Other Patterns of Injury and Child Fatality

Electric scooters are an increasingly common and convenient mode of transportation worldwide and have effectively revolutionized the shared micromobility industry. As electric scooter sharing companies have increased in popularity there has been a concomitant increase in the frequency of all electric scooter-related injuries. The purpose of this study is to describe the most up-to-date trends in craniofacial fractures and lacerations related to electric scooter use among all age groups. We queried the National Electronic Injury Surveillance System (NEISS) for craniofacial fractures and lacerations related to e-scooters between 2010 and 2019. We then compared injury trends over time and between time periods before and after 2017 when electric scooter share apps revolutionized micromobility. We compared incidence of injury overall and by day of the week, patient demographics, and case severity based on clinical disposition. We identified an increase in the frequency of craniofacial lacerations and fractures in the 3 years following the introduction of electric scooter share services in 2017 (2017 and 2019), compared to the 3 years before this time (2014-2016). Young adults (18-39 years) were the age group with the greatest interval increase in craniofacial injuries. There was also an increase in number of craniofacial injuries occurring on Mondays and a decrease number occurring on Fridays in the later time period. Finally, patients who presented with electric scooter-related craniofacial injuries in this later time period showed a higher frequency of overnight observation and hospital admission for their injuries. The number of craniofacial injuries secondary to electric scooter use has increased dramatically since the introduction of share services. Craniofacial fractures and lacerations are a common reason for craniofacial or maxillofacial surgery consultation and understanding these patterns of injury will help prepare surgeons for patient care, preventative education, and public advocacy.

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Severity and patterns of injury in helmeted vs. non-helmeted motorcyclists in a rural state

Journal of Safety Research ◽

10.1016/j.jsr.2021.03.004 ◽

2021 ◽

Author(s):

Sivana Barron ◽

Carolyne Falank ◽

Julianne Ontengco ◽

Bruce Chung ◽

Damien W. Carter

Keyword(s):

Rural State ◽

Patterns Of Injury

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Neuroimaging at Term Equivalent Age: Is There Value for the Preterm Infant? A Narrative Summary

Children ◽

10.3390/children8030227 ◽

2021 ◽

Vol 8 (3) ◽

pp. 227

Author(s):

Rudaina Banihani ◽

Judy Seesahai ◽

Elizabeth Asztalos ◽

Paige Terrien Church

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Preterm Infant ◽

Resonance Imaging ◽

Long Term Outcomes ◽

Equivalent Age ◽

Current State ◽

Patterns Of Injury ◽

The Impact

Advances in neuroimaging of the preterm infant have enhanced the ability to detect brain injury. This added information has been a blessing and a curse. Neuroimaging, particularly with magnetic resonance imaging, has provided greater insight into the patterns of injury and specific vulnerabilities. It has also provided a better understanding of the microscopic and functional impacts of subtle and significant injuries. While the ability to detect injury is important and irresistible, the evidence for how these injuries link to specific long-term outcomes is less clear. In addition, the impact on parents can be profound. This narrative summary will review the history and current state of brain imaging, focusing on magnetic resonance imaging in the preterm population and the current state of the evidence for how these patterns relate to long-term outcomes.

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Hypocalcemia in Military Casualties From Point of Injury to Surgical Teams in Afghanistan

Military Medicine ◽

10.1093/milmed/usaa267 ◽

2021 ◽

Vol 186 (Supplement_1) ◽

pp. 300-304

Author(s):

Jeffrey R Conner ◽

Linda C Benavides ◽

Stacy A Shackelford ◽

Jennifer M Gurney ◽

Edward F Burke ◽

...

