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India’s first trauma registry raises hope for accident victims

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India’s first trauma registry raises hope for accident victims

[vc_row][vc_column][vc_column_text]By Dinesh C Sharma

Over 1.4 million lives are lost in road accidents in India every year and, for every death, many more are severely injured or permanently disabled. While it is critical to enforce road safety norms, improve road engineering design and implement ban on alcohol sale on highways, improving quality of trauma care can go a long way in saving lives not just due to road accidents but also other types of traumatic events.

Trauma care scientists in India and Australia, working jointly for the past four years, are confident the casualties can be reduced substantially through simple steps like better data collection and notifying hospitals before patients arrive.

Significant steps towards this have already been taken and are promising good results. India’s first multi-centre trauma registry has gone live a few weeks back and this experience would pave the way for developing a national trauma registry.

A registry is not just registration of injured coming to trauma centres or ‘injury surveillance’, but a database containing full spectrum of care for every patient. Over a period of time, such data can reveal how trauma centres are responding to the injured and how they can improve quality of care to save lives.

“If we know that we do to with patients when they arrive, it will help us improve patient care,” explained Dr Joseph Mathew, a trauma care consultant at the Alfred Trauma Service and National Trauma Research Institute (NTRI) in Melbourne. Trauma care is complex, often involving multiple disciplines within a hospital and external players in public and private sectors. Registries can help improve coordination and delivery of care to patients.

The unified registry which has been established at the Jai Prakash Narain Apex Trauma Centre at the All India Institute of Medical Sciences (AIIMS) in New Delhi, connects trauma centres at three other hospitals – Guru Teg Bahadur Hospital (New Delhi), Seth V S General Hospital (Ahmedabad) and Lokmanya Tilak Municipal General Hospital (Sion, Mumbai). The registry has already captured data about 4500 trauma patients from four centres.

“We have demonstrated feasibility of setting such a unified registry and this can serve as a template for developing a national trauma registry,” said Dr Mathew. The registry is one of the main projects of the Australia India Trauma System Collaboration (AITSC) initiated in 2013. It is jointly funded by India’s Department of Science and Technology (DST) and Australia’s Department of Industry, Innovation and Science.

“The trauma registry at JPN Apex Trauma Centre helped us realise the importance of ‘golden hour’ concept. We were taking almost three hours in emergency department for resuscitation and stabilisation of trauma patients. By performing ‘trauma audit’ using data from the registry, we identified the gaps and once we bridged those gaps, we could reduce the emergency department (ED) time from 3 hours to 30 minutes,” explained Dr Mahesh Chandra Misra, former head of J P N Apex Trauma Centre, and co-team leader of AITSC.

Dr Misra said a national registry should be established in India soon. “We need to establish hospital-based trauma registries as soon as possible and network all trauma care facilities to generate good data. It is already late.”

Scientists have also developed a system for pre-hospital notification so that a trauma centre is ready before a seriously injured patient arrives at the centre. Pre-hospital notification is communication sent by emergency staff from ambulance to a receiving hospital while the injured person is on the way. For this a mobile app – named Soochana – has been developed. “No such system of pre-hospital notification existed in India till this app,” said Dr Misra.

The app is used by a designated person in trauma centre to receive the notification and relay the same information to selected doctors and departments within the centre so that they are ready when the injured arrives. This is called ‘trauma team activation’. “It is a like pitstop in car racing. Everyone is ready when a trauma patient arrives,” notes Dr Mathew. Pre-notification alone can save number of lives.

Another mobile app has been developed to help in rehabilitation of patients after they are discharged. Trauma patients need post-hospital treatment, care and support for a long time. In many places rehabilitation facilities are not available. In such cases, people could be helped via the mobile app. A clinical trial is underway to evaluate effectiveness of the intervention.

The Australian model of trauma care is much sought after globally. Australian trauma experts have also been approached by some state government in India to develop trauma plans for their respective states, but progress is very slow. “A state like Uttar Pradesh with population of over 200 million has just one ‘level 1’ trauma centre. It needs at least 8 such centres,” pointed out Dr Mathew.

“We were, 20-30 years ago, in the same situation as India is today. Four of my cousins died in car accidents. Now we have demonstrated how simple steps can save lives. Integrated trauma systems ensure that right person goes to right centre at right time,” said Dr Mark Fitzgerald, Director of NTRI and team leader of the joint programme.

“We have been able to bring down mortality due to traffic accidents by 62 percent. About 450 to 500 people die in India every day in road accidents. At least 75 percent of them can be saved by improving quality of trauma care and response,” summed up Dr Mathew. (India Science Wire)[/vc_column_text][/vc_column][/vc_row]

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NASA astronauts Sunita Williams, Nick Hague step outside spacecraft after 7 months

Williams’ extensive experience continues to shine during these demanding missions, highlighting the resilience and skill required for space exploration.

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NASA astronauts Sunita Williams and Nick Hague stepped outside the International Space Station (ISS) today for a vital mission, marking Williams’ eighth spacewalk and Hague’s fourth. Their objective focused on essential repairs, showcasing their expertise and commitment to the job.

The spacewalk, designated US Spacewalk 91, took place on January 16, 2025. This was Williams’ first spacewalk in 12 years, while Hague added a fourth accomplishment to his impressive track record. Together, they initiated a six-and-a-half-hour operation aimed at repairing critical systems on the ISS.

Their tasks included maintaining equipment for the station’s orientation, upgrading the Neutron Star Interior Composition ExploreR (NICER) telescope, and replacing a reflector on a docking adapter, as well as preparing tools for future work on the ISS. Williams, an accomplished astronaut, expressed her enthusiasm as she exited the station by radioing, “I’m coming out,” signalling her return to spacewalking duties.

