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injury due to fall from height

Louis V DeFazio, Guido A LaPorta
INTRODUCTION AND OBJECTIVES: Calcaneal fractures are a serious injury with significant associated morbidity. Bilateral calcaneal fractures complicate issues even further, due to the physical disability that the patient is left with. One of the major issues with any calcaneal fracture is the risk of soft tissue compromise caused by the traumatic nature of the injury. A percutaneous approach allows the soft tissue envelope to remain viable, while still fixating the fractures. The purpose of this presentation is to highlight the use of percutaneous repair, the role of external fixation in calcaneal fractures, and lastly discuss the outcome for this particular patient...
September 2016: Journal of the American Podiatric Medical Association
Serdar Baygeldi, Oktay Karakose, Kazım Caglar Özcelik, Hüseyin Pülat, Sedat Damar, Hüseyin Eken, İsmail Zihni, Alpaslan Fedai Çalta, Bilsel Baç
Background and Aim. The aim of this study was to investigate the effects of demographic characteristics, biochemical parameters, amount of blood transfusion, and trauma scores on morbidity in patients with solid organ injury following trauma. Material and Method. One hundred nine patients with solid organ injury due to abdominal trauma during January 2005 and October 2015 were examined retrospectively in the General Surgery Department of Dicle University Medical Faculty. Patients' age, gender, trauma interval time, vital status (heart rate, arterial tension, and respiratory rate), hematocrit (HCT) value, serum area aminotransferase (ALT) and aspartate aminotransferase (AST) values, presence of free abdominal fluid in USG, trauma mechanism, extra-abdominal system injuries, injured solid organs and their number, degree of injury in abdominal CT, number of blood transfusions, duration of hospital stay, time of operation (for those undergoing operation), trauma scores (ISS, RTS, Glasgow coma scale, and TRISS), and causes of morbidity and mortality were examined...
2016: Disease Markers
E B Akber, M T Alam, K M Rahman, I Jahan, S A Musa
Annually, homicide contributes to a greater number of the total head injury cases. This retrospective study was conducted from 1(st) January 2009 to 31(st)December 2011 at Dhaka Medical College Mortuary. During this study period of three years a total of 15300 autopsies were done of which 5649 cases (36.84%) were of head injuries. Of them 747(13.22%) were of homicidal, 4080(72.22%) road-traffic accidents, 502(8.88%) accidental and 320(5.66%) cases of fall from heights. Three hundred ninety eight (398) urban cases (53...
April 2016: Mymensingh Medical Journal: MMJ
Zhou Zhou, Binhui Jiang, Libo Cao, Feng Zhu, Haojie Mao, King H Yang
BACKGROUND AND OBJECTIVE: Studies on traumatic injuries of children indicate that impact to the head is a major cause of severe injury and high mortality. However, regulatory and ethical concerns very much limit development and validation of computer models representing the pediatric head. The purpose of this study was to develop a child head finite element model with high-biofidelity to be used for studying pediatric head injury mechanisms. METHODS: A newly developed 10-year-old (YO) pediatric finite element head model was limitedly validated for kinematic and kinetic responses against data from quasi-static compressions and drop tests obtained from an experimental study involving a child-cadaver specimen...
July 2016: Computer Methods and Programs in Biomedicine
Nawal Kishore Jha, Sanjay Kumar Yadav, Rajshekhar Sharma, Dipendra Kumar Sinha, Sandip Kumar, Marshal Daud Kerketta, Mini Sinha, Abhinav Anand, Anjana Gandhi, Satish Kumar Ranjan, Jitin Yadav
OBJECTIVE: To determine the presentation, anatomical distribution, diagnostic method, management and outcome of hollow viscus injury (HVI) from blunt abdominal trauma. METHODS: This  was  a  retrospective  cross-ecnal  study  including  patients  with  blunt  abdominal  trauma leading to HVI admitted at Rajendra Institute of Medical Sciences, Ranchi, over a period of 4.5 years (January 2009 to July 2014). Data were retrieved from patients' medical records...
October 2014: Bulletin of Emergency and Trauma
Mohsen Kolahdouzan, Mohammad Taqhi Rezaee, Shahab Shahabi
INTRODUCTION: Penetrating thoracoabdominal injuries are potentially life threatening due to the associated hemorrhagic shock and visceral injury. Through and through penetrating injury with polytrauma is rarely encountered. CASE PRESENTATION: Here we report on a 25-year-old male with penetrating thoracoabdominal injury caused by a metallic (iron) bar projecting from a pillar of a construction site after he fell down from a height. CONCLUSIONS: Anesthetic and surgical management was difficult due to the inability to position in supine and rapidly progressing hemorrhagic shock...
