scholarly journals What to expect? Injury patterns of Electric-Scooter accidents over a period of one year - A prospective monocentric study at a Level 1 Trauma Center

2021 ◽  
Author(s):  
Andreas Harbrecht ◽  
Michael Hackl ◽  
Tim Leschinger ◽  
Stephan Uschok ◽  
Kilian Wegmann ◽  
...  
Keyword(s):  
Trauma Center ◽  
Epidemiological Data ◽  
University Hospital ◽  
Maximum Speed ◽  
Injury Patterns ◽  
New Type ◽  
Level 1 ◽  
One Year ◽  
Intensive Education ◽  
Level 1 Trauma Center

Abstract Purpose E-scooters are a new type of urban transportation utilized in Germany since June 2019, primarily in larger cities in the context of sharing offers. Such electrically operated standing scooters can be driven at a maximum speed of 20 km/h. A helmet is not mandatory. The aim of this prospective study is to document the injury patterns over the period of 1 year and compare our findings with already available data. Methods Over a period of 1 year (July 2019–July 2020), data on E-scooter-related accidents treated at a level 1 trauma center of a major German city were prospectively documented. Injury patterns were analyzed, and epidemiological data evaluated. Results Fifty-nine (35 female, 24 male) accidents were included in the observation period. Mean age of accident victims was 30.03 years (± 9.32). Alcohol influence at the time of accident was detected in 9 cases (15.25%). Many of the accident victims suffered multiple injuries. Most of the injuries were upper (50.84%) and lower extremity (47.45%) as well as craniofacial injuries (62.71%). A helmet was not worn in any of the cases. Conclusion In the year following their introduction, E-scooter-related accidents have led to an additional burden on the emergency capacities of the involved University Hospital, especially in the summer months of 2019. Protective equipment is de facto not worn. Injuries to the extremities, head, and face were most common. None of the accident victims died. This coincides with results from other major cities in national and international comparison. A more intensive education about injury consequences of unprotected E-scooter use and the discussion of a possible obligation to wear a helmet and further protection equipment for the extremities should take place.

Facial Fractures: Demographics and Injury Patterns in a Level 1 Trauma Center

2013 ◽  
Vol 71 (9) ◽  
pp. e15-e16
Author(s):  
R. Garza ◽  
J.M. Adkinson ◽  
J.N. Gilstrap ◽  
N.F. Miller ◽  
S.M. Eid ◽  
...  
Keyword(s):  
Trauma Center ◽  
Facial Fractures ◽  
Injury Patterns ◽  
Level 1 ◽  
Level 1 Trauma Center

One-Year Mortality After Acetabular Fractures in Elderly Patients Presenting to a Level-1 Trauma Center

2014 ◽  
Vol 28 (3) ◽  
pp. 154-159 ◽  
Author(s):  
Jesse E. Bible ◽  
Adam Wegner ◽  
D. Jake McClure ◽  
Rishin J. Kadakia ◽  
Justin E. Richards ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Trauma Center ◽  
Acetabular Fractures ◽  
Level 1 ◽  
One Year ◽  
Level 1 Trauma Center

5-Year Study of Gunshot Injury Patterns at an Urban Level 1 Trauma Center

2019 ◽  
Vol 229 (4) ◽  
pp. e219
Author(s):  
Alison A. Smith ◽  
Jennifer Avegno ◽  
Kevin Slaughter ◽  
Tyler Zeoli ◽  
Victor Nguyen ◽  
...  
Keyword(s):  
Trauma Center ◽  
Gunshot Injury ◽  
Injury Patterns ◽  
Urban Level ◽  
Level 1 ◽  
Level 1 Trauma Center

scholarly journals Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey

2015 ◽  
Vol 3 (4) ◽  
Author(s):  
Mahnaz Yadollahi ◽  
Mehrdad Anvar ◽  
Haleh Ghaem ◽  
Parsa Ravanfar ◽  
Shahram Paydar
Keyword(s):  
Trauma Center ◽  
Epidemiologic Study ◽  
Trauma Patients ◽  
Level 1 ◽  
One Year ◽  
Level 1 Trauma Center

scholarly journals Pediatric Nonaccidental Trauma: Experience at a Level 1 Trauma Center

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Taylor Goldman ◽  
Sathyaprasad Burjonrappa
Keyword(s):  
Trauma Center ◽  
Pediatric Trauma ◽  
High Index ◽  
Organ Injury ◽  
Fisher Exact Test ◽  
Injury Patterns ◽  
Nonaccidental Trauma ◽  
Level 1 ◽  
High Index Of Suspicion ◽  
Level 1 Trauma Center

