scholarly journals ANALYSIS OF TYPICAL DAMAGES AT THE DIFFERENT GROUPS OF VICTIMS WITH POLYTRAUMA

2018 ◽  
Vol 18 (4) ◽  
pp. 15-21
Author(s):  
M. V. Govorov ◽  
V. V. Mamontov ◽  
V. V. Govorov ◽  
G. N. Dorovskikh ◽  
N. V. Govorova
Keyword(s):  
Computed Tomography ◽  
Traffic Accidents ◽  
Multislice Computed Tomography ◽  
Road Traffic ◽  
High Energy ◽  
Diagnostic Methods ◽  
Diagnostic Efficiency ◽  
Road Traffic Accidents ◽  
High Energy Trauma

An analysis of typical injuries in 487 victims was conducted, depending on the conditions of injury in road traffic accidents — pedestrian, driver, passenger. Established major injuries in groups characterize the nature of high-energy trauma. Multislice Computed tomography is the method of choice in the diagnosis of associated trauma, it has a high diagnostic efficiency in comparison with other diagnostic methods.

scholarly journals Patterns of injury detected by pan-computed tomography after road traffic accidents: retrospective review from a trauma center in Saudi Arabia

2018 ◽  
Vol 38 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Ali Al Orf ◽  
Khawaja Bilal Waheed ◽  
Aftab Ahmed Baig ◽  
Khaled Saleh Mohammad ◽  
Mohamed Nasr El Sirafy ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Saudi Arabia ◽  
Retrospective Review ◽  
Trauma Center ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Patterns Of Injury

scholarly journals Trampolines injuries are bouncing back

2021 ◽  
Vol 2 (2) ◽  
pp. 86-92
Author(s):  
Yahya Ibrahim ◽  
Sumon Huq ◽  
Kanatheepan Shanmuganathan ◽  
Helen Gille ◽  
Pranai Buddhdev
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Treatment Options ◽  
High Energy ◽  
Home Exercise ◽  
Mechanism Of Injury ◽  
High Energy Trauma ◽  
Paediatric Trauma ◽  
Parametric Data ◽  
Number Of Patients

Aims This observational study examines the effect of the COVID-19 pandemic upon the paediatric trauma burden of a district general hospital. We aim to compare the nature and volume of the paediatric trauma during the first 2020 UK lockdown period with the same period in 2019. Methods Prospective data was collected from 23 March 2020 to 14 June 2020 and compared with retrospective data collected from 23 March 2019 to 14 June 2019. Patient demographics, mechanism of injury, nature of the injury, and details of any surgery were tabulated and statistically analyzed using the independent-samples t-test for normally distributed data and the Mann-Whitney-U test for non-parametric data. Additionally, patients were contacted by telephone to further explore the mechanism of injury where required, to gain some qualitative insight into the risk factors for injury. Results The 2020 lockdown resulted in 30% fewer paediatric trauma presentations (441 vs 306), but no significant change in the number of patients requiring surgery (47 vs 51; p = 0.686). Trampolining injuries increased in absolute numbers by 168% (p < 0.001), almost four times more common when considered as percentage of all injuries observed in 2020 vs 2019. There was a decrease in high energy trauma from road traffic accidents and falls from height (21.5% decrease, p < 0.001). Despite a shift towards more conservative treatment options, trampolining injuries continued to require surgery in similar proportions (19.4 vs 20%; p = 0.708). Qualitative investigation revealed that the most common risk factor for trampolining injury was concurrent usage, especially with an older child. Conclusion COVID-19 lockdown has resulted in a decrease in paediatric orthopaedic presentations and high energy trauma. However, due to a marked increase in home trampolining injuries, and their unchanged requirement for surgery, there has been no change in the requirement for surgery during the lockdown period. As home exercise becomes more prevalent, a duty of public health falls upon clinicians to advise parents against trampoline usage. Cite this article: Bone Jt Open 2021;2(2):86–92.

