Requirements For Medical Cover At Grass Track Biology Essay

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Many data are also available on the real incident on the race tracks and the nature of injuries occurred and motor racing is also referred as one of the dangerous sports in the world. Every rider or competitor personally have 4% chances of medical attentions during the race, hospital reference chances of 0.6%, and per race admission chances of 0.17%. Most of the times more than one rider is involved in major accidents on race tracks. Major trauma complaint of about twenty and including pelvic fractures of about five and on average about two intra abdominal haemorrhages. And every five emergency intervention which includes ventilation and intubation. The survey says that from all-round 9000 motorsport competitors three deaths were registered. Although whenever more than one motorcycle accidents occurred there should be a minimum of two spot doctors as recommended by national motor sport guideline.

Introduction

Plenty of data are available on the injury patterns and incidents which are involved in motorcycle track racing. On such incidences of the events, the medical help is difficult and can be provided only for limited information's and hence difficult to recommend. A race track circuit medical requirements were studied for over a period of a year. The analyse was done according to patients treated, number of complaints received, medical staff intervention and the need for medical hospital needs. All the studies made are considered to analyse the medical hospitalisation for the long term outcome and planned for the future motorcycle racing events services.

Materials and methods

Records available from the race track events for over a period of three years were studied. The recorded data contained all the rider information, spectators' information, medical assistance personnel as recorded by the track race management crew of the race of the day.

Basic information of patient treatment on the record which was extracted is as follows

Riders /spectator/ track marshals (status of patient)

Kinds of injury/providing the symptoms

Required treatment diagnosis

Medical assistance needed

Hospital reference needed.

The emergency cases which are admitted to the hospital to the treatment and examination was done to note down the outcome of short term and final diagnosis.

Nine meetings were held on average annually on the race track which in turn attended nearly 1800 track racers and 40,000 spectators and race track staffs approximately .

And during the term of five years approximately 520 patients were recorded at the medical assistance centre for the treatments out of which nearly seventy percent were the riders, spectators of about 21 percent, race track marshals of about six percent and the mechanics of about three percent.

Out of 71 patients recommended for treatment in hospital, only 60 case records were available and the rest cases were simply being advised by the medical staff in the circuit to attend the treatment in their home town and the rest with very minor injuries. The radiographic treatment was attended by 32 patients excluding the bone injury where in out of 32, seven patients are being positive. It is said that the spectators are responsible for about twenty one percent of workload of patients and with the minor complaints like headache, minor gastro intestinal complaints, sunburns and wasp stings.

Table below shows that wide range of recorded complaints among the spectators.

Spectator complaints

No's recorded.

Wasp sting

Laceration

Soft tissue injuries

Fracture/ joint sprain

Burn/ scald

Headache

Eye injury

Splinter

Faint

Febrile convulsion/ Epileptic fit

Gastrointestinal upset

Microcardial infarct/ ischaemia

Epistaxis

Dysmenorrhoca

Upper respiratory tract infection

Psychological trauma

Hypoglycaemic attack

Rib fractures

Shoulder dislocation

Inhaled foreign body

Infected sebaceous cyst

Pneumonia

25

14

12

11

6

5

5

4

4

4

3

3

2

2

2

2

1

1

1

1

1

1

Full-size table (9K)

Table below shows the complaints recoded by the track marshals.

Track support marshal complaints

No's recorded

Soft tissue injury

Laceration

Burn/ scald

Run over

Fracture/ joint sprain

Inhalation of smoke

Eye injury

Dislocation of ankle and fracture

Hay fever

Cervical spine injury

Electric shock

Minor head injury

Nausea

Wasp sting

12

8

8

5

7

2

2

1

1

1

1

2

1

2

Even though most of the medical treatments associated on the groups above are considerably serious and some are relatively minor . Full-size table (5K)Two cases were of emergency defibrillationand it was successfully performed . One of the spectator was injured on the due to the flying tyre after the crash and was transported in an ambulance to the hospital further medical treatments. Some of other cases included the ankle and forearm fractures, epileptic, dislocations of the shoulder, infactions of the cardiac and some pancreatitis.

