Male predominance in the present

study probably reflects the greater exposure of males to outdoor activities such as farming, fishing and hunting. Identification of risk taking behavior among trauma patients has potential significance for the prevention of injuries. The majority of patients in this study came from the rural areas located a considerable distance from the study area. This is in contrast to Moini et al[20] who reported that animal related injuries affected both rural and urban dwellers. Farmers in rural areas are at high risk of being attacked by either wild, domestic, aquatic animals or snakes. Previous studies conducted in the United States of America reveal that animals are one of the main causes of injuries in the farming industry [22, 23], which is similar to what was found in our series. This Everolimus solubility dmso observation is at variant with Moini et al[20] who reported that animal-related injuries were more common in house wives than farmers. The finding that more than eighty percent of victims of this form of trauma had no definable source of private or governmental health care insurance at the time of their injury calls for urgent

public policy response. The prehospital care of trauma patient has been reported to be the most important factor in determining the ultimate outcome after the injury [24]. None LGK-974 in vitro of our patients had pre-hospital care; as a result the majority of them were brought in by relatives, Good Samaritan and police who are not trained on how to take care of these patients during transportation. The lack of advanced pre-hospital care and ineffective ambulance system for transportation of patients to hospitals are a major challenges in providing care for trauma patients in our environment and have contributed significantly to poor outcome of these patients. Late presentation following injury is a common

phenomenon in most developing countries including ours and is usually associated with increased rate of complications [18]. The majority of our patients presented early within Rebamipide 24 hours of their injuries. This finding is in agreement with other studies [18, 25]. Early presentation in our study reflects the low complication rate in our patients. In our study, dog bite was the most common cause of injuries and commonly affected children more than adult. This finding is in agreement with several studies that indicated dogs as the primary animal species implicated in animal related injuries ranging from 63-80% [26], but contrary to other studies which reported that equestrian traumas are common [27, 28]. Higher dog attacks in children are thought to be attributable to their size and the proximity of their face to the dogs’ mouth, and these attacks are generally related to the children’s interaction with the dog, possibly provoking the attack [29].