Self-management of Risk for the Prevention of Traffic Accidents from a Health Perspective: A Qualitative Study.

Introduction: In the world, deaths and injuries caused by traffic collisions have been considered a public health problem. In Colombia, 7.238 fatalities were recorded in 2021, with motorcycle riders representing the largest group of victims at 59.7%. Methods: The aim of this qualitative phenomenological study is to describe the risky experiences and deliberate actions of diverse road users that influence the self-management of the risk of traffic collisions. Results: Data were obtained from 22 participants: motorists, pedestrians and drivers. The content analysis describes various human conditions that affect self-management of the risk of traffic accidents, such as unsafe behaviors, non-compliance with traffic regulations by the different road actors, competitive culture among drivers, eagerness, among others. Additionally, factors related to care were determined: healthy recreational activities, promoting the value of one's own life and that of others, adequate time management and preventive behaviors by some road users. Conclusion: This research provides information on social and cultural aspects, experiences and risky behaviors of different road actors that influence the incidence of traffic accidents in Colombia.

Fear of Death in Colombian Nursing Students.

Introduction: Death is a natural phenomenon inherent to the human condition and an inevitable consequence of life. As future professionals, nursing students should face the process of death and recognize their limitations, because emotional aspects can influence the quality of health care, especially in Spanish-speaking countries. This study aimed to quantify the level of fear of death among nursing students in a higher education institution in a region of Colombia. Methods: A quantitative correlational study including 258 university students selected by stratified sampling were administered the Collet-Lester Fear of Death Scale; the results were analyzed for the age, religion, marital status, number of children, and academic level of the respondents. Results: On average, the students were 22.9 years old; 83.3% of them were female, 75.6% were Catholic, 14.1% had at least one child, and 66.7% had experienced bereavement in the family. An association was found between the female gender and the fear of one's own death (p = .025). Conclusion: These findings differ from those reported in other Latin American countries where higher academic level and clinical experience are related to lower fear of death.

Clasificación de lesionados en tránsito, oportunidad en la atención y gasto hospitalario en una institución de salud de alta complejidad en el departamento de Santander (Colombia) / Classification of injured transit, attention and hospital expenditure in a high-complexity health

Objetivo: calcular la escala de severidad de trauma RTS Revised Trauma Score y realizar un análisis comparativo con la clasificación de los pacientes según el sistema de Triage. Describir los indicadores de oportunidad en la atención y el gasto hospitalario.El Estado, establece el sistema de priorización de pacientes que consultan al servicio de urgencias y define tiempos de espera según la clasificación. Se aplica con el fin de optimizar los recursos institucionales. Materiales y métodos: estudio observacional descriptivo retrospectivo. La población estuvo conformada por 6401 pacientes, la muestra por 248 pacientes. Resultados: 81% Triage II (Paciente Agudo). Según la escala de trauma RTS, el 92.7% correspondían a Trauma leve y 1.6% trauma grave.El 40% de los lesionados fueron poli-traumatizados, 56% presentaron lesión en pelvis y extremidades inferiores. La mortalidad fue del 2.4%. El 48.4% de los lesionados accedió a urgencias en ambulancia, el tiempo promedio para el acceso fue de 60 minutos, 39.1% de las víctimas, 61% requirió interconsulta por Ortopedia y 26% de los pacientes requirieron recursos del Sistema de Seguridad Social. Conclusiones: la escala de trauma RTS score utiliza parámetros fisiológicos medibles, clasificó el 1.6% de los lesionados como graves, lo cual se relaciona con el 2.4% de mortalidad de las víctimas del estudio. La medición de los indicadores de accesibilidad y oportunidad en la atención en salud, mostró en esta institución de salud de alta complejidad que los tiempos son acordes a la normatividad vigente del Ministerio de Salud..(AU)