The majority of patients suffered from soft tissue injuries after the crash. Quite a bit of 23 of them suffered from minor head injury, 7 of them suffered from fractured ribs, 6 of them suffered from metacarpal bone injury of fracture and five of them suffered from clavicles fracture. And few of them severely suffered from spinal fractures which was positively found on radiographic imaging.

The

table blow shows the injuries sustained by the riders.

Rider injuries

Number of cases

Soft tissue injury

Minor head injury

Spinal strain/ bruising

Fracture of ribs

Hand fractures

Clavicle fracture

Pelvis fracture

Severe head injuries

Spinal fractures

Inter abdominal haemorrhage

200

23

19

7

6

5

5

3

2

2

Full-size table (5K)

Table below shows the registered hospital admissions and the causes of injuries, medical treatments and final medical diagnoses done in patients admitted.

Sl. No.

Cases

Injuries

Medical interventions

Final diagnosis

1

Spectator

Cardiac arrest

Defibrillation, intubation, medical escort splinting

Myocardial infarction

2

Rider

Into the barrier

Splinting

Ankle fractures

3

Rider

Collision with other rider

Medical escort, ventilation

Blunt chest injury and head injury

4

passenger

fall

splinted

Ankle fracture and soft tissue injury

5

Rider

Head on to wooden barrier

Intubated and ventilated , medical escort

Severe hesd injury

6

spectator

Hit by motorcycle

Reduction under sedation

Fracture and dislocation of ankle

7

passenger

High speed side impact to barriers

Supervised extrication and escort

Fractured pelvis and ribs

For each and every track race a rider and passenger of the team will have 4% of chances being escoreted to the medical treatment centre, 0.6% chances to be transported to hospital for treatment and 0.17% of chances admitting for serious treatments and diagnosis of the rider and finally 0.033 % , there are chances of death of the riders and passengers.

Discussions

Grass track racing is considered to be a dangerous sport activity, but a little is known for the incident of injury pattern sustained. One such previous British circuit study of injuries sustained is recorded in the motorcycle racing circuit and discussed. This study helps us know the incidents with a start of the race with 0.24 percentage of motorcycle riders with the admitting of 0.08 percentage to the hospital.

The study was not done on the basis of requirement of on spot medical escort or the detailed injuries seen on the track. A studies from the earlier years of 1960s and 1970s shows a series of patients of about 75, claimed 30% who are all injured had suffered from head injuries, facial injuries of the riders and passengers of 15%, 13% of them reported fractures of the leg and other fractures of 12%. But in the current years nearly 65% of the competitors have suffered from the minor tissue injuries, head injuries of 5.7% , suspected spinal injury of 0.5%, and approximately 2.8% suffered from fracture of the ribs, hand injuries of about 2.3% and finally 2.1% fractures of clavicle. Comparing to the earlier days of grass track circuit racing, there is a drastic changes in the safety laws, like crash helmets must and should be weared compulsorily during the race and better and strong designs of the motorcycle with sidecar to sustain impacts during the collision at high speed on the barrier. Due to the strong and stable designs there is a considerable reductions in the body, head or facial injuries ,even if the motorcycle strikes the barrier with great impacts.

. In the current series, 250 (65%) of the 364 competitors seen had minor soft tissue injuries, 24 (6.2%) suffered head injuries, 22 (5.7%) had presumed spinal injuries of whom only two (0.5%) had fractures. Eleven (2.8%) suffered rib fractured ribs, nine (2.3%) hand injuries and eight (2.1%) clavicle fractures. Safety laws have dramatically changed since the earlier study, with crash helmets becoming compulsory and the cars better designed and stronger. This is likely to account for the encouraging reduction in the numbers of head and facial injuries.

Full-size table (3K)

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