Epidemiological study of road traffic accident

Introduction Telemedicine has been able to bring healthcare services to all people in far locations such as the sea. Our main objective was to overview the main features, challenges, and requirements of applying telemedicine at sea. Methods The electronic search includes all types of papers published in English. It was performed in four databases with keywords to Feb 2023. Next, main categories were defined to extract major concepts. By mapping extracted themes, maritime telemedicine concepts were represented in two conceptual models. Results After screening the papers based on title and abstract, 18 articles remained. They can be divided into 13 categories based on their clinical domains. Out of 18 reviewed articles, six articles were published in 2020. The greatest number of studies with five articles was conducted in France. Evidence showed that maritime telemedicine service can be provided to all kinds of ships. Regarding clinical domains, the greatest demand belonged to primary care problems (5 papers) and general health assessment (4 papers). Challenges were divided into four main categories. Moreover, the required services and equipment in four categories were described too. Finally, a conceptual model is represented for providing telemedicine services at sea using satellite Internet. Conclusion Despite the existing challenges in providing the required equipment and resources for the implementation of maritime medicine, it has an important role in providing better care for seafarers without time limitations.

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Requirements, Challenges, and Key Components to Improve Onboard Medical Care Using Maritime Telemedicine: Narrative Review

The tasking of the Indian Navy has increased manifolds in the recent past due to the country's growing economic importance, increasing energy requirements, and expanding trade routes. As operational elements of the blue water Navy, Indian Naval ships and submarines are deployed far and wide for prolonged durations. Therefore, for ships and submarines to be able to operate far away from our coasts, a comprehensive afloat medical care system needs to be developed with the capability to provide need-based secondary (specialist) and tertiary (superspecialist) care to men at sea. Telemedicine is envisaged to provide the solution to medical care needs of personnel onboard ships/submarines and in remote islands/locations and support unhindered Naval operations in peace and combat scenario. Telemedicine is a genuine force multiplier; it will not only complement the present medical support and extend expertise to areas bereft of the same but will also be helpful in prolonged operations and extended deployments by providing specialist/superspecialist consultation to the men at sea. In today's world of advanced telecommunication, telemedicine is a perfect amalgamation of communication technology and medical science, which is bound to revolutionize the field of Combat Medical Care by improving both clinical outcomes and operational efficiency of the Indian Navy. The article reviews telemedicine concept, its components, utility in the provision of specialized medical care to men at sea and its limitations.

Telemedicine: A force multiplier of combat medical care in the Indian Navy

Introduction: Road traffic accidents (RTAs) are one of the leading causes of mortality and morbidity globally. The problem is more critical and increasing in developing countries due to rapid motorization and poor conditions of the road. In Indian Navy too, there is serious concern regarding injuries and deaths due to RTAs. Therefore, the present study was conducted to study and document the factors involved in RTAs as well as elucidate major modifiable risk factors for RTA among the naval population. Materials and Methods: Medicolegal case records pertaining to RTAs in the naval population for the period January 1, 2016–December 31, 2017, from all Naval Hospitals and major base units of Indian Navy were obtained and analyzed. Results: During the study, a total of 1608 cases of RTA were documented. More than half of the cases (n = 841; 52%) involved personnel between the ages of 21 and 30 years. Maximum number of cases (n = 179; 11.1%) occurred in July and in terms of hours of the day, maximum cases were documented as occurring between 1200 and 1600 h (n = 394; 24.5%), whereas another 24.4% of cases happened in the night starting at 2000 h. Age <40 years (odds ratio [OR] 2.37, 95% confidence interval [CI] 1.67–3.38), history of consumption of alcohol (OR 1.77, 95% CI 1.27–2.47), and involvement of another vehicle in the accident (OR 1.55, 95% CI 1.16–2.08) were found to be independent risk factors for grievous injury. Conclusion: Morbidity and mortality of trained and professional workforce due to RTAs is a major cause of concern for the Indian Navy. The present study highlights the factors associated with RTAs among the naval population and emphasizes the need to take decisive steps to reduce RTA's and prevent the loss of precious lives of naval personnel.

Epidemiological assessment of road traffic accidents among the naval population

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Telemedicine: A force multiplier of combat medical care in the Indian Navy

Epidemiological assessment of road traffic accidents among the naval population