Trauma Care in Pune | Deccan Hardikar Hospital

What is Trauma Care and who provides it at Deccan Hardikar Hospital?

Trauma care is emergency medical treatment for life-threatening injuries — including road accidents, falls, fractures, head injuries, and internal bleeding. Deccan Hardikar Hospital in Pune provides dedicated trauma and orthopaedic emergency services, backed by a NABH Pre-Accredited facility and a specialist surgical team with expertise across orthopaedics, spine, and neurosurgery.

As a recognised referral centre for trauma and orthopaedic cases across Western Maharashtra, Deccan Hardikar Hospital in Pune combines emergency response capability with subspecialty surgical expertise — from fracture fixation and spine injuries to neurosurgical emergencies and vascular trauma.

Who needs Trauma Care — and what are the warning signs?

Trauma care is indicated for any injury that is sudden, severe, or potentially life-threatening. Seek immediate trauma care at Deccan Hardikar Hospital if you or someone nearby experiences any of the following:

• Road traffic accidents — vehicle collisions, motorcycle injuries, pedestrian impact
• High-impact falls — from height, stairs, or construction sites
• Fractures — open or closed fractures of limbs, pelvis, or spine
• Head and brain injuries — loss of consciousness, confusion, scalp lacerations
• Internal bleeding — abdominal pain, distension, or haemodynamic instability after injury
• Spinal injuries — neck or back pain with neurological symptoms after trauma
• Crush injuries — limb entrapment, industrial or workplace accidents
• Sports-related trauma — ligament ruptures, dislocations, or fractures requiring urgent intervention
• Penetrating injuries — stab wounds or impalement

How is Trauma Care performed at Deccan Hardikar Hospital?

Trauma management at Deccan Hardikar Hospital, Pune follows a structured, evidence-based pathway from the moment a patient arrives through to discharge and rehabilitation.

1. Triage and primary survey — Immediate assessment of airway, breathing, circulation, neurological status, and exposure (ABCDE protocol) to identify life-threatening conditions.
2. Stabilisation — Airway management, haemorrhage control, intravenous access, fluid resuscitation, and pain management are initiated simultaneously.
3. Diagnostic imaging — X-rays, CT scans, and ultrasound (FAST exam) are used to identify fractures, internal bleeding, and organ injuries.
4. Secondary survey — A head-to-toe clinical examination to detect all injuries, including those not immediately apparent.
5. Surgical intervention — Where indicated, emergency surgery is performed: fracture fixation, wound debridement, neurosurgical decompression, vascular repair, or laparoscopic/open abdominal surgery.
6. ICU or ward admission — Critically injured patients are monitored in the ICU; stable patients are transferred to the ward for ongoing care.
7. Post-operative care and rehabilitation — Wound care, physiotherapy, pain management, and specialist follow-up are coordinated to support recovery and prevent complications.

For patients requiring spine injury management or joint reconstruction after trauma, dedicated subspecialty teams are available within the same facility.

What types of trauma intervention are available at Deccan Hardikar Hospital?

The approach to trauma management depends on the nature and severity of the injury. The multidisciplinary team at Deccan Hardikar Hospital in Pune is equipped to deliver the following interventions:

Patients with sports-related trauma may also benefit from the hospital's sports injury and arthroscopy programme.

What does recovery from Trauma Care look like?

Recovery timelines vary significantly based on injury severity, the intervention performed, and the patient's overall health. The following milestones represent a general framework for post-trauma recovery at Deccan Hardikar Hospital:

1. Immediate post-treatment (Days 1–3): Vital sign monitoring, wound assessment, pain management, and prevention of complications such as infection or deep vein thrombosis.
2. Early mobilisation (Days 3–7): Where clinically appropriate, physiotherapy begins to prevent muscle wasting and joint stiffness. Assisted movement is introduced under supervision.
3. Wound and surgical site care (Weeks 1–2): Dressing changes, suture or staple removal, and monitoring for signs of infection or delayed healing.
4. Rehabilitation phase (Weeks 2–12): Structured physiotherapy, occupational therapy if required, and gradual return to weight-bearing or functional activity depending on the injury.
5. Specialist follow-up (Months 1–6): Imaging reviews, implant checks (for fracture fixation), neurological assessments, and clearance for return to work or sport.
6. Long-term monitoring: Complex polytrauma or spinal injuries may require ongoing specialist review beyond six months to assess functional recovery and address late complications.

What are the risks and considerations in Trauma Care?

All trauma interventions carry inherent risks. Patients and families should be aware of the following clinically recognised considerations:

• Infection — Surgical site infections or systemic sepsis, particularly in open fractures or contaminated wounds
• Blood loss and transfusion — Major trauma may require intraoperative or postoperative blood transfusion
• Deep vein thrombosis (DVT) and pulmonary embolism — Immobility after trauma increases clot risk; prophylaxis is routinely administered
• Delayed union or non-union of fractures — Some fractures heal slowly or incompletely, requiring additional intervention
• Nerve or vascular injury — Adjacent structures may be affected during surgery or as a result of the original trauma
• Anaesthetic complications — Particularly relevant in emergency settings where pre-operative optimisation time is limited
• Post-traumatic stiffness or chronic pain — Joint stiffness, complex regional pain syndrome, or neuropathic pain may persist after recovery
• Psychological impact — Post-traumatic stress, anxiety, or depression are recognised sequelae of major trauma and should be addressed as part of holistic care
• Implant-related complications — Hardware used in fracture fixation may require removal or revision in some cases

The surgical and critical care teams at Deccan Hardikar Hospital take all reasonable steps to minimise these risks through evidence-based protocols, careful patient monitoring, and timely intervention.

Which specialists lead Trauma Care at Deccan Hardikar Hospital in Pune?

Trauma care at Deccan Hardikar Hospital in Pune is delivered by an experienced team of orthopaedic and surgical specialists. The team's combined credentials span orthopaedic surgery, spine surgery, joint arthroplasty, and emergency care.

• Dr. Madan Hardikar — MBBS, MS - Orthopaedics
• Dr. Onkar Lande — MBBS, Orthopaedics
• Dr. Ranjeet Rajure — MBBS, DNB, FISS - Spine
• Dr. Sachin Nagapurkar — MBBS, DMB, FPOS Ortho
• Dr. Saurabh Giri — MBBS, MS - Orthopaedics, Fellowship in Revision Surgery Hip & Knee Arthroplasty
• Dr. Sharad Hardikar — MBBS, MS - Orthopaedics

The hospital's broader multidisciplinary capability — including neurosurgery, vascular surgery, cardiac sciences, and a dedicated ICU — ensures that complex polytrauma cases receive coordinated, subspecialty-level care under one roof. Learn more about the hospital's orthopaedics programme.