Was Ayazuddin's death a result of missing resuscitation during golden hour?

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Dr KK Aggarwal

Many health practitioners are of the opinion that it was the lack of basic first aid and the police delay in calling the ambulance that led to the death of Azhar's son Mohammad Ayazuddin.

MOHAMMAD AYAZUDDIN 19, son of former cricketer Mohammad Azharuddin, died on September 16 five days after being critically injured in a road accident in Hyderabad when his 1000 CC Suzuki skidded.

The police team failed to get an ambulance and had to take the profusely bleeding cousins in their patrol vehicle to the hospital, losing an hour in the process. He was later operated on to stop the bleeding in his chest. His kidneys were also damaged.

Medically the lesson is that opportunity to save him was list as the precious first hour was missed of resuscitation.

The "golden hour" concept emphasizes the increased risk of death and the need for rapid intervention during the first hour of care following major trauma. Rapid intervention improves the outcome of injured patients (obstructed airway, tension pneumothorax, severe hemorrhage).

Death in road traffic accident can be a part of trimodal distribution of mortality (death at the scene; death one to four hours after injury; and death weeks later, generally in an intensive care setting) or bimodal distribution (death at the scene or within the first four hours).

The current thinking is that relatively few patients die after the first 24 hours following injury. The large majority of deaths occurs either at the scene or within the first four hours after the patient reaches a trauma center. This is true only when the patient gets medical care within the first hour. The care involves fluid resuscitation and control of the bleeding.