Williams and her fellow astronaut Butch Wilmore were initially scheduled to return in June 2024 after a week-long mission aboard Boeing’s Starliner, but technical issues with the spacecraft forced an extended stay. NASA has since rescheduled their return for March or April. Additionally, safety concerns related to SpaceX’s Crew-10 mission have further delayed their plans. Nevertheless, the astronauts have adjusted well to life aboard the ISS.

NASA’s Flight Director, Nicole McElroy, commended the crew for their thorough preparations for the spacewalks. “The crew has studied the tasks and is fully ready,” McElroy noted.

https://twitter.com/Space_Station/status/1879916338527002938

Williams will join Wilmore for another spacewalk next week, where they will focus on removing an antenna assembly and collecting surface samples to study microorganisms on the station’s exterior. They will also prepare a spare elbow joint for the Canadarm2 robotic arm. NASA emphasizes that these activities are crucial for the upkeep of the station, with each spacewalk anticipated to last around six and a half hours.

Williams’ extensive experience continues to shine during these demanding missions, highlighting the resilience and skill required for space exploration.

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ISRO successfully completes SpaDeX docking experiment, joins global elite in space technology

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ISRO SpaDeX mission demonstrating satellite docking for India’s space station

The Indian Space Research Organisation (ISRO) has successfully conducted the SpaDeX docking experiment, marking a significant advancement in India’s space capabilities. Early on Thursday, January 16, 2025, ISRO joined the ranks of the USA, Russia, and China by mastering the complex technology required for spacecraft docking in orbit.

Launched on December 30, 2024, by the PSLV C60, the two satellites involved in the experiment, SDX01 (Chaser) and SDX02 (Target), reached their designated positions and executed a flawless docking maneuver. This operation was closely monitored by the team at ISRO’s Mission Operations Complex (MOX) at the Telemetry, Tracking, and Command Network (ISTRAC).

Celebrating this achievement, ISRO shared on social media, “Docking Success Spacecraft docking successfully completed! A historic moment. India became the 4th country to achieve successful space docking. Congratulations to the entire team!”

Following the successful docking, ISRO has maintained control over the newly unified satellite structure and plans to conduct undocking and power transfer tests in the forthcoming days. This mission, beyond its immediate success, aims to lay the groundwork for more ambitious endeavors such as manned lunar missions, sample returns from the moon, and potentially an Indian Space Station.

The SpaDeX mission also serves as a demonstration of vital technologies like electrical power transfer between docked spacecraft, which will be crucial for future in-space robotic operations and composite spacecraft management post-undocking.

ISRO stated that the next steps involve validating the docking process through ground simulations and ensuring the mission’s objectives continue smoothly with subsequent experiments planned over the mission’s expected life span of up to two years.

This milestone not only demonstrates ISRO’s growing capabilities in space technology but also promises to bolster India’s position in future international space exploration initiatives.

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SpaDeX Mission: A key milestone in India’s path to the Bharatiya Antriksh Station

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ISRO SpaDeX mission demonstrating satellite docking for India’s space station

In a historic step towards establishing its own space station, the Indian Space Research Organisation (ISRO) launched the Space Docking Experiment (SpaDeX) from Sriharikota on December 30, 2024. This groundbreaking mission aims to demonstrate India’s capability to dock two satellites in orbit, a feat achieved so far only by the United States, Russia, and China.

The SpaDeX mission, executed aboard the reliable PSLV-C60 rocket, successfully deployed two spacecraft, SDX01 and SDX02, into a low-Earth orbit approximately 475 kilometers above Earth. Over the following days, these satellites, designated as the “Chaser” and the “Target,” will perform precise maneuvers for docking, undocking, and interlocking, with real-time control by ISRO scientists in Bengaluru.

A leap towards Bharatiya Antriksh Station

SpaDeX is integral to India’s ambitious space station project, the Bharatiya Antriksh Station, slated for completion by 2035. The mission marks a significant step in developing technologies for rendezvous and docking, essential for constructing and operating a space station.

Currently, only two space stations exist—the International Space Station (ISS), a collaboration between NASA, Roscosmos, and ESA, and China’s Tiangong Space Station. With Bharatiya Antriksh Station, India aspires to join this elite league.

Critical objectives of SpaDeX

The primary goals of SpaDeX include:

  1. Demonstrating docking technology to ensure seamless interlocking and pressure checks between spacecraft.
  2. Electric power transfer between docked spacecraft, paving the way for advanced in-space operations.
  3. Composite spacecraft control, enabling remote and automated management from mission control.
  4. Payload experiments post-undocking, ensuring optimal utilization of resources.

These advancements will also enhance the docking capability of India’s Reusable Launch Vehicle (RLV), akin to NASA’s space shuttles, for future missions.

Microgravity experiments with POEM-4

In tandem with SpaDeX, ISRO is conducting microgravity experiments using the PSLV’s fourth stage, termed POEM-4 (PSLV Orbital Experimental Module-4). This platform hosts 24 payloads, including a robotic arm to simulate debris capture—a crucial capability for future space station operations.

The microgravity experiments will benefit academia, startups, and ISRO’s own research centers, providing invaluable insights for extended-duration missions.

Inspiration from “Interstellar”

Docking in space is a complex maneuver, vividly dramatized in the sci-fi film Interstellar. Similar to the movie’s high-stakes scenario, ISRO’s mission involves the Chaser spacecraft approaching and interlocking with the Target while both orbit Earth at high speeds.

Pioneering India’s space future

The SpaDeX mission is not just a technological milestone but a testament to India’s growing prowess in space exploration. If successful, it will cement India’s position as a leader in cutting-edge space technology, bringing the nation closer to realizing its space station dream.

By leveraging such innovations, ISRO continues to push boundaries, inspiring the next generation of scientists and contributing to global advancements in space research.

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