scholarly journals Injuries and outcomes associated with recreational vehicle accidents in pediatric trauma

2017 ◽  
Vol 52 (2) ◽  
pp. 327-333 ◽  
Author(s):  
Maria E. Linnaus ◽  
Rebecca L. Ragar ◽  
Erin M. Garvey ◽  
Jason D. Fraser
Keyword(s):  
Pediatric Trauma ◽  
Vehicle Accidents ◽  
Recreational Vehicle

Genitourinary Injuries Secondary to Break Dancing in Children and Adolescents

PEDIATRICS ◽  
1986 ◽  
Vol 77 (6) ◽  
pp. 922-924
Author(s):  
JOHN P. GEARHART ◽  
FRANKLIN C. LOWE
Keyword(s):  
Children And Adolescents ◽  
Blunt Trauma ◽  
Cause Of Death ◽  
Motor Vehicle ◽  
Pediatric Trauma ◽  
Motor Vehicle Accidents ◽  
Genitourinary Tract ◽  
Trauma Centers ◽  
Rare Occurrence ◽  
Vehicle Accidents

Trauma to the lower genitourinary tract in children and adolescents has been a rare occurrence. However, with the advent of pediatric trauma centers, more of these injuries are now being seen and evaluated. Although trauma to the genitourinary tract alone is an uncommon cause of death, trauma centers are seeing more children in which decisions regarding the management of the genitourinary tract must be made. Most injuries that have been reported have been secondary to blunt trauma such as straddle injuries, falls, or motor vehicle accidents. Recently, two cases of lower genitourinary tract trauma have been seen associated with the current fad of break dancing.

scholarly journals Pediatric Soft Tissue Injuries During the COVID-19 Lockdown

2021 ◽  
Author(s):  
Asaf Olshinka ◽  
Rami Shoufani ◽  
Tal Shachar ◽  
Alex Lvovsky ◽  
Eyal Kalish ◽  
...  
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Motor Vehicle ◽  
Pediatric Trauma ◽  
Soft Tissue Injuries ◽  
Pediatric Emergency ◽  
Time Lags ◽  
Vehicle Accidents ◽  
Prevention Campaign ◽  
Tissue Injuries

Abstract Background. The lockdown due to the COVID-19 pandemic forced the closure of educational centers. This increased the well-known risk factors for pediatric trauma injuries within the household. The aim of this study was to compare common soft tissue injuries of pediatric patients at the emergency department during lockdown to similar injuries in the previous years. We hope that our results may contribute to the development of preventive care programs that may reduce the rate of injuries.Methods. We collected data of patients who arrived to our pediatric emergency department in March of 2018, 2019, and 2020, due to soft tissue injuries. Data retrieved included demographics, time lags, injury characteristics, causes, and the locations of occurrence. Descriptive statistics were performed. Results. Of 1,061 arrivals, 398 (37.5%), 377 (35.5%), and 286 (27.0%) were during 2018, 2019, and 2020, respectively. The year 2020 showed a prolonged time from injury to arrival and the shortest stay in the department, but a higher hospitalization rate. The overall mean arrival time was 173% higher in 2020 than in 2018. Indoor injuries comprised 80% of all injuries during 2020 compared to 55% in 2018. In 2020, significantly lower proportions of injuries were observed from motor vehicle accidents, bicycle accidents, metal objects, wooden objects, and sport activities. Conclusion. The recent increase in indoor injuries during the current pandemic emphasizes the importance of a designated prevention campaign. Aspects of prevention and care to be addressed include environmental factors, patient management, medical staff management, and surgery tactics.

scholarly journals Characteristics and Outcome of Pediatric in a Referral Trauma Center in Iran; a Cross-Sectional Study

2022 ◽  
Author(s):  
Mahtab Vasigh ◽  
Seyed Mostafa Meshkati Yazd ◽  
Fariba Jahangiri ◽  
Sina Seyedipour ◽  
Mina Yazdanifard ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Clinical Characteristics ◽  
Motor Vehicle ◽  
Pediatric Trauma ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vehicle Accidents ◽  
Study Characteristics ◽  
Us Findings