March 2016: Archives of Trauma Research
Ali Çağrı Tekin, Haluk Çabuk, Cem Dinçay Büyükkurt, Süleyman Semih Dedeoğlu, Yunus İmren, Hakan Gürbüz
INTRODUCTION: Traumatic inferior hip dislocation is the least common of all hip dislocations. Adult inferior hip dislocations usually occur after high-energy trauma, very few cases are reported without fracture. PRESENTATION OF CASE: A 26-year-old female was brought to the emergency department with severe pain in the left hip, impaired posture and restricted movement following a fall from 15m height. The hip joint was fixed in 90° flexion, 15° abduction, and 20° external rotation...
2016: International Journal of Surgery Case Reports
A Jiménez de Domingo, E Rubio García, R Marañon Pardillo, V Arias Constanti, L A Frontado Haiek, M Soriano Arola, F Ripoll Oliveras, C Remón García, G Estopiña Ferrer, J Lorente Romero
OBJECTIVES: To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. PATIENTS AND METHODS: This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015...
February 8, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Nabeel R Obeid, Darren Jeremy Bryk, Timothy Lee, Keith C Hemmert, Spiros G Frangos, Ronald J Simon, H Leon Pachter, Steven M Cohen
INTRODUCTION: Falls from heights are an important cause of unintentional fatal injury. We investigated the relationship between the characteristics of fatal falls and resulting injury patterns. MATERIALS AND METHODS: We reviewed prospectively collected data from the Office of Chief Medical Examiner in New York City between 2000 and 2010. Data included fall height, work or non-work related, use of safety equipment, intentionality, specific organ injuries, and death on impact...
June 2016: American Journal of Forensic Medicine and Pathology
Osvaldo Chiara, Stefania Cimbanassi, Riccardo Zoia
BACKGROUND: Transection of the thoracic aorta (TTA) remains a leading cause of death after blunt trauma. In this autopsy study, the natural history of this injury is reviewed. PATIENTS AND METHODS: All blunt trauma deaths that occurred in the Milano urban area over a period of one year were collected. Autopsies were available in all cases. Incidence, mechanisms, anatomical locations of TTA, deaths due to TTA or coexisting injuries, and times of death were reviewed...
June 2009: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Henk F van der Molen, Aalt den Herder, Jan Warning, Monique H W Frings-Dresen
BACKGROUND: The objective of this study is to evaluate the effectiveness of a face-to-face strategy and a direct mail strategy on safety violations while working from heights among construction companies compared to a control condition. METHODS: Construction companies with workers at risk for fall injuries were eligible for this three-armed randomized controlled trial. In total, 27 cities were randomly assigned to intervention groups-where eligible companies were given either a face-to-face guidance strategy or a direct mailing strategy with access to internet facilities-or to a control group...
2016: BMC Public Health
Jabeen Fayyaz, Shirin Wadhwaniya, Hira Shahzad, Asher Feroze, Nukhba Zia, Mohammed Mir, Uzma Khan, Sumera Iram, Sabir Ali, Junaid Razzak, Adnan A Hyder
BACKGROUND: We aimed to analyse the frequency and patterns of fall-related injuries presenting to the emergency departments (EDs) across Pakistan. METHODS: Pakistan National Emergency Departments surveillance system collected data from November 2010 to March 2011 on a 24/7 basis using a standardized tool in seven major EDs (five public and two private hospitals) in six major cities of Pakistan. For all patients presenting with fall-related injuries, we analysed data by intent with focus on unintentional falls...
2015: BMC Emergency Medicine
Sarah K Bourne, Ann-Christine Duhaime
A 1-month-old boy was evaluated after a fall from a height of 3 feet and found to have right parietal skull fracture as well as right and left frontal traumatic hemorrhage. Ten days after the injury, he represented with a persistent left gaze preference. Further workup including MRI and EEG determined that this finding was most likely due to a small, focal, left-frontal eye field lesion. We review the horizontal gaze pathway and demonstrate that this is present at this very young age, and that a very focal and relatively minor injury can cause gaze disturbance...
