Hurricane Shutter-Related Injuries Treated in Emergency Departments

2020 ◽  
pp. 1-6
Author(s):  
Mathias B. Forrester
Keyword(s):  
United States ◽  
Emergency Departments ◽  
Surveillance System ◽  
Body Part ◽  
Tropical Storm ◽  
Upper Extremities ◽  
Tropical Storms ◽  
Injury Surveillance System ◽  
Hurricane Wilma ◽  
Hurricane Irma

ABSTRACT Objectives: Injuries may occur when putting up and taking down hurricane (storm) shutters. This study described hurricane shutter-related injuries managed at emergency departments (EDs). Methods: Hurricane shutter-related injuries were identified through the National Electronic Injury Surveillance System (NEISS), a database of consumer product-related injuries collected from the EDs of approximately 100 United States hospitals. Results: There were 329 hurricane shutter-related injuries during 2001-2017. Thirty-six injuries were reported during October 2005 (Hurricane Wilma), 30 during August 2008 (Tropical Storm Fay), and 103 during September 2017 (Hurricane Irma). Patients were 20 years or older in 90.6% of the cases; 76.3% of the patients were male. The most frequently reported injuries were laceration (48.9%), sprain or strain (15.2%), and fracture (9.4%). Lower extremities (34.0%) were the most commonly affected body part followed by upper extremities (29.5%) and head or neck (17.0%). The patient was treated or examined at the ED and released in 86.6% of the cases. Conclusions: Over half of the hurricane shutter-related injuries appeared to occur in association with hurricanes and tropical storms. The most frequently reported injuries were laceration followed by sprain or strain and fracture. The majority of patients were treated or examined at the ED and released.

Water Tubing–Related Injuries Treated in US Emergency Departments, 1991−2009

2013 ◽  
Vol 10 (2) ◽  
pp. 151-159 ◽  
Author(s):  
Kevin R. Heinsimer ◽  
Nicolas G. Nelson ◽  
Kristin J. Roberts ◽  
Lara B. McKenzie
Keyword(s):  
Children And Adolescents ◽  
Emergency Departments ◽  
Surveillance System ◽  
Body Part ◽  
Injury Surveillance ◽  
Annual Number ◽  
Sprains And Strains ◽  
Injury Surveillance System ◽  
Sample Weights ◽  
National Estimates

Background:The objective was to describe the patterns and mechanisms of water tubing–related injuries treated in U.S. emergency departments.Methods:The National Electronic Injury Surveillance System was used to examine cases of water tubing–related injuries. Sample weights were used to calculate national estimates of water tubing–related injuries. Analyses were conducted in 2010.Results:From 1991−2009 an estimated 69,471 injuries were treated in US emergency departments for water tubing–related injuries. The annual number of cases increased 250% over the 19-year study period (P < .001). Sprains and strains accounted for the largest portion of injuries (27.2%). The head was the most frequently injured body part (27.5%). Children and adolescents ≤ 19 years were more likely to be injured by contact with another person (OR: 2.47; 95% CI = 1.61−3.80) and were more likely to sustain injuries to the head (OR: 2.61; 95% CI = 2.01−3.38) compared with adults. Adults ≥ 20 years, were more likely than individuals ≤ 19 years to sustain sprains and strains (OR: 2.11; 95% CI = 1.64−2.71) and were most commonly injured by impact with the water (54.6%).Conclusions:Patterns of water tubing–related injuries differ for children and adults. Research is needed to determine how best to reduce these injuries.

scholarly journals Children Younger Than 18 Years Treated for Nonfatal Burns in US Emergency Departments

2019 ◽  
Vol 59 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Meghan Mitchell ◽  
Sandhya Kistamgari ◽  
Thitphalak Chounthirath ◽  
Lara B. McKenzie ◽  
Gary A. Smith
Keyword(s):  
United States ◽  
Emergency Departments ◽  
Surveillance System ◽  
Mechanism Of Injury ◽  
Injury Surveillance System ◽  
Number Of Children ◽  
Pediatric Injury ◽  
Nationally Representative ◽  
Using Data ◽  
Head Neck

This study investigated children <18 years old treated for burns in United States (US) emergency departments from 1990 to 2014 using data from the National Electronic Injury Surveillance System. There were 2 548 971 children treated for burns during the study period, averaging 101 959 annually. The number and rate of burns decreased by 30.0% and 38.9%, respectively, (both P < .001) during the study. Most patients (58.4%) were boys, 64.0% were <6 years old, and 7.4% were admitted to the hospital. Thermal burns accounted for 60.2% of injuries. The hand/fingers were most commonly injured (37.1%), followed by head/neck (19.6%). The most common specified mechanism of injury was grabbing/touching (18.4%), followed by spilling/splashing (16.4%). Although the number of children treated for burns has decreased, it remains an important source of pediatric injury, demonstrating the need to increase prevention efforts, especially among young children. This is the first study to use a nationally representative sample to investigate burn mechanisms.

