Watercraft propellers as a mechanism of orthopaedic injuries: injury patterns, management, and complications

Introduction Horse riding carries risk of injury which can result in fatality. The majority of published literature describes major trauma centre experience. We aimed to characterise injury patterns following equine trauma at a Scottish district general hospital. Methods A retrospective review of admissions following equine trauma was undertaken from 2014 to 2019. Mechanism and nature of injuries were noted. Patient management and outcomes were recorded and analysed to determine correlation. Results Of the 162 patients identified, 121 (74.7 per cent) were female. The commonest mechanism and injury sustained were falling from a horse (86.4 per cent) and head injury (17.9 per cent) respectively. Forty-four (27.2 per cent) had multiple injuries identified. Being crushed or kicked resulted in more abdominal visceral injuries (22.7 vs 0.7 per cent, p = <0.05) and ITU admissions (18.2 vs 6.4 per cent, p = 0.06) when compared with falling from alone. Eight (4.9 per cent) required transfer to a major trauma centre and 30-day mortality was 0.6 per cent. Conclusion Although variable, injuries following equine trauma can be life threatening. Increased awareness and development of safety legislation is needed. In addition, research could be directed at assessing functional outcomes given the large number of orthopaedic injuries.

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Coping Responses Among Athletes With Concussion, Orthopaedic Injuries, and Healthy Controls

PsycEXTRA Dataset ◽

10.1037/e656462012-001 ◽

2012 ◽

Author(s):

Anthony P. Kontos ◽

R. J. Elbin ◽

Renee N. Appaneal ◽

Tracey Covassin

Keyword(s):

Healthy Controls ◽

Coping Responses ◽

Orthopaedic Injuries

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STUDY OF PEDIATRIC INJURIES: PATTERNS AND OUTCOME

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i8.485 ◽

2019 ◽

Vol 3 (8) ◽

Author(s):

Yasir. B. Elshambaty

Keyword(s):

School Level ◽

Common Mechanism ◽

Injury Patterns ◽

Severe Injuries ◽

Injured Child ◽

Cross Sectional ◽

Pediatric Injuries ◽

Pediatric Injury ◽

The Common ◽

Structured Questionnaire

Purpose this study aims to show the patterns and outcome of pediatric injury among those living in Albaha region in Saudi Arabia Methods this is a cross-sectional descriptive household-based study, included children between 0-17 years old both male and female. The data were collected with structured questionnaire between 20 Nov – 20 Dec 2018 and analyzed with SPSS version 25 Results the total of participants was 257 injured child. 199(77.4%) are male and 58(22.6%) are female. About 44%of them were injured at pre-school level and 56% were traumatized at school age. The least incidence of injury occurred in those less than 2 yrs and higher incidence in those between 3-10 yrs old. The most common mechanism of injury was falling from height. The most affected group age by RTA accidents was 11-17 yrs old. Approximately 83% of the injured children required hospital management. Only one third of the injuries were associated complications. The most common injured anatomic part was the upper limb and the least affected part was the spine. Only 5% of the injuries were associated with a disability and the common was loss of organ or part of it. Paralysis occurred in less than 1% and head injury resulted in disabilities more than 1%. Conclusion the vast majority of the injuries in our participants are not serious. The severe injuries were associated with RTA-related trauma. Most of injuries due to falling from height are not serious. We recommend not to allow the children to drive cars. Keywords: pediatric injuries; injury patterns; household.

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Cervical Spine Injury Patterns in Children

PEDIATRICS ◽

10.1542/peds.2013-3505d ◽

2014 ◽

Vol 133 (5) ◽

pp. X18-X18

Keyword(s):

Cervical Spine ◽

Cervical Spine Injury ◽

Spine Injury ◽

Injury Patterns

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COVID-19 Changed the Injury Patterns of Hospitalized Patients

Prehospital and Disaster Medicine ◽

10.1017/s1049023x21000285 ◽

2021 ◽

Vol 36 (3) ◽

pp. 251-259

Author(s):

Michael Rozenfeld ◽

Kobi Peleg ◽

Adi Givon ◽

Miklosh Bala ◽

Gad Shaked ◽

...

