Trends in Emergency Department Reported Head and Neck Injuries Among Skiers and Snowboarders

Study Design The investigators designed and implemented a 20-year cross-sectional study using the National Electronic Injury Surveillance System database. Objective The purpose of this study is to estimate and compare hospital admission (danger) rates between rugby and football of those who presented to the emergency department with head and neck injuries after playing these sports. Methods The primary predictor variable was sport played. The primary outcome variable was danger, measured by hospital admission rates. Results Over the past 20 years, there has been a trend of decreasing incidence of injuries presenting to the emergency department in both sports. There was no difference in the rate of hospital admission when comparing football and rugby (OR, 1.2; P = .1). Male gender was associated with an increased risk of admission. Other variables associated with hospital admission included white racial group, injury taking place in the fall, being either young (15–24 years old) or senior (65 years of age and over), and being injured at school or at a sport/recreational facility. Conclusions There is no difference in danger as measured by admission rates between American football and rugby. There exists, however, several variables that are associated with admission when sustaining injury to the head and neck, when playing these two sports.

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Is Field Hypotension a Reliable Indicator of Significant Injury in Trauma Patients who are Normotensive on Arrival to the Emergency Department?

The American Surgeon ◽

10.1177/000313480507100915 ◽

2005 ◽

Vol 71 (9) ◽

pp. 768-771 ◽

Cited By ~ 5

Author(s):

Panna Codner ◽

Amal Obaid ◽

Diana Porral ◽

Stephanie Lush ◽

Marianne Cinat

Keyword(s):

Emergency Department ◽

Head And Neck ◽

Injury Severity ◽

Trauma Patients ◽

Neck Injuries ◽

Level 1 ◽

Level 1 Trauma Center ◽

Significant Injury ◽

Overall Mortality ◽

Critical Injury

There is a subset of trauma patients who are hypotensive in the field but normotensive on arrival to the emergency department (ED). Our objective was to evaluate the presence, type, and severity of injuries in these patients. Data were retrospectively reviewed from patients treated at a level 1 trauma center over 1 year. Hypotension was defined as systolic blood pressure (SBP) less than 90 mm Hg. Forty-seven patients were included. The mechanism of injury was blunt in 37 patients and penetrating in 10. The average field SBP was 76 ± 11 mm Hg. The average SBP on arrival to the ED was 120 ± 19 mm Hg. The average injury severity score (ISS) was 16.3 ± 10.3 (range, 1–43). Twenty-four patients (51%) had significant injury (ISS ≥ 16). Nine patients (19%) had critical injury (ISS ≥ 25). Twenty-six patients (55%) required surgery, and 43 (91%) required ICU admission. Common injury sites included the head and neck (57%), thorax (44%), pelvis and extremities (40%), and abdomen (34%). Overall mortality was 10 per cent (n = 5). All patients that died had significant head and neck injuries (AIS ≥ 3). Field hypotension was a significant marker for potential serious internal injury requiring prompt diagnostic workup.

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Head and neck injuries after leopard attack: presentation and management

Chinese Journal of Traumatology ◽

10.1016/j.cjtee.2021.01.003 ◽

2021 ◽

Author(s):

Padmanidhi Agarwal ◽

Ajay Dhiman ◽

Nouman Rashid ◽

Ruby Kataria

Keyword(s):

Head And Neck ◽

Neck Injuries

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Postmortem Radiology of Head and Neck Injuries in Fatal Traffic Accidents

Radiology ◽

10.1148/114.3.611 ◽

1975 ◽

Vol 114 (3) ◽

pp. 611-617 ◽

Cited By ~ 103

Author(s):

George J. Aiker ◽

Young S. Oh ◽

Eugene V. Leslie ◽

Judith Lehotay ◽

Victor A. Panaro ◽

...

Keyword(s):

Head And Neck ◽

Traffic Accidents ◽

Neck Injuries

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Feel the Burn! Fireworks-related Otolaryngologic Trauma

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894211008100 ◽

2021 ◽

pp. 000348942110081

Author(s):

Alexander J. Straughan ◽

Luke J. Pasick ◽

Vrinda Gupta ◽

Daniel A. Benito ◽

Joseph F. Goodman ◽

...