scholarly journals Unpredictable cardiac arrest caused by blunt cardiac injuries with sternum fracture: a case report

2021 ◽  
Vol 6 (1) ◽  
pp. 5-8
Author(s):  
Miyoung Jang ◽  
Pil Young Jung
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Cardiac Injury ◽  
High Energy ◽  
Cardiac Biomarkers ◽  
Road Traffic Accidents ◽  
Blunt Cardiac Injury ◽  
Risk Patients ◽  
Sternum Fracture ◽  
Intensive Observation

Blunt cardiac injury (BCI) is common in road traffic accidents due to high energy injuries to the thorax and its structures, such as the anterior and posterior of the chest wall. The severity of BCI is high enough to cause many on-site deaths. However, patients with BCI may also be asymptomatic and exhibit normal findings; thus, diagnosis can be significantly challenging for many clinicians. Moreover, since BCI can be diagnosed through multiple serial tests, it is very important to always consider the possibility of BCI in high-risk patients . Diagnosis of BCI begins with suspicion of BCI, followed by repeated electrocardiograms, echocardiography, and cardiac biomarkers measurements along with intensive observation.

scholarly journals Results of providing specialized medical care to victims in road traffic accidents on Federal highway M-8 “Kholmogory” in the Arkhangelsk region

2020 ◽  
pp. 35-41
Author(s):  
S. F. Goncharov ◽  
A. V. Baranov
Keyword(s):  
Hospital Mortality ◽  
Medical Care ◽  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Road Traffic Accidents ◽  
Average Hospital ◽  
Arkhangelsk Region ◽  
Federal Highway

Relevance. Currently, there is a general increase in the severity of injuries due to the dominance of high-energy multiple and concomitant injuries, especially on high-speed federal highways.Intention: To evaluate specialized medical care and hospital mortality in victims of road traffic accidents on the Federal Highway M-8 “Kholmogory” in the Arkhangelsk Region.Methodology. We selected 906 case histories of patients (form 003/y) injured in accidents on the federal highway M-8 “Kholmogory” and urgently admitted to hospitals of the Arkhangelsk region in 2012 - 2018. Registration forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at p < 0.05 with correction for multiple comparisons (Bonferroni).Results and Discussion. In the healthcare organizations of the Arkhangelsk region, patients with polytrauma received surgical treatment, with percentage of selective and urgent surgeries, average hospital bed days and time in intensive care units significantly higher (p = 0.001) compared to other patients, while isolated injuries were more often (p = 0.001) treated non-sur-gically. Hospital mortality was 6.0%, deceased patients were significantly older (p = 0.015), and pedestrians comprised half of them (p <0.001). Polytrauma was a cause of all deaths, with average severity of 38 points by the ISS severity scale [22; 48] (p = 0.001); more than a half died 1 day after an accident (p = 0.001).Conclusions. One of the possible ways to improve the medical care to victims of road traffic accidents on the federal highways at all stages of medical evacuation is to develop, scientifically justify and implement a systemic register of the health consequences of road traffic injuries in the practice of public health in the regions of Russian Federation.

scholarly journals Epidemiology of pelvic and acetabular fractures in a tertiary hospital in Singapore

2021 ◽  
Author(s):  
A Singh ◽  
ASM Lim ◽  
BPH Lau ◽  
G O’Neill
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Trauma Centre ◽  
Acetabular Fractures ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Local Data ◽  
Limb Injuries ◽  
Crush Injuries