Keyword(s):

Trauma Registry ◽

Road Traffic ◽

Disease Outbreaks ◽

Injury Patterns ◽

Severe Injuries ◽

Study Objective ◽

Major Health ◽

National Trauma ◽

Number Of Patients ◽

Injured Patients

AbstractIntroduction:Injury patterns are closely related to changes in behavior. Pandemics and measures undertaken against them may cause changes in behavior; therefore, changes in injury patterns during the coronavirus disease 2019 (COVID-19) outbreak can be expected when compared to the parallel period in previous years.Study Objective:The aim of this study was to compare injury-related hospitalization patterns during the overall national lockdown period with parallel periods of previous years.Methods:A retrospective study was completed of all patients hospitalized from March 15 through April 30, for years 2016-2020. Data were obtained from 21 hospitals included in the national trauma registry during the study years. Clinical, demographic, and circumstantial parameters were compared amongst the years of the study.Results:The overall volume of injured patients significantly decreased during the lockdown period of the COVID-19 outbreak, with the greatest decrease registered for road traffic collisions (RTCs). Patients’ sex and ethnic compositions did not change, but a smaller proportion of children were hospitalized during the outbreak. Many more injuries were sustained at home during the outbreak, with proportions of injuries in all other localities significantly decreased. Injuries sustained during the COVID-19 outbreak were more severe, specifically due to an increase in severe injuries in RTCs and falls. The proportion of intensive care unit (ICU) hospitalizations did not change, however more surgeries were performed; patients stayed less days in hospital.Conclusions:The lockdown period of the COVID-19 outbreak led to a significant decrease in number of patients hospitalized due to trauma as compared to parallel periods of previous years. Nevertheless, trauma remains a major health care concern even during periods of high-impact disease outbreaks, in particular due to increased proportion of severe injuries and surgeries.

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Erratum to: Female and male victims of violence in an urban emergency room—prevalence, sociodemographic characteristics, alcohol intake, and injury patterns

Wiener klinische Wochenschrift ◽

10.1007/s00508-013-0383-6 ◽

2013 ◽

Vol 125 (11-12) ◽

pp. 352-352 ◽

Cited By ~ 1

Author(s):

Nathalie Tatjana Burkert ◽

Éva Rásky ◽

Wolfgang Freidl ◽

Franziska Großschädl ◽

Johanna Muckenhuber ◽

...

Keyword(s):

Emergency Room ◽

Alcohol Intake ◽

Sociodemographic Characteristics ◽

Male Victims ◽

Injury Patterns ◽

Victims Of Violence

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Impact of the first COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-021-01654-8 ◽

2021 ◽

Author(s):

Carolin A. Kreis ◽

Birte Ortmann ◽

Moritz Freistuehler ◽

René Hartensuer ◽

Hugo Van Aken ◽

...

Keyword(s):

Surgical Procedures ◽

Trauma Center ◽

Control Period ◽

Open Fractures ◽

Injury Patterns ◽

Emergency Patient ◽

Emergency Operations ◽

Incidence Proportion ◽

Level I ◽

The Impact

Abstract Purpose In Dec 2019, COVID-19 was first recognized and led to a worldwide pandemic. The German government implemented a shutdown in Mar 2020, affecting outpatient and hospital care. The aim of the present article was to evaluate the impact of the COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center in Germany. Methods All emergency patients were recorded retrospectively during the shutdown and compared to a calendar-matched control period (CTRL). Total emergency patient contacts including trauma mechanisms, injury patterns and operation numbers were recorded including absolute numbers, incidence proportions and risk ratios. Results During the shutdown period, we observed a decrease of emergency patient cases (417) compared to CTRL (575), a decrease of elective cases (42 vs. 13) and of the total number of operations (397 vs. 325). Incidence proportions of emergency operations increased from 8.2 to 12.2% (shutdown) and elective surgical cases decreased (11.1 vs. 4.3%). As we observed a decrease for most trauma mechanisms and injury patterns, we found an increasing incidence proportion for severe open fractures. Household-related injuries were reported with an increasing incidence proportion from 26.8 to 47.5% (shutdown). We found an increasing tendency of trauma and injuries related to psychological disorders. Conclusion This analysis shows a decrease of total patient numbers in an emergency department of a Level I trauma center and a decrease of the total number of operations during the shutdown period. Concurrently, we observed an increase of severe open fractures and emergency operations. Furthermore, trauma mechanism changed with less traffic, work and sports-related accidents.

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