Sledging is still a seasonal source of serious injury in Scottish children

2011 ◽  
Vol 56 (4) ◽  
pp. 188-190
Author(s):  
L A Regan ◽  
J G Cooper
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Head Injuries ◽  
Ground Cover ◽  
Paediatric Population ◽  
Stationary Object ◽  
Safety Measures ◽  
Severity Of Injury ◽  
Serious Injury ◽  
Serious Injuries

In 2002 it was highlighted that sledging results in serious injuries in the paediatric population and safety recommendations were made. The aim of this study was to re-examine the number, severity and aetiology of sledging-related trauma. This was a retrospective study performed in the Paediatric Emergency Department (PED) of the Royal Aberdeen Children's Hospital (RACH) during two periods totalling 12 days, when there was continuous snow ground cover. Records of all attendances were scrutinized to identify patients with sledging injuries. The nature, mechanism and severity of injury, and subsequent management were then analysed. Of 403 PED attendances, 45 (11%) were sledging related with 16 (36%) fractures and 13 (29%) head injuries. Eight patients (18%) were admitted to hospital and three (7%) required an operation. Collision with a stationary object was the most common reason for injury (51%), followed by the adoption of a dangerous sledging position or use of a stationary jump. No patients were wearing a helmet. In conclusion, there has been little change in the epidemiology and aetiology of paediatric sledging injuries since 2002. Work is needed to inform parents of the previously recommended safety measures that could reduce the morbidity of this activity without detracting from the enjoyment.

scholarly journals Emergency department visits in Reykjavik for electric scooter related injuries during the summer of 2020

2021 ◽  
Vol 107 (05) ◽  
pp. 234-238
Author(s):  
Sigrún Guðný Pétursdóttir ◽  
◽  
Jón Magnús Kristjánsson ◽  
Hjalti Már Björnsson ◽  
◽  
...  
Keyword(s):  
Emergency Department ◽  
Injury Rate ◽  
Emergency Department Visits ◽  
Recreational Drugs ◽  
Drugs And Alcohol ◽  
Risk Of Injury ◽  
Electric Scooter ◽  
Treatment Data ◽  
Serious Injury ◽  
Serious Injuries

INTRODUCTION: Electric scooters have become popular in Iceland. The aim of the current study was to gather data on the incidence, causes, and severity of injuries due to the use of electric scooters in the Reykjavik area during the summer of 2020. MATERIAL AND METHODS: Individuals presenting to the Emergency Department (ED) at Landspitali between June 1 and August 31 were asked about the location and cause of accident, use of protective equipment, and use of recreational drugs and alcohol. Diagnosis and treatment data was gathered from hospital records. RESULTS: During the study period, 149 individuals presented with electric scooter injuries, on average 1.6/day. Patients‘ age ranged between 8 and 77 years, and 45% were younger than 18 years of age. In 60% of cases the cause of accident was that the patient was riding too fast, lost balance, or uneven road surface. Seventy-nine percent of children reported using a helmet, compared to only 17% of adults. No children reported having been under the influence of alcohol or recreational drugs at the time of the accident, compared to 40% of adults who reported that they were intoxicated. Fractures were diagnosed in 38% of patients, 6% needed hospital admission, but no patient suffered serious injury. CONCLUSION: During the summer of 2020, one to two individuals were injured daily in the Reykjavík capital area while using electic scooters, but no serious injuries occurred. Preventive measures to decrease injury rate from the use of electric scooters should focus on infrastructure, encourage helmet use, and education on the risk of injury associated with operating electric scooters while intoxicated.

scholarly journals Emergency Department Visits From 2014 to 2018 for Head Injuries in Youth Non-Tackle Football Compared With Other Sports