Abstract Background Pediatric trauma is the leading cause of death from early childhood through adolescence.In this study, characteristics and associated factors of pediatric trauma cases are evaluated. Methods In this cross-sectional study, demographic and clinical characteristics of 622 patients admitted to a referral hospital in Tehran, Iran are evaluated. Reported clinical characteristics include mechanism of trauma, type of trauma, ultrasonographic (US) findings, chest and abdomino-pelvic and brain computed tomography (CT) scan findings, blood hemoglobin (Hb) level, urinalysis, type of surgery, and mortality rate. Results The average age was 7.46 ± 3.64 years and the majority (63.7%) were male and endured direct trauma (36.3%). Most of our patients (n=305; 49%) were admitted in the orthopedic ward, followed by the neurosurgery ward (n=235; 37.8%). The mortality rate was 23 cases (3.7%). the lowest mortality was in the patients 11 to 15 years old (n=3; 13%), and the highest in five years and younger group (n=14; 60.9%). Conclusions Motor vehicle accidents are the leading fatal trauma injuries in children, therefore implementation of preventive measures specific to children is quite important but long overdue.

scholarly journals Epidemiology of fractures in Children at College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal

2015 ◽  
Vol 10 (1) ◽  
pp. 1-4
Author(s):  
HK Gupta
Keyword(s):  
Motor Vehicle ◽  
Pediatric Population ◽  
Demographic Data ◽  
Pediatric Trauma ◽  
Medical Sciences ◽  
Vehicle Accidents ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Time Period ◽  
Limb Fractures

Objective To study the epidemiology of fractures in the pediatric population. Methods All the cases of fractures of age 14 yrs or less presenting in emergency room or outdoor patient department of Orthopaedics during the time period of January 2013 to December 2013 were included in the study and prospectively studied. Demographic data were collected and analysed by descriptive methods. Results The incidence of fracture was more in male child. Most fractures occurred in age group of 6 to 14 years. Lower limb fractures (56.8%) were more common than upper limb fractures. Incidence of injuries was more during summer most common mode of trauma being motor vehicle accidents (26%). Conclusion Proper supervision and guidance during outdoor activities, on the play ground and proper home safety measures with improved road conditions and proper traffic knowledge can markedly reduce the incidence of pediatric trauma. DOI: http://dx.doi.org/10.3126/jcmsn.v10i1.12760 Journal of College of Medical Sciences-Nepal, 2014, Vol.10(1); 1-4

scholarly journals Pediatric trauma due to motor vehicle accidents on high traffic roadway

2012 ◽  
Vol 10 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Israel Figueiredo Junior ◽  
Mauricio Vidal de Carvalho ◽  
Glaucia Macedo de Lima
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Motor Vehicle ◽  
Heavy Traffic ◽  
Pediatric Trauma ◽  
Motor Vehicle Accidents ◽  
Vehicle Collisions ◽  
Vehicle Accidents ◽  
Emergency Medical ◽  
Estimated Risk

OBJECTIVE: To outline a profile of pediatric trauma victims and verify the likelihood of trauma in children on a high traffic roadway. METHODS: A descriptive cohort study of the records of emergency medical service activations on the Rio-Niterói Bridge, a high traffic roadway in Rio de Janeiro, Brazil. Descriptive statistics were expressed as absolute and relative frequencies. The estimated risk of trauma in children aged < 12 years was calculated by means of odds ratios, with a 95% confidence interval. RESULTS: Trauma accounted for 514 of 1,244 activations (41.31%) of the Rio-Niterói Bridge emergency medical service between March 2002 and March 2003. Response to incidents involving children aged < 12 years accounted for 52 of these (4.18%). Half of victims were between the ages of 6 and 12 years (n = 26), and 55.76% were male (n = 29). Of the 52 victims, 37 (71.15%) were involved in motor vehicle accidents (OR: 3.70; 95%CI: 1.94-7.13; p < 0.0001). Of these, 28 were vehicle-vehicle collisions (75.67%). The most common sites of injury were the extremities (n = 12; 32.43%), face (n = 10; 27.02%), and head (n = 9; 24.32%). Pre-hospital procedures were performed on 23 of the 37 patients (62.16%), and 44.23% (n = 23/52) required hospital transportation. There were no deaths during the study period. CONCLUSIONS: In this study, children were at significantly higher odds of being treated for trauma while on a highway with heavy traffic flow. The most common sites of injury in this sample were the lower extremities and the head, face, and neck complex.

scholarly journals Impact of Helmet Use in Traumatic Brain Injuries Associated with Recreational Vehicles

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Latha Ganti ◽  
Aakash N. Bodhit ◽  
Yasamin Daneshvar ◽  
Pratik Shashikant Patel ◽  
Christa Pulvino ◽  
...  
Keyword(s):  
Brain Injuries ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Safety Education ◽  
Helmet Use ◽  
Vehicle Accidents ◽  
Recreational Vehicles ◽  
Observational Cohort ◽  
The Impact ◽  
Recreational Vehicle

Objective. To study the impact of helmet use on outcomes after recreational vehicle accidents.Methods. This is an observational cohort of adult and pediatric patients who sustained a TBI while riding a recreational vehicle. Recreational vehicles included bicycles, motorcycles, and all-terrain vehicles (ATVs), as well as a category for other vehicles such as skateboards and scooters.Results. Lack of helmet use was significantly associated with having a more severe traumatic brain injury and being admitted to the hospital. Similarly, 25% of those who did wearing a helmet were admitted to the ICU versus 36% of those who did not (P=0.0489). The hospital length of stay was significantly greater for patients who did not use helmets.Conclusion. Lack of helmet use is significantly correlated with abnormal neuroimaging and admission to the hospital and ICU; these data support a call for action to implement more widespread injury prevention and helmet safety education and advocacy.

