world due to traffic accidents
Dr. Marwan bin Muhammad Ali Zamzami, Executive Director of Medical Affairs and a consultant in orthopedic, artificial joints, foot and ankle surgery at Sultan bin Abdulaziz City for Humanitarian Services, explained that traffic accidents in the Kingdom claim thousands of lives annually, and that a recent report of the World Health Organization revealed that the Kingdom records the highest rate Deaths in road accidents at the Arab and international levels, as the number of deaths reached 49 deaths per 100,000 of the population, and many countries are ahead of this in terms of the number of deaths, indicating in his dialogue with Al-Eqtisadiah: Most of the injuries fall in the category of young people from the age of 25 For 40 years, he also addressed the importance of ambulance teams being fully aware of the knowledge of transporting the injured as a unit, fixing the head and neck, and not bending the back. So, to the details of the interview: Are traffic accidents the first cause of death in the Kingdom? In fact, there are various studies that have worked on traffic accidents in the Kingdom, and one of these studies showed that traffic accidents in the Kingdom claim thousands of lives annually, and a recent report of the World Health Organization reveals that the Kingdom records the highest rate of deaths in road accidents at the Arab and global levels, as the number of deaths reached 49 deaths per 100,000 of the population, which is ahead of many countries in terms of the number of deaths. As for the latest statistics of the Traffic Department on the number of accidents that were distributed by the Public Relations and Information Department in the Jizan Traffic in the Salamati program, it reveals 484,805 accidents in one year, the outcome of which was the death. 6142 dead and 34605 injured, and these numbers made traffic accidents the second cause of death after diabetes in the Kingdom, and the problem of traffic accidents in the Kingdom became a worrying obsession and a frightening ghost for all Saudi family members because of the heartbreak and pain they caused as a result of the death or disability of one of their members. Other studies announced Last year, it emerged that there were more than six thousand traffic accidents victims in Saudi Arabia. The psychological impact of the accident: Is it an obstacle to treating the injured, and are there psychological treatment steps while the injured is receiving treatment? Of course, any person who has an accident and suffers from various injuries that may lead to various disabilities, whether mental disability or physical disability, then the patient becomes in a bad psychological state because of the new thing that happened to him, which leads to a kind of pessimism and thinking about his future after his disability, especially if we know that most Injuries afflict young people from the age of 25 to 40 years, and therefore we in "Sultan City" have taken an interest in psychological treatment that helps the patient overcome this obstacle and accept physical and rehabilitative treatment. There is a psychiatric and psychological treatment department in the "city" to which patients refer, and the department rehabilitates patients psychologically to improve the level of acceptance of treatment, both functional and natural. # 2 # Traffic accidents leave physical and motor disabilities, can you give the reader an idea about the nature of these disabilities? As we mentioned earlier that injuries may be mental or physical, for physical injuries are multiple fractures, whether in the upper or lower extremities, and they may be several fractures in them and lead to impairments in the function of the limb or the joints in these extremities, and this problem is treated by fixing fractures and then rehabilitation The limb until it returns to its normal function if possible, and there are injuries that affect the spinal cord, such as a fracture of the cervical, dorsal or lumbar vertebrae, or head injuries that lead to cerebral palsy, and thus lead to movement injuries throughout the body, and these need to be mentally conscious to accept treatment , As for the cases that are accompanied by fainting or that the patient is unable to comprehend what is around him, here we cannot rehabilitate the patient and we can only do exercises or physical therapy to move the joints in order to prevent the joints from stiffness and access to deformities due to immobility. Spinal cord injuries are the most dangerous among traffic accidents in the whole world, what is the nature of these injuries and what are the efforts made by Sultan Bin Abdulaziz City for Humanitarian Services in this aspect? Spinal cord injuries are the most dangerous among traffic accidents in the whole world, but Saudi Arabia is the first in the world in their incidence rates, and this is attributed to the significantly high rate and severity of traffic accidents in it during the past decades. Despite the many causes that lead to spinal cord injuries, the most common and violent ones are those resulting from traffic accidents. Studies indicate that traffic accidents cause this type of injury at rates that vary between 35 and 45 per cent of all the other causes. Spinal cord injuries lead to a profound change in the physical and psychological aspects of the injured.The loss of movement and sensory function below the level of injury is one of the most prominent problems evident. All people with spinal cord damage suffer from side effects, such as all kinds of organic problems, in addition to a number of psychological effects that have a profound effect on the patient''s life or whoever is concerned. One of the most painful experiences for a person is the loss of a member as a result of a traffic accident, and the Sultan Bin Abdulaziz City for Humanitarian Services offers a specialized program for amputees. Is it possible to give an introduction to this program and the