Objective: calculate the trauma severity scale RTS Revised Trauma Score and perform a comparative analysis with the classification of patients according to the Triage system. Describe the indicators of opportunity in hospital care and expenditure. The State establishes the system of prioritization of patients who consult the emergency service and defines waiting times according to the classification. It is applied in order to optimize institutional resources. Materials and methods: retrospective descriptive observational study. The population consisted of 6401 patients, the sample by 248 patients. Results: 81% Triage II (Acute Patient). According to the RTS trauma scale, 92.7% corresponded to mild trauma and 1.6% serious trauma. 40% of the injured were poly-traumatized, 56% had pelvic and lower extremity injuries. Mortality was 2.4%. 48.4% of the injured accessed the emergency room by ambulance, the average time for access was 60 minutes, 39.1% of the victims, 61% required interconsultation by Orthopedics and 26% of the patients required resources from the Social Security System. Conclusions: the RTS score trauma scale uses measurable physiological parameters, classified 1.6% of the injured as serious, which is related to the 2.4% mortality of the victims of the study. The measurement of accessibility and opportunity indicators in health care showed in this highly complex health institution that the times are in accordance with the current regulations of the Ministry of Health.

Caracterización de los usuarios hospitalizados por lesiones causadas por colisión en transito, en la Fundación Oftalmológica de Santander: Foscal, ao 2012 / Caracterização dos usuários hospitalizados na Fundação Oftalmológica de Santander: Foscal, com ferimentos ocasionados por choques de trânsito em 2012 / Characterization of clients hospitalized due to Injuries caused by traffic Collisions, in ophthalmologic Foundation of Santander: Foscal, Year 2012

Injuries due to traffic collision have become a local, national, and worldwide public health issue which are related to multiple factors such as socioeconomic development, motor vehicle growth, infrastructure, breaking of traffic rules, and intake of alcoholic and psychoactive substances among others. Objective: To characterize trauma events due to traffic collisions in relation to the individual and the event. Methodology: Observational, descriptive and retrospective study. Results: 75.40 % of injured people were men. The average age was 33.80 (DE = 16.1), and 43.20% of the total population studied ranged from 18 to 29 years old. 40.70% were single, 32.20% were married, 13.30 % were a couple and 2.00% were divorced. 77.80% of the cases, the involved vehicle was a motorcycle, 52.80% stated to be drivers, 18.50% passengers, 16.90% pedestrians, and 3.60% bikers; 50.40% of the events took place over the weekend, 58.00% of the crashes happened during the day; 97.60% of the injured people were alive at discharge. The highway that communicates the towns of Bucaramanga, Floridablanca and Piedecuesta was where most of the road traffic accidents took place. Conclusions: Motorcycles seem to be more frequently involved in traffic collision events, which compared to low and medium income countries, shows the lack of prevention programs departments of education, social development, health and environment have.

As lesُes provocadas pelas colisُes no trânsito tornaram-se um problema de saْde pْblica de ordem local, nacional e global, estando relacionadas a muitos fatores tais como o desenvolvimento socioeconômico, o crescimento de veيculos, a infra-estrutura, a violaçمo das regras no trânsito, o consumo de substâncias psicoativas incluindo o لlcool, etc. Objetivo: Caracterizar os acontecimentos de trauma em colisُes no trânsito em relaçمo ao indivيduo e ao evento. Metodologia: O estudo é observacional, descritivo e retrospectivo. Resultados: dos usuلrios lesionados 75.40% eram homens. A idade média foi de 33.80 anos (DP = 16.1), 43.20% da populaçمo estudada, estava na faixa de 18-29 anos.O 40.70% eram solteiros, 32.20% casados, 13.30% coabitaçُes e 2.00% separados. Nos 77.80% dos casos, o veيculo envolvido foi uma moto, nos quais 52.80% declararam ser os motoristas, 18.50% passageiros, 16.90% pedestres e 3.60% ciclistas; 50.40% dos acidentes registrados ocorreram nos fins de semana, 58.00% ocorreram durante o dia e 97.60% do total estudado, saiu com vida no momento de receber alta hospitalar. A estrada que liga as cidades de Bucaramanga, Floridablanca e Piedecuesta, é o local de maior ocorrência de acidentes de trânsito. Conclusُes: O estudo revelou que as motos sمo mais frequentes nos eventos de colisمo no trânsito, o que é comparلvel com outros estudos nos paيses de renda média e baixa, revelando a falta de programas de prevençمo articuladas com os ministérios da educaçمo, desenvolvimento social, de saْde e meio ambiente.