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The Economics of Emergency Care

The Golden Hour

Why the first hour after serious injury or a heart attack or stroke matters most, and why delays in reaching care cost lives and money in India.

The golden hour is the first hour after a serious emergency.

Why it matters

Quick treatment for trauma, heart attacks and strokes greatly improves survival and recovery.

Delays in India

  • Slow ambulances.
  • Traffic.
  • Hospitals without emergency capacity.
  • Bystanders hesitating to help.

Road accidents

India has one of the world’s highest numbers of road deaths, many preventable with faster care.

Economic cost

Deaths and disabilities of working-age people cost families and the economy heavily.

The Motor Vehicles (Amendment) Act, 2019 defined the golden hour and called for cashless treatment.

The stroke

A stroke patient reaching hospital within an hour can get clot-busting drugs and recover well.

Thinking treatment timing matters little

Minutes save lives.

Key takeaways
  • The golden hour is critical.
  • Delays cost lives in India.
  • Road deaths are very high.
  • The 2019 law recognised the golden hour.
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