Keyword(s):

United States ◽

Head And Neck ◽

Emergency Departments ◽

Closed Head Injury ◽

Penetrating Trauma ◽

The United States ◽

Neck Injuries ◽

Chi Square ◽

Injury Surveillance System ◽

Cross Sectional

Objectives: Fireworks are used commonly for celebrations in the United States, but can lead to severe injury to the head and neck. We aim to assess the incidence, types, and mechanisms of head and neck injuries associated with fireworks use from 2010 to 2019. Methods: A retrospective cross-sectional study, using data from the National Electronic Injury Surveillance System, of individuals presenting to United States Emergency Departments with head and neck injuries caused by fireworks and flares from 2010 to 2019. Incidence, types, and mechanisms of injury related to fireworks use in the US population were assessed. Results: A total of 541 patients (349 [64.5%] male, and 294 [54%] under 18 years of age) presented to emergency departments with fireworks-related head and neck injuries; the estimated national total was 20 584 patients (13 279 male, 9170 white, and 11 186 under 18 years of age). The most common injury diagnoses were burns (44.7% of injuries), laceration/avulsion/penetrating trauma (21.1%), and otologic injury (15.2%), which included hearing loss, otalgia, tinnitus, unspecified acoustic trauma, and tympanic membrane perforation. The remaining 19% of injuries were a mix, including contusion, abrasion, hematoma, fracture, and closed head injury. Associations between fireworks type and injury diagnosis (chi-square P < .001), as well as fireworks type by age group (chi-square P < .001) were found. Similarly, associations were found between age groups and injury diagnoses (chi-square P < .001); these included children 5 years and younger and adults older than 30 years. Conclusions: Fireworks-related head and neck injuries are more likely to occur in young, white, and male individuals. Burns are the most common injury, while otologic injury is a significant contributor. Annual rates of fireworks-related head and neck injuries have not changed or improved significantly in the United States in the past decade, suggesting efforts to identify and prevent these injuries are insufficient.

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Field Evaluation and Management of Head and Neck Injuries

Clinics in Sports Medicine ◽

10.1016/s0278-5919(20)31054-1 ◽

1987 ◽

Vol 6 (1) ◽

pp. 1-15 ◽

Cited By ~ 3

Author(s):

Joseph J. Vegso, MS ◽

Richard C. Lehman

Keyword(s):

Head And Neck ◽

Field Evaluation ◽

Neck Injuries

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Baby Walker Injuries

PEDIATRICS ◽

10.1542/peds.70.1.106 ◽

1982 ◽

Vol 70 (1) ◽

pp. 106-109 ◽

Cited By ~ 2

Author(s):

Louis E. Fazen ◽

Pamela I. Felizberto

Keyword(s):

Child Health ◽

Head And Neck ◽

Health Risks ◽

Medical Management ◽

Regulatory Agencies ◽

Neck Injuries ◽

Product Labeling ◽

Phone Interview ◽

Baby Walker

In a study of 49 children between the ages of 8 and 14 months, parents were surveyed with a written questionnaire and a follow-up phone interview to determine the utilization of baby walkers and the frequency and severity of baby walker injuries. Most respondents (86%) placed their children in various types of baby walkers between 4 months and 1 year of age. Half of the 42 infants who used walkers experienced at least one accident involving a tip over, a fall down stairs, or finger entrapment. Two of those accidents resulted in injuries serious enough to require medical management. Both infants sustained head and neck injuries after falling down stairs in a walker. Whereas stairway and finger entrapment accidents occurred before the age of 7 months, tip overs were much more likely to occur after the age of 8 months. Injuries are more common but less severe than previously reported. Pediatricians and other child health advocates can inform parents about the health risks, encourage regulatory agencies to improve product labeling, and stimulate manufacturers to adjust the product to age and weight specifications of the growing infant.

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