Epidemiology of brachial plexus injury in the pediatric multitrauma population in the United States

2010 ◽  
Vol 5 (6) ◽  
pp. 573-577 ◽  
Author(s):  
Michael J. Dorsi ◽  
Wesley Hsu ◽  
Allan J. Belzberg
Keyword(s):  
Brachial Plexus ◽  
Upper Extremity ◽  
Brachial Plexus Injury ◽  
Motor Vehicle ◽  
Head Injuries ◽  
Pediatric Trauma ◽  
The United States ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents ◽  
Cord Injury

Object The aim of this study was to estimate the prevalence of brachial plexus injury (BPI) in pediatric multitrauma patients. Methods The National Pediatric Trauma Registry was queried using the ICD-9 code 953.4, injury to brachial plexus, to identify cases of BPI. The patient demographics, mechanism of trauma, and associated ICD-9 diagnoses were analyzed. Results Brachial plexus injuries were identified in 113 (0.1%) of the 103,434 injured children entered in the registry between April 1, 1985, and March 31, 2002. Sixty-nine patients (61%) were male. Injuries were most often caused by motor vehicle accidents involving passengers (36 cases [32%]) or pedestrians (19 cases [17%]). Head injuries were diagnosed in 47% of children and included concussion in 27%, intracranial bleeds in 21%, and skull fractures in 14%. Upper-extremity vascular injury occurred in 16%. The most common musculoskeletal injuries were fractures of the humerus (16%), ribs (16%), clavicle (13%), and scapula (11%). Spinal fractures occurred in 12% of patients, and spinal cord injury occurred in 4%. The Injury Severity Score ranged from 1 to 75, with a mean score of 10, and 6 patients (5%) died as a result of injuries sustained during a traumatic event. Conclusions Brachial plexus injuries occur in 0.1% of pediatric multitrauma patients. Motor vehicle accidents and pedestrians struck by a motor vehicle are the most common reasons for BPIs in this population. Common associated injuries include head injuries, upper-extremity vascular injuries, and fractures of the spine, humerus, ribs, scapula, and clavicle.

Injured Children Fare Best at Pediatric Trauma Centers

2005 ◽  
Vol 39 (11) ◽  
pp. 39
Author(s):  
JANE SALODOF MACNEIL
Keyword(s):  
Pediatric Trauma ◽  
Trauma Centers

A Reassessment of Suicide Measurement

Crisis ◽  
2009 ◽  
Vol 30 (1) ◽  
pp. 6-12 ◽  
Author(s):  
D.P. Doessel ◽  
Ruth F.G. Williams ◽  
Harvey Whiteford
Keyword(s):  
Causes Of Death ◽  
Motor Vehicle ◽  
Years Of Life Lost ◽  
Health Prevention ◽  
Prevention Strategies ◽  
Vehicle Accidents ◽  
The Social ◽  
Evaluation Exercise ◽  
Two Measures ◽  
Circulatory Diseases

Background. Concern with suicide measurement is a positive, albeit relatively recent, development. A concern with “the social loss from suicide” requires careful attention to appropriately measuring the phenomenon. This paper applies two different methods of measuring suicide data: the conventional age-standardized suicide (count) rate; and the alternative rate, the potential years of life lost (PYLL) rate. Aims. The purpose of applying these two measures is to place suicide in Queensland in a historical and comparative (relative to other causes of death) perspective. Methods. Both measures are applied to suicide data for Queensland since 1920. These measures are applied also to two “largish” causes of death and two “smaller” causes of death, i.e., circulatory diseases, cancers, motor vehicle accidents, suicide. Results. The two measures generate quite different pictures of suicide in Queensland: Using the PYLL measure, suicide is a quantitatively larger issue than is indicated by the count measure. Conclusions. The PYLL measure is the more appropriate measure for evaluation exercise of public health prevention strategies. This is because the PYLL measure is weighted by years of life lost and, thus, it incorporates more information than the count measure which implicitly weights each death with a somewhat partial value, viz. unity.

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