Title
Assessment of polytrauma patient management in India
Authors
Piyush Pratap Singh Sikarwar1, Jay Kumar Kolewar2, Devendra Sharma3, Sandeep Kumar Dwivedi2,* & Akanksha Sikarwar4
Affiliation
1Department of Emergency Medicine, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India; 2Department of Anaesthesiology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India; 3Department of Orthopedic and Trauma, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India; 4Department of Periodontology, Maharana Pratap College of Dentistry and Research, Centre, Gwalior, Madhya Pradesh, India; *Corresponding author
Piyush Pratap Singh Sikarwar - E-mail: peyush09@gmail.com
Jay Kumar Kolewar - E-mail: jaykumarkolewar@yahoo.com
Devendra Sharma - E-mail: drdavid444@gmail.com
Sandeep Kumar Dwivedi - E-mail: sandeepdwivedi1993@gmail.com
Akanksha Sikarwar - E-mail: akankshasinghsikarwar11@gmail.com
Article Type
Research Article
Date
Received August 1, 2025; Revised August 31, 2025; Accepted August 31, 2025, Published August 31, 2025
Abstract
ATLS adherence in 250 polytrauma patients in India is of interest. While airway control and cervical spine immobilization were timely, delays in CT imaging and suboptimal transfusion ratios (PRBC: FFP = 1.5:1) were noted. Patients with ISS > 25 had significantly longer imaging times and higher mortality (21% vs. 9%). Overall, in-hospital mortality was 14%. Dedicated trauma teams and protocol optimization are recommended for improved outcomes.
Keywords
Polytrauma, ATLS, emergency care, imaging delay, transfusion ratio, trauma team, injury severity score
Citation
Sikarwar et al. Bioinformation 21(8): 2618-2621 (2025)
Edited by
Vini Mehta
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