Introduction: Pelvic and acetabular fractures (PAFs) usually result from high-energy, potentially life-threatening accidents. They are one of the major injuries that lead to death in patients involved in such accidents. We studied the recent epidemiology of these injuries in Singapore. Methods: This is a retrospective data analysis of all trauma patients who underwent surgery for PAFs from 2008 to 2016 in a tertiary trauma centre in Singapore. Data including patient demographics, mechanism of injury and associated injuries was collected. Results: A total of 169 patients were admitted for PAFs over the eight-year period. The majority (79.3%) were male. The mean age was 41 (range 13–79) years. Most patients (51.5%) were Chinese. The most common mechanisms of injury were road traffic accidents (53.8%), falls (33.1%) and crush injuries (13.0%). 46.2% sustained acetabular fractures, while 44.4% sustained pelvic fractures. PAFs were most commonly associated with upper and lower limb injuries, followed by spinal and thoracic injuries. Average of length of stay in hospital was 24 (range 2–375) days. Conclusion: PAF predominantly affects young working males. Compared to previously published local data, there has been a significant reduction in the incidence of PAFs, likely due to improved road and work safety. The demographics of PAFs have changed, with fewer injuries in females (20.7% vs. 33.3%), a reduction in the proportion of injuries in the Chinese (51.5% vs. 70.1%). While road traffic accidents remain the most common cause, crush injuries are now more prevalent (13.0%).

scholarly journals Frequency of Epidural hematoma in different ages due to road traffic accidents on Computed Tomography scan brain.

2019 ◽  
Vol 26 (09) ◽  
pp. 1576-1579
Author(s):  
Muhammad Adil Riaz ◽  
Anwaar Hussain ◽  
Habib Ur Rehman ◽  
Muhammad Aaqib Riaz ◽  
Irfan Ahmed Mughal
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Traffic Accidents ◽  
Epidural Hematoma ◽  
Road Traffic ◽  
Radiology Department ◽  
Road Traffic Accidents ◽  
Computed Tomography Scan ◽  
Different Ages ◽  
Tomography Scan

Road traffic accidents are quite common in developing countries like Pakistan and mainly affect middle aged men. Objectives: To determine the frequency of epidural hematoma in different ages due to road traffic accidents on Computed Tomography scan brain. Study Design: Cross-sectional descriptive study. Setting: Emergency Radiology Department, Lahore General Hospital, Lahore. Period: August 2017 to November 2017. Material & Methods: One hundred fifteen patients were selected who visited to emergency due to road traffic accidents. The individuals with head injury bearing hematoma were included. Axial computed tomography scan brain without contrast was performed. The frequency of epidural hematoma in different ages was determined. Result: Total one hundred fifteen patients were enrolled in the study; epidural hematomas were 49 (42.60%) while no epidural hematomas were 66(57.39%). Out of 49 epidural hematoma cases males were 38(77.55%) and females were 11 (22.45%) with a mean age of 19 years with a range of 2-55 ± 9.59 years. All the individuals with head injury were categorized into three groups. The frequency of epidural hematoma in different ages was 75.51% (15-44 years) followed by 20.40% (<14years) and then 4.08% in (>45years). Conclusion: It was concluded from this study that epidural hematoma determined by computed tomography scan brain is more frequent in middle age.

scholarly journals Displaced Intra-articular Calcaneal Fractures: Current Concepts and Modern Management

2014 ◽  
Vol 1 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Gershon Volpin ◽  
Zvi Cohen ◽  
Genadi Kirshner ◽  
Haim Shtarker
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Asia Pacific ◽  
Road Traffic Accidents ◽  
Calcaneal Fractures ◽  
Modern Management ◽  
Articular Fractures ◽  
Classification And Treatment

ABSTRACT The calcaneal fractures are usually the result of high-energy injuries, falls from height and road traffic accidents and constitutes about 2% of all fractures. 60 to 75% of them are displaced intra-articular fractures and 90% of them are usually in males, mainly in industrial workers.there is still controversy regarding classification and treatment. The purpose of this review is to present the modern surgical modalities for these type of fractures. How to cite this article Volpin G, Cohen Z, Kirshner G, Shtarker H. Displaced Intra-articular Calcaneal Fractures: Current Concepts and Modern Management. J Foot Ankle Surg (Asia-Pacific) 2014;1(1):24-31.

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