extent of its success? Patients with amputated limbs due to traffic accidents or congenital anomalies need compensation for this amputated limb, and there are several types of amputation, which may be a pet under the knee or above the knee or a pet in the forearm or in the hand, and here the compensation is through the prostheses that we are proud of in the city Sultan bin Abdulaziz, to have a distinguished center in the work of prosthetic limbs, and we have a distinguished cadre in the work of all prosthetic limbs in the city and there is cooperation with some international companies from Germany and America to attract and bring some electronic parts for these prosthetic devices. Patients are received in the city either through referrals from inpatients in the city or referrals from outpatient clinics, and these cases are evaluated by the method of the rehabilitation consultant to ensure that the amputated limb is ready for the installation of a prosthetic limb, but if it is not ready, the patient is transferred to a surgery department Orthopedic to confirm the position of the amputated part and then convert it to physical therapy to strengthen the muscles and move the joint until it is ready for the fitting of prosthetic devices and prostheses, and then transfer it to the prosthetic clinic. # 3 # Brain injuries represent a large percentage of accident injuries, so what are these injuries? Most of these injuries are either due to fractures in the skull and internal bleeding in the brain, or because of clots that occur in the brain due to chronic diseases such as pressure diseases, diabetes and various heart diseases, and thus lead to cerebral palsy, which means that the various parts of the body become immobile or weak and the joints become Stiff in a situation other than the functional position, and therefore you need special programs for the process of restoring even part of the function in the lower or upper extremities, in addition to other problems such as swallowing and speech problems, so you need a specialist in the speech process to evaluate and treat it. Spinal injuries are among the most common injuries in the event of traffic accidents. What are the types of these injuries and what are the stages of their treatment?Injuries to the spine are either different fractures in one of the vertebrae at any level, whether in the cervical, dorsal or lumbar vertebrae, and thus lead to various damage to the spinal cord and damage to the extremities that feed these nerves, and the paralysis may be half or quadriplegic and may be associated with control problems In excretion and urination. Some of these fractures need stabilization and decompression of the affected nerves, after which a special rehabilitation program begins to strengthen the muscles and move the joints, according to the patient''s condition and the level of injury. The ambulance services provided to the injured during a traffic accident and the suitability of the medical equipment provided by the ambulances represent an important aspect in dealing with injuries. How important is this aspect in your view? The ambulance teams are one of the most important factors in transporting the injured person from the accident site in a safe manner, and therefore they must be fully aware of the knowledge of transferring the patient as one unit with fixation of the head and neck and not bending the back strongly, because some fractures of the spine are unstable, but did not reach Damage to the spinal cord, so if the patient is moved in the wrong way, the spinal cord will be damaged and this will lead to paraplegia or quadriplegia. The paramedics must also be aware of fixing the various fractures of the limbs in order not to lead to dislocations and reduce blood flow, and perhaps to severe injuries to the membranes surrounding the fractures. Sultan Bin Abdulaziz City for Humanitarian Services conducts a number of specialized operations in the knee and pelvis joints. Can you tell us about the nature of these operations? All types of artificial joint surgeries for the pelvic and knee joints are performed in the city, as well as foot and ankle surgeries that treat all congenital and acquired deformities of the feet, as well as sports injuries to ligaments and all spine surgeries, including fractures, friction of the vertebrae, and deformities such as curvature of the spine. We have specialized rehabilitation programs for all the aforementioned surgeries. Failure to comply with traffic regulations such as speeding and not wearing seat belts are among the causes of accidents. What is your advice in this regard? Yes, failure to fasten the seat belt leads to an exacerbation of injuries and an increase in deaths, if we know that many of the injuries were due to throwing the injured out of the moving car at high speed, and that fastening the belt reduces - God willing - this type of injuries. One of the traffic reports indicated that failure to adhere to proper driving etiquette and excessive speed is still the main cause of traffic accidents by 45.88 per cent, indicating the high number of excessive speed accidents, and failure to comply with traffic lights leads to an increase in the percentage of victims in the Kingdom. What are the latest achievements of Prince Sultan City for Humanitarian Services? In order to provide a more comprehensive service, the city worked to sign a number of agreements, the most prominent of which are the agreement for the treatment of rehabilitation patients in cooperation with the Ministry of Health and the provision of devices for the disabled in cooperation with the Ministry of Social Affairs, in addition to the agreement for the care and rehabilitation of Siamese children in cooperation with the health affairs of the National Guard, and the agreement to transfer patients to the city From the Health Authority in the Emirate of Abu Dhabi in the Emirates. The city has implemented a number of important internationa