2016: Pediatric Neurosurgery
Suresh Arumugam, Ammar Al-Hassani, Ayman El-Menyar, Husham Abdelrahman, Ashok Parchani, Ruben Peralta, Ahmad Zarour, Hassan Al-Thani
BACKGROUND: The incidence of abdominal trauma is still underreported from the Arab Middle-East. We aimed to evaluate the incidence, causes, clinical presentation, and outcome of the abdominal trauma patients in a newly established trauma center. MATERIALS AND METHODS: A retrospective analysis was conducted at the only level I trauma center in Qatar for the patients admitted with abdominal trauma (2008-2011). Patients demographics, mechanism of injury, pattern of organ injuries, associated extra-abdominal injuries, Injury Severity Score (ISS), Abbreviated Injury Scale, complications, length of Intensive Care Unit, and hospital stay, and mortality were reviewed...
October 2015: Journal of Emergencies, Trauma, and Shock
Braveena K Santhiranayagam, Daniel T H Lai, W A Sparrow, Rezaul K Begg
Falls are the primary cause of accidental injuries (52%) and one of the leading causes of death in individuals aged 65 and above. More than 50% of falls in healthy older adults are due to tripping while walking. Minimum toe clearance (i.e., minimum height of the toe above the ground during the mid-swing phase - MTC) has been investigated as an indicator of tripping risk. There is increasing demand for practicable gait monitoring using wearable sensors such as Inertial Measurement Units (IMU) comprising accelerometers and gyroscopes due to their wearability, compactness and low cost...
December 16, 2015: Journal of Biomechanics
A Zahavi, J Luckman, I Yassur, S Michowiz, N Goldenberg-Cohen
PURPOSE: Falls from heights are the most common traumatic event associated with emergency department visits in children. This study investigated the incidence and clinical course of cranial neuropathies caused by falls from heights in children. METHODS: The computerized records of a tertiary pediatric medical center were searched for all patients admitted to the emergency department in 2004-2014 with a head injury caused by falling from a height. Those with cranial neuropathies involving optic and eye-motility disturbances were identified, and their clinical, imaging, and outcome data were evaluated...
April 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
Kirsten Wöllner, Jan Ortmann, Gerhard Kernbach-Wighton, Burkhard Madea
Restraining patients is common practice in psychiatric hospitals and is permitted by section 1906 BGB (German Civil Code) if there is a risk of suicide or serious self-damage because of a mental disease or mental disability. Permanent monitoring and supervision during restraints should be obligatory not only in psychiatric hospitals. Nevertheless a number of deaths have occurred during restraints, usually due to strangulation. Reports of cases with suicidal actions after self-release from restraint are rare in the literature...
September 2015: Archiv Für Kriminologie
Gunther Geserick, Klaus Krocker, Ingo Wirth
The first description in the forensic medical literature of a demarcation line for the localization of head injuries resulting from falling to the ground appears in Kratter (1919). Regarding a similar line, Walcher (1931) later introduced the relation to the hat brim (Hutkrempe), which gave the rule its name: the hat brim line rule (Hutkrempenregel). Thenceforth it was supposed to be called Kratter's and Walcher's hat brim line rule (Kratter-Walcher'sche Hutkrempenregel). Over the following decades, not only its content but also the area of application and the definition of the hat brim line rule were repeatedly, and in part significantly, altered...
September 2014: Archiv Für Kriminologie
Anmol Sharma, Jaswinder P S Walia, Bhupinder S Brar, Sudhir Sethi
BACKGROUND: Displaced supracondylar fractures are notorious for difficulty in reduction, maintenance of reduction and frequent involvement of neurovascular structures. No general agreement on the treatment is evident with controversy prevailing regarding the ideal timing of surgery, method of maintenance of reduction and configuration of the pin fixation. A crossed pin configuration, though believed by some to be mechanically more stable than the lateral pins alone, has the risk of ulnar nerve injury due to the medial pin...
September 2015: Indian Journal of Orthopaedics
Harpreet Singh, Rakesh Kumar Misra, Manjinder Kaur
INTRODUCTION: Management of high grade proximal tibia or tibial plateau fractures is often associated with complications. The use of wire fixators for the definitive treatment of such fractures entails a minimally invasive technique of insertion that gives good fracture reduction and stability combined with minimal postoperative complications. AIM: To assess the outcome of treatment of such fractures by the use of Joshi's external stabilization system (JESS), which is a wire based, circular external fixator system...
September 2015: Journal of Clinical and Diagnostic Research: JCDR
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