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097540
Author(s):  
Jessica M. Zendler ◽  
Ron Jadischke ◽  
Jared Frantz ◽  
Steve Hall ◽  
Grant C. Goulet
Keyword(s):  
United States ◽  
Emergency Department ◽  
Head Injury ◽  
Head Injuries ◽  
The United States ◽  
Emergency Department Visits ◽  
Head Region ◽  
Cerebral Contusion ◽  
Common Diagnosis ◽  
Tackle Football

Background: Non-tackle football (ie, flag, touch, 7v7) is purported to be a lower-risk alternative to tackle football, particularly in terms of head injuries. However, data on head injuries in non-tackle football are sparse, particularly among youth participants. Purpose: To describe the epidemiology of  emergency department visits for head injuries due to non-tackle football among youth players in the United States and compare the data with basketball, soccer, and tackle football. Study Design: Descriptive epidemiology study. Methods: Injury data from 2014 to 2018 were obtained from the National Electronic Injury Surveillance System database. Injury reports coded for patients aged 6 to 18 years and associated with basketball, football, or soccer were extracted. Data were filtered to include only injuries to the head region, specifically, the head, ear, eyeball, mouth, or face. Football injuries were manually assigned to “non-tackle” or “tackle” based on the injury narratives. Sports & Fitness Industry Association data were used to estimate annual sport participation and calculate annual injury rates per 100,000 participant-years. Results: A total of 26,770 incident reports from 2014 to 2018 were analyzed. For head region injuries in non-tackle football, the head was the most commonly injured body part, followed by the face; the most common diagnosis was a laceration, followed by concussion and internal injury (defined as an unspecified head injury or internal head injury [eg, subdural hematoma or cerebral contusion]). The most common contacting object was another player. The projected national rate of head region injuries was lowest for non-tackle football across the 4 sports. In particular, the projected rate of injuries to the head for non-tackle football (78.0 per 100,000 participant-years) was less than one-fourth the rates for basketball (323.5 per 100,000 participant-years) and soccer (318.2 per 100,000 participant-years) and less than one-tenth the rate for tackle football (1478.6 per 100,000 participant-years). Conclusion: Among youth in the United States aged 6 to 18 years who were treated in the emergency department for injuries related to playing non-tackle football, the most common diagnosis for injuries to the head region was a laceration, followed by a concussion. Head region injuries associated with non-tackle football occurred at a notably lower rate than basketball, soccer, or tackle football.

Survival Analysis of Geriatric Patients with Low Digestive Hemorrhage Attending an Emergency Department

Gerontology ◽  
2021 ◽  
pp. 1-6
Author(s):  
Ana Fernandez-Suárez ◽  
Oriol Yuguero Torres
Keyword(s):  
Emergency Department ◽  
Survival Analysis ◽  
Retrospective Study ◽  
Survival Rate ◽  
Life Expectancy ◽  
Antiplatelet Therapy ◽  
Geriatric Patients ◽  
Digestive Hemorrhage ◽  
Kaplan Meier ◽  
Number Of Individuals

<b><i>Background:</i></b> The increase in life expectancy and low mortality have doubled the number of individuals older than 65 in the last 30 years. <b><i>Methods:</i></b> We conducted a retrospective study of 101 patients older than 80 years of age treated by low digestive hemorrhage (LDH) in an emergency department during 2018. Sociodemographic variables were evaluated, as well as comorbidity and survival at 18 months. Survival was assessed by a Kaplan-Meier test. <b><i>Results:</i></b> 52.5% of the subjects were women. The average comorbidity of the sample was 1.97. The survival rate per year was 60%. The finding on colonoscopy shows no association with mortality. However, those patients on anticoagulant/antiplatelet therapy have a higher survival rate. <b><i>Conclusion:</i></b> Survival per year is high, so urgent colonoscopy for an LDH should be performed after evaluating the patient’s stability and functional status in a scheduled and outpatient manner.

scholarly journals Risk Factors for Fall-Related Serious Injury among Korean Adults: A Cross-Sectional Retrospective Analysis