scholarly journals Water polo-related injuries among adolescents and young adults treated at emergency departments

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Mathias B. Forrester
Keyword(s):  
Young Adults ◽  
Head And Neck ◽  
Emergency Departments ◽  
Surveillance System ◽  
Body Part ◽  
Adolescents And Young Adults ◽  
Contact Sport ◽  
Injury Surveillance System ◽  
Water Polo ◽  
Acute Injuries

AbstractObjectivesWater polo is a physically demanding contact sport involving swimming, overhead throwing, and wrestling/defending that can result in acute injuries. The objective of this study was to characterize water polo-related injuries among adolescents and young adults treated at United States (US) emergency departments (EDs).MethodsCases were water polo-related injuries among patients age 13–25 years reported to the National Electronic Injury Surveillance System (NEISS) during 2000–2019. The distribution of the national injury estimates was determined for selected variables.ResultsA total of 418 water polo-related injuries among patients age 13–25 years treated at US EDs during 2000–2019 were identified, resulting in a national estimate of 15,426 injuries. The patient was age 13–18 years in 73.5% of the injuries, 19–22 years in 20.5%, and 23–25 years in 6.0%; 62.1% of the patients were male and 37.9% female. The injury occurred at a place of recreation or sports in 63.4% of the injuries and a school in 21.4%. The most common diagnoses were a laceration (19.4%), strain or sprain (17.8%), contusion or abrasion (17.6%), or fracture (13.0%). The affected body part was 53.6% head and neck, 31.1% upper extremity, 8.0% trunk, 6.5% lower extremity, and 0.7% other/unknown. The patient was treated, released, or transferred in 98.3% of the injuries.ConclusionThe majority of patients were adolescents and male. Most of the injuries occurred at a place of recreation or sports or school. The most commonly reported injuries were laceration and strain or sprain and most often affected the head and neck.

Feel the Burn! Fireworks-related Otolaryngologic Trauma

2021 ◽  
pp. 000348942110081
Author(s):  
Alexander J. Straughan ◽  
Luke J. Pasick ◽  
Vrinda Gupta ◽  
Daniel A. Benito ◽  
Joseph F. Goodman ◽  
...  
Keyword(s):  
United States ◽  
Head And Neck ◽  
Emergency Departments ◽  
Closed Head Injury ◽  
Penetrating Trauma ◽  
The United States ◽  
Neck Injuries ◽  
Chi Square ◽  
Injury Surveillance System ◽  
Cross Sectional

Objectives: Fireworks are used commonly for celebrations in the United States, but can lead to severe injury to the head and neck. We aim to assess the incidence, types, and mechanisms of head and neck injuries associated with fireworks use from 2010 to 2019. Methods: A retrospective cross-sectional study, using data from the National Electronic Injury Surveillance System, of individuals presenting to United States Emergency Departments with head and neck injuries caused by fireworks and flares from 2010 to 2019. Incidence, types, and mechanisms of injury related to fireworks use in the US population were assessed. Results: A total of 541 patients (349 [64.5%] male, and 294 [54%] under 18 years of age) presented to emergency departments with fireworks-related head and neck injuries; the estimated national total was 20 584 patients (13 279 male, 9170 white, and 11 186 under 18 years of age). The most common injury diagnoses were burns (44.7% of injuries), laceration/avulsion/penetrating trauma (21.1%), and otologic injury (15.2%), which included hearing loss, otalgia, tinnitus, unspecified acoustic trauma, and tympanic membrane perforation. The remaining 19% of injuries were a mix, including contusion, abrasion, hematoma, fracture, and closed head injury. Associations between fireworks type and injury diagnosis (chi-square P < .001), as well as fireworks type by age group (chi-square P < .001) were found. Similarly, associations were found between age groups and injury diagnoses (chi-square P < .001); these included children 5 years and younger and adults older than 30 years. Conclusions: Fireworks-related head and neck injuries are more likely to occur in young, white, and male individuals. Burns are the most common injury, while otologic injury is a significant contributor. Annual rates of fireworks-related head and neck injuries have not changed or improved significantly in the United States in the past decade, suggesting efforts to identify and prevent these injuries are insufficient.

