judiciary irrespective of
Trauma obtained. Judiciary use of Golden hour management
Itself saves lives. Ambulances and their contact number with
All relative details should be displayed at all glow sign boards
On express highways. There should be a quick response team
Specially dedicated for post trauma management on road.
Hope that concerned attached should think about Trauma
Services and their importance side by side since it is rightly
Said by some one “Accident or Trauma can touch any one;
At any given time and at any given place irrespective of his
Caste, creed and religion’
Dr Akshat Pandey
Life Associate Member – Indian Society for Trauma &
Acute Care (JPN Apex Trauma Center AIIMS
Life Member – Indian Hernia Society AIIMS
Life Member Society of Endoscopic and Laparoscopic
Surgeons AIIMS