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Tamil Nadu accounted for 10.1% of the road traffic accidents in India. In a view to reduce the mortality and morbidity of trauma patients the Government of Tamil Nadu have come with an innovative idea of “Tamil Nadu Accident and Emergency care Initiative (TAEI)” programme in 2016. This study done at our Institute of orthopaedics and traumatology, Coimbatore medical college hospital analysis the impact of TAEI on various aspects before and after its implementation. Materials and Method: This is a comparative study and the study period was from January 2017 to November 2019. The emergency orthopaedic trauma patients treated before implementation of TAEI in 2017(January –November) was analysed with after implementation of TAEI in 2019(January – November). We also compared the performance of the CMCHIS before and after the implementation of the TAEI programme. Results: The total emergency surgeries done before the TAEI implementation in 2017 were 732 cases and after TAEI implementation in 2019 were 1053 patients. The total number of intramedullary interlocking nailing done in emergency orthopaedic theatre before and after TAEI was 5 and 155 cases respectively. The total number of external fixator done before and after TAEI was 119 and 184 respectively. The total number of beneficiaries from the CMCHIS before TAEI before and after TAEI was 558 and 975 respectively. Conclusion: The TAEI programme is found to have a major impact on the emergency orthopaedic trauma care in various aspects and also helped in generating more fund for the Government of Tamil Nadu.

international journal of orthopaedics sciences

Impact of Tamil Nadu accident and emergency care initiative (TAEI) programme on orthopaedic emergency fixation: Lesson from Coimbatore for low income countries