2021 ◽  
Vol 18 (3) ◽  
pp. 1239
Author(s):  
Moon-Sook Kim ◽  
Hyun-Myung Jung ◽  
Hyo-Yeon Lee ◽  
Jinhyun Kim
Keyword(s):  
Risk Factors ◽  
Fall Prevention ◽  
Medical Records ◽  
Brain Injuries ◽  
Tertiary Hospital ◽  
Antiplatelet Drugs ◽  
Cross Sectional ◽  
Complete Survey ◽  
Serious Injury ◽  
Serious Injuries

The purpose of this study was to identify the risk factors of serious fall-related injuries by analyzing the differences between two fall groups: one with serious fall-related injuries and one without such injuries. Applying a retrospective, descriptive investigation study design, we analyzed the degree of fall-related injury and the risk factors related to serious falls by conducting a complete survey of the medical records of fall patients reported throughout one full year, 2017, at a tertiary hospital in Seoul, Korea. Among the patients with reported falls, 188 sustained no injury (63.1%), 72 sustained minor injury (24.2%), and 38 patients sustained serious injury (12.8%). The serious fall-related injuries included eight lacerations requiring suture (2.7%), 23 fractures (7.7%), five brain injuries (1.7%), and two deaths (0.7%). Analysis results indicated that taking anticoagulants/antiplatelet drugs (p = 0.016) and having a fall history (p = 0.038) were statistically significant in the differences between the group with serious injury related to falls and the group without serious injury. Logistic regression revealed that taking anticoagulant/antiplatelet drugs was the factor most significantly correlated with serious injuries related to falls (OR = 2.299, p = 0.022). Results show that it is necessary to develop a patient-tailored fall prevention activity program.

scholarly journals Trends of CT utilisation in an emergency department in Taiwan: a 5-year retrospective study

BMJ Open ◽  
2016 ◽  
Vol 6 (6) ◽  
pp. e010973 ◽  
Author(s):  
Sung-Yuan Hu ◽  
Ming-Shun Hsieh ◽  
Meng-Yu Lin ◽  
Chiann-Yi Hsu ◽  
Tzu-Chieh Lin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Study

Injury Burden of Introducing E-Scooters: A Review of E-Scooter Injury Studies Using Retrospective Review of Emergency Department Records, 2015–2019

2021 ◽  
pp. 036119812110322
Author(s):  
Nicole Iroz-Elardo ◽  
Kristina Currans
Keyword(s):  
Emergency Department ◽  
Head Injuries ◽  
Health And Safety ◽  
Injury Rate ◽  
Surveillance Data ◽  
Quality Of Data ◽  
Exposure Data ◽  
Specific Subset ◽  
Extremity Injuries ◽  
Injury Burden

With the mass introduction of shared, dockless electric scooter (e-scooter) programs, many cities are struggling to understand injury implications. This article systematically documents what is known about e-scooter injuries using emergency department (ED) studies; it also provides recommendations to better understand the health and safety risks of this emerging mode. A systematic review was performed for all e-scooter articles through November 2019, retaining injury-related articles. In the case where surveillance data and exposure data were available, injury rates were explored. A total of 18 articles were identified, including: five that used surveillance data methods; seven examining all e-scooter injuries from one to three hospitals; and six examining a medically specific subset of those injured. Variations in the reporting structure of data make pooling difficult, but some trends are emerging. Three surveillance studies report an injury rate of 20–25 ED visits per 100,000 trips. Those injured rarely wear helmets, resulting in a high proportion of head injuries. Extremity injuries, including fractures, are also widespread. The profile of the injured appears to be a 30-year-old male. However, once normalized by exposure data, female, young, and older riders may be at higher risk of injury. Comparisons with other modes remain unclear; this is as much a challenge of the exposure data for the other modes as information on e-scooters. Assumptions about comparisons with bicyclists should be more thoroughly examined. Data harmonization and collaboration between vendors, municipalities, and public health departments would improve the quality of data and resulting knowledge about e-scooter safety risk.

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