Introduction. Pediatric nonaccidental trauma (NAT) is difficult to diagnose. Several isolated injuries in NAT could happen in the setting of accidental trauma (AT), and having a high index of suspicion is important to correctly identify abuse. NAT has a significant mortality rate if the sentinel event is not adequately diagnosed, and the infant is not separated from the perpetrator. Level 1 pediatric trauma centers (PTC) see a significant number of NAT. We evaluated the injury patterns of NAT admissions at our level 1 PTC. Methods. Retrospective analysis of all cases of NAT for children under the age of two admitted at an ACS level 1 pediatric trauma center between the years of 2016 and 2018. Charts were queried for demographic data, injury patterns, mortality, and disposition. Correlation between disposition status and injury patterns was performed. The Fisher Exact test and student t -test were used to study the significance of differences in categorical and continuous data, respectively. Results. 32/91 (35%) trauma patients under the age of two years were diagnosed as NAT in the three-year study period. 21/32 (39%) male and 11/26 (42%) female admissions were confirmed NAT ( p = NS ). 20 were under 1 year of age, and 12 were aged between 1 and 2 years ( p = NS ). 13 (41%) were Caucasian, 6 (19%) were Hispanic/Latino, 11 (34%) were Black, and 2(6%) were of unknown ethnicity ( p = NS ). Facial, torso, lower extremity, retinal, and internal organ injury were significantly more common with NAT. Medicaid coverage was noted in 31/32 (97%) NAT patients. 20/32 (62.5%) patients were legally displaced as a result of the NAT. Conclusion. 1/3rd of all admissions at a pediatric level 1 trauma center were identified as NAT. A high index of suspicion is necessary to not miss NAT, as injury patterns are variable. Nearly 1/3rd of all victims go back to the same environment where they sustained NAT increasing their susceptibility to future NAT.

scholarly journals Simulated transport time to nearest level 1 trauma center in eastern Gyeongnam province, Korea

2018 ◽  
Vol 6 (1) ◽  
pp. 437
Author(s):  
Yong Han Kim
Keyword(s):  
Trauma Center ◽  
Motor Vehicle ◽  
University Hospital ◽  
Transfer Time ◽  
Administrative District ◽  
Transport Time ◽  
Web Mapping ◽  
National University ◽  
Level 1 ◽  
Level 1 Trauma Center

Severe traumatic patients should be transported to level 1 trauma center within one hour. We investigated simulated transport time and distance from eastern Gyeongnam province to nearest level 1 trauma center in South Korea. This scenario was simulated on web mapping service. Transport time and distance was measured by motor vehicle. We decided that one hour is optimal for appropriate trauma care. Estimated transport time were 40 min, 48 min, 55 min and 1 hour 8 min, respectively (Gimhae, Yangsan, Changwon and Miryang). Nearest level 1 trauma center was Pusan National University Hospital outside Gyeongnam province. Transport of traumatic patient was based on real transfer time above administrative district.

Management of Pediatric Nasoorbitoethmoid Complex Fractures at a Level 1 Trauma Center

2021 ◽  
pp. 000313482199868
Author(s):  
Margaret M. Luthringer ◽  
Nicholas C. Oleck ◽  
Thayer J. Mukherjee ◽  
Jordan N. Halsey ◽  
Mark S. Granick
Keyword(s):  
Trauma Center ◽  
Surgical Intervention ◽  
Plate Fixation ◽  
Treatment Algorithm ◽  
Retrospective Chart Review ◽  
University Hospital ◽  
Type I ◽  
Level 1 ◽  
Level 1 Trauma Center

Purpose A universally accepted treatment algorithm for rare pediatric nasoorbitoethmoid (NOE) fractures has yet to be established. In this study, the authors examine how severity of pediatric NOE fractures interplays with patient characteristics, management choices, and complications from injury and surgical intervention at our institution. Methods A retrospective chart review was performed for all cases of pediatric NOE fracture at a level 1 trauma center (University Hospital in Newark, New Jersey) between 2002 and 2014. Results Fifteen of 1922 patients met our inclusion criteria. Ten (66.7%) demonstrated Markowitz type I injuries, 2 (13.3%) had type II NOEs, and 3 (20%) sustained type III fractures. Five (33.3%) of our patients were only monitored. Six (40.0%) were treated with plate fixation. One patient (6.7%) required enucleation alone, while 1 (6.7%) warranted enucleation with medial canthoplasty and plate fixation. Transnasal canthopexy was performed for 1 patient (6.7%). Zero patients managed without surgery had complications at 1-year follow-up. Surgical intervention was associated with complications in 4 of 15 patients. Both nonoperative treatment and plate fixation were associated with a higher rate of complications from initial injury or subsequent therapy when than other mentioned forms of treatment ( P = .004). Conclusion Nonoperative management for nondisplaced fractures is associated with zero complications at 1-year follow-up in our data; plate fixation and watchful waiting yield significantly fewer postoperative complications and injury sequelae than surgical intervention for medial canthal tendon and globe injuries.

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