Keyword(s):

Blood Product ◽

Calcium Supplementation ◽

Cohort Analysis ◽

Blood Product Transfusion ◽

Blood Products ◽

Military Trauma ◽

Retrospective Cohort Analysis ◽

Increased Risk ◽

Surgical Teams ◽

Patterns Of Injury

ABSTRACT Introduction Hypocalcemia is a known sequela of citrated blood product transfusion. Civilian data suggest hypocalcemia on hospital admission is associated with worse outcomes. Initial calcium levels in military casualties have not previously been analyzed. The objective of this retrospective review aimed to assess the initial calcium levels in military trauma casualties at different Forward Surgical Teams (FST) locations in Afghanistan and describe the effects of prehospital blood product administration on arrival calcium levels. Materials and Methods This is a retrospective cohort analysis of military casualties arriving from point of injury to one of two FSTs in Afghanistan from August 2018 to February 2019 split into four locations. The primary outcome was incidence of hypocalcemia (ionized calcium < 1.20 mmol/L). Results There were 101 patients included; 55 (54.5%) experienced hypocalcemia on arrival to the FST with a mean calcium of 1.16 mmol/L (95% confidence interval [CI], 1.14 to 1.18). The predominant mechanism of injury consisted of blast patterns, 46 (45.5%), which conferred an increased risk of hypocalcemia compared to all other patterns of injury (odds ratio = 2.42, P = .042). Thirty-eight (37.6%) patients required blood product transfusion. Thirty-three (86.8%) of the patients requiring blood product transfusion were hypocalcemic on arrival. Mean initial calcium of patients receiving blood product was 1.13 mmol/L (95% CI, 1.08 to 1.18), which was significantly lower than those who did not require transfusion (P = .01). Eight (7.9%) of the patients received blood products before arrival, with 6/8 (75%) presenting with hypocalcemia. Conclusions Hypocalcemia develops rapidly in military casualties and is prevalent on admission even before transfusion of citrated blood products. Blast injuries may confer an increased risk of developing hypocalcemia. This data support earlier use of calcium supplementation during resuscitation.

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Ultrasound detection of blunt hepatic trauma: Hemoperitoneum and parenchymal patterns of injury

Annals of Emergency Medicine ◽

10.1016/s0196-0644(99)80146-2 ◽

1999 ◽

Vol 34 (4) ◽

pp. S17

Author(s):

J Richards ◽

J McGahan ◽

M Pali ◽

P Bohnen

Keyword(s):

Hepatic Trauma ◽

Patterns Of Injury

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Epidemiology of 10,000 High School Football Injuries: Patterns of Injury by Position Played

Journal of Physical Activity and Health ◽

10.1123/jpah.10.2.160 ◽

2013 ◽

Vol 10 (2) ◽

pp. 160-169 ◽

Cited By ~ 28

Author(s):

Marcus A. Badgeley ◽

Natalie M. McIlvain ◽

Ellen E. Yard ◽

Sarah K. Fields ◽

R. Dawn Comstock

Keyword(s):

High School ◽

Athletic Trainers ◽

Injury Rate ◽

The United States ◽

Data Collection Tool ◽

High School Athletes ◽

High School Football ◽

Certified Athletic Trainers ◽

Nationally Representative ◽

Patterns Of Injury

Background:With more than 1.1 million high school athletes playing annually during the 2005−06 to 2009−10 academic years, football is the most popular boys’ sport in the United States.Methods:Using an internet-based data collection tool, RIO, certified athletic trainers (ATs) from 100 nationally representative US high schools reported athletic exposure and football injury data during the 2005−06 to 2009−10 academic years.Results:Participating ATs reported 10,100 football injuries corresponding to an estimated 2,739,187 football-related injuries nationally. The injury rate was 4.08 per 1000 athlete-exposures (AEs) overall. Offensive lineman collectively (center, offensive guard, offensive tackle) sustained 18.3% of all injuries. Running backs (16.3%) sustained more injuries than any other position followed by linebackers (14.9%) and wide receivers (11.9%). The leading mechanism of injury was player-player contact (64.0%) followed by player-surface contact (13.4%). More specifically, injury occurred most commonly when players were being tackled (24.4%) and tackling (21.8%).Conclusions:Patterns of football injuries vary by position. Identifying such differences is important to drive development of evidence-based, targeted injury prevention efforts.

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