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.

Trauma

2018 ◽  
Author(s):  
David A. Young
Keyword(s):  
Cause Of Death ◽  
Life Support ◽  
Motor Vehicle ◽  
The United States ◽  
Motor Vehicle Accidents ◽  
Advanced Trauma Life Support ◽  
Traumatic Injuries ◽  
Vehicle Accidents ◽  
One Year ◽  
Uncontrolled Bleeding

Traumatic injuries are the most common cause of death within the United States for children above one year of age Most traumatic injuries in children are a result of motor vehicle accidents, child abuse (or nonaccidental trauma), drowning, thermal injury, or falls. Motor vehicle accidents are the leading cause of death for children above the age of one year. Strategies of Advanced Trauma Life Support (ATLS) utilize a standardized approach to promptly identify and manage life-threatening traumatic injuries. These strategies include recognition of cardiopulmonary disorders, volume resuscitation, and prevention of additional injuries including to the cervical spine. A management plan for severe and uncontrolled bleeding is critically important to have established when caring for children with traumatic injuries. Many strategies have been developed to manage severe and uncontrolled bleeding including the use of massive transfusion protocols, damage control surgery, and hemostatic agents.

Sternum Trauma

2019 ◽  
pp. 40-41
Author(s):  
Michael O’Keeffe ◽  
Kiran Khursid ◽  
Peter L. Munk ◽  
Mihra S. Taljanovic
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Blunt Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Associated Injuries ◽  
Thoracic Cage ◽  
Vehicle Accidents ◽  
Flat Bone ◽  
Sternum Fracture ◽  
Sternal Fractures

Chapter 7 provides an overall look at sternum fracture. The sternum is a flat bone at the anterior center of the chest, which protects the mediastinum. The sternum along with the ribs and vertebrae form the thoracic cage, which protects the thoracic organs and vessels. Fractures are usually associated with direct blunt trauma which most commonly occurs during motor vehicle accidents or from vigorous cardiopulmonary resuscitation. Significant mortality may be associated with displaced sternal fractures because of aortic, cardiac, or pulmonary injury. CT examination has surpassed radiographs in the assessment of sternal fractures and adds identification of secondary findings. It has superior sensitivity to radiography and is valuable in diagnosing serious associated injuries.

False Aneurysm of the Superficial Temporal Artery Following Blunt Trauma

1994 ◽  
Vol 2 (4) ◽  
pp. 179-180 ◽  
Author(s):  
Ariel A Waitzman ◽  
Peter C Neligan ◽  
Jagdish W Butany
Keyword(s):  
Blunt Trauma ◽  
Clinical Examination ◽  
False Aneurysm ◽  
Motor Vehicle ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents

AA Waitzman, PC Neligan, JW Butany. False aneurysm of the superficial temporal artery following blunt trauma. Can J Plast Surg 1994;2(4):179-180. Aneurysms of the superficial temporal artery are uncommon. Motor vehicle accidents and assaults are the most frequent etiologies. There are, however, several cases reported following sports related trauma. The aneurysm is usually detected two to six weeks after injury. The diagnosis is made from clinical examination, aided in certain circumstances by radiological investigations. Treatment is primarily surgical, embolization being reserved for inaccessible aneurysms. A case is presented of a false aneurysm of the superficial temporal artery following a kickboxing injury. The diagnosis in this case was made clinically. Excision of the aneurysmal cavity after ligation of the afferent and efferent vessels was curative.

scholarly journals Increased population density of neurosurgeons associated with decreased risk of death from motor vehicle accidents in the United States

2012 ◽  
Vol 117 (3) ◽  
pp. 599-603 ◽  
Author(s):  
Atman Desai ◽  
Kimon Bekelis ◽  
Wenyan Zhao ◽  
Perry A. Ball
Keyword(s):  
Population Density ◽  
General Practitioners ◽  
Cause Of Death ◽  
Motor Vehicle ◽  
The United States ◽  
Median Number ◽  
Motor Vehicle Accidents ◽  
Outcome Variable ◽  
Vehicle Accidents ◽  
Risk Of Death

Object Motor vehicle accidents (MVAs) are a leading cause of death and disability in young people. Given that a major cause of death from MVAs is traumatic brain injury, and neurosurgeons hold special expertise in this area relative to other members of a trauma team, the authors hypothesized that neurosurgeon population density would be related to reduced mortality from MVAs across US counties. Methods The Area Resource File (2009–2010), a national health resource information database, was retrospectively analyzed. The primary outcome variable was the 3-year (2004–2006) average in MVA deaths per million population for each county. The primary independent variable was the density of neurosurgeons per million population in the year 2006. Multiple regression analysis was performed, adjusting for population density of general practitioners, urbanicity of the county, and socioeconomic status of the county. Results The median number of annual MVA deaths per million population, in the 3141 counties analyzed, was 226 (interquartile range [IQR] 151–323). The median number of neurosurgeons per million population was 0 (IQR 0–0), while the median number of general practitioners per million population was 274 (IQR 175–410). Using an unadjusted analysis, each increase of 1 neurosurgeon per million population was associated with 1.90 fewer MVA deaths per million population (p < 0.001). On multivariate adjusted analysis, each increase of 1 neurosurgeon per million population was associated with 1.01 fewer MVA deaths per million population (p < 0.001), with a respective decrease in MVA deaths of 0.03 per million population for an increase in 1 general practitioner (p = 0.007). Rural location, persistent poverty, and low educational level were all associated with significant increases in the rate of MVA deaths. Conclusions A higher population density of neurosurgeons is associated with a significant reduction in deaths from MVAs, a major cause of death nationally. This suggests that the availability of local neurosurgeons is an important factor in the overall likelihood of survival from an MVA, and therefore indicates the importance of promoting neurosurgical education and practice throughout the country.

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.

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