Browsing by Author "Khadka, SB"
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Publication A study of poisoning cases in emergency Kathmandu Medical College Teaching Hospital(Kathmandu University, 2005) Khadka, SB; Ale, SBObjective: - To determine the pattern and severity of poisoning cases in emergency Kathmandu Medical College Teaching Hospital. Design: - Retrospective observational study. Materials and Methods: - All the poisoning cases due to various agents who attended Emergency from 1 st of April 2002 to 30th of March 2003 were evaluated retrospectively. Results: - A total of 67 poisoning cases attended emergency Kathmandu Medical College Teaching Hospital over a period of one year. The overall female to male ratio was 1.09:1. Most poisoning occurred in the age group 21-30 for adults (38.8%) and 2-5 yrs for the children. Organophosphorous was the most common poisoning for the adults where as kerosene was common in children. Oral route was the most common route of administration which accounted 86.57%. Students (35.8%) and housewife (23.3%) were commonly involved in self poisoning. Intentional poisoning comprised 58.2% of all poisonings. Conclusion: - Majority of the intentional poisoning occurred in the female housewife & students of younger age group but accidental poisoning was found common in children under five years mostly with kerosene ingestion. Keywords: - Insecticides, organophosphorous, Poisoning, Zinc PhosphidePublication Pattern of poisoning cases in Emergency Department of Kathmandu Medical College Teaching Hospital(Kathmandu University, 2008) Thapa, SR; Lama, P; Karki, N; Khadka, SBAbstract Objective: This study was conducted to determine the pattern and severity of poisoning cases in Emergency Department of Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal (KMCTH). Design: Retrospective observational study. Materials and methods: Hospital records of all admissions to the Emergency Department of Kathmandu Medical College Teaching Hospital (KMCTH) following acute poisoning were revised and all data from February 2007 to February 2008 were analyzed retrospectively. Results: This retrospective observational study was performed on 148 cases of poisoning who attended Emergency Department of KMCTH over a period of one year. The overall male to female ratio was 1.05:1. Poisoning was most common in the age group 21-30 years (40.5%). The most common causes of poisoning in adults were organophosphorous compounds and in children was kerosene oil. Oral route (79.05%) was the most common route of administration. 66.2% of cases were intentional poisoning for suicidal attempt. Students (43.9%) and service holders (18.9%) were commonly involved in poisoning. Conclusion: It was seen that adult between 21-30 years of age were more prone to suicidal poisoning with organophosphorous compounds and children of 1-10 years of age were more susceptible to accidental poisoning with kerosene oil. Key words: Kerosene, Organophosphorous, Poisoning, Suicide.Publication Victims of road traffic crashes attending the emergency department of Kathmandu Medical College Teaching Hospital(Kathmandu University, 2004) Dulal, P; Khadka, SBObjective: To study the epidemiological factors and pattern of impact and injuries in victims of road traffic crashes visiting the emergency room of an urban teaching hospital in Kathmandu. Design: Retrospective observational study. Methods and Materials: Review of medical records of all the victims of road traffic crashes of one year. Results and Conclusion: Victims of road traffic crashes formed 6.2% of all emergency attendees of the hospital. Two-thirds of the victims came between midday and midnight. The most vulnerable age group to get involved in the crashes was the 15-to-45-year group, which is also the working age group. Pedestrians constitute approximately 40.0% of the victims. Most of the injuries occurred in the lower extremities. Most impacts were seen in upper and lower extremities or in head/face region. The non-fatal nature of injuries can be attributed to the low velocity at which crashes might have occurred. Key words: Road traffic crashes; road traffic injuries; emergency department; Kathmandu.