Impact of alcohol and drug use on bicycle and electric scooter injuries and hospital admissions in the United States

Trauma ◽  
2021 ◽  
pp. 146040862110443
Author(s):  
Nikan K Namiri ◽  
Austin W Lee ◽  
Gregory M Amend ◽  
Jason Vargo ◽  
Benjamin N Breyer
Keyword(s):  
United States ◽  
Drug Use ◽  
Head Trauma ◽  
Hospital Admissions ◽  
Body Part ◽  
The United States ◽  
Severe Injuries ◽  
Injury Surveillance System ◽  
Alcohol And Drug Use ◽  
Awareness Campaigns

Introduction Bicycles and electric scooters (e-scooters) are convenient and accessible means of transportation. Participant safety is contingent on available infrastructure and safe riding practices including not riding while intoxicated. Understanding national prevalence and injury characteristics of bicycle and e-scooter riders who ride while intoxicated may promote awareness campaigns for safe riding practices and decrease morbidity. Methods The National Electronic Injury Surveillance System (NEISS) provides national estimates of injuries that present to emergency departments across the United States. We obtained case information on admitting status, body part injured, diagnosis of injury, age, sex, alcohol usage, and drug usage. We then queried NEISS for injuries related to bicycles and e-scooters in 2019. Results A weighted total of 270,571 (95% confidence interval (CI): 204,517–336,625) bicycle injuries occurred in the United States during 2019; alcohol and drug use were associated with 7% (95% CI: 6–9) and 2% (95% CI: 2–3) of all injuries, respectively. Twenty-four percent (CI: 18--31) of alcohol- and 29% (95% CI: 20–41) of drug-related bicycle injuries resulted in hospital admissions, compared to 15% (95% CI: 12–17) of non–alcohol- and 15% (95% CI: 13–18) of non–drug-related injuries ( p < .001 and p = .002, respectively). A total of 28,702 (95% CI: 13,975–43,428) e-scooter injuries occurred in 2019; alcohol and drug use were associated with 8% (95% CI: 5–12) and 1% (95% CI: 1–2) of injuries, respectively. Sixty percent (95% CI: 47–72) of alcohol-related e-scooter injuries resulted in head trauma, compared to 28% (95% CI: 24–32) of non–alcohol-related injuries ( p < .001). Conclusions Intoxication is associated with increasingly severe injuries, hospital admissions, and head trauma in bicycle and e-scooter riders. The findings support awareness campaigns to educate riders about risky practices, improve non-auto infrastructure, and promote helmet usage.

Pediatric Equestrian Injuries

PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1173-1176
Author(s):  
Doris M. Bixby-Hammett
Keyword(s):  
United States ◽  
Surveillance System ◽  
National Park ◽  
National Park Service ◽  
Injury Surveillance System ◽  
Common Area ◽  
Park Service ◽  
System Data ◽  
Using Data ◽  
Service Data

Using data from four sources, horse-related injuries are summarized for persons younger than 25 years of age. Head injury caused 57% of deaths. The upper extremity was the most common area injured, with the next most frequent areas the lower extremity (National Park Service data) and the head (United States Pony Clubs [USPC] data). Injured females outnumbered injured males and had a greater percentage of participants injured (USPC data). Injuries occurred at home in 41% (National Electronic Injury Surveillance System data). USPC figures suggest that greater knowledge may reduce the severity of horse-related injuries. Previous horse-related injury had occurred in 1 of 4 of those injured (USPC data). One third of accidents occurred during lessons (USPC data). Riding instructors should be certified by a recognized organization, and parents should evaluate an instructor's personal riding and their safety records with students. The pediatrician's role should be in counseling parents with children who ride and in offering recommendations for safety to governing boards of youth horse activities.

Nonfatal All-Terrain Vehicle–Related Head and Neck Injuries to Children Treated in US Emergency Departments

2020 ◽  
Vol 59 (13) ◽  
pp. 1141-1149
Author(s):  
Daniel Li ◽  
Kris R. Jatana ◽  
Sandhya Kistamgari ◽  
Gary A. Smith
Keyword(s):  
Head And Neck ◽  
Emergency Departments ◽  
Surveillance System ◽  
Emergency Treatment ◽  
Closed Head Injury ◽  
Neck Injuries ◽  
Medical Outcomes ◽  
Injury Surveillance System ◽  
Injury Mechanisms ◽  
Closed Head

This study investigates children <18 years old with nonfatal all-terrain vehicle (ATV)–related head and neck injuries treated in United States emergency departments by analyzing data from the National Electronic Injury Surveillance System from 1990 to 2014. An estimated 279 391 children received emergency treatment during the 25-year study period. The number of injuries remained relatively constant from 1990 to 1997, increased by 142.9% from 1997 to 2007, and then decreased by 37.4% from 2007 to 2014. The most common diagnoses were concussion/closed head injury (32.6%) and fracture (32.6%); 15.4% of children were admitted. The most common injury mechanisms include ejection (30.0%), crash (18.8%), and rollover (15.8%). Patients who were injured on a street/highway were 1.49 times (95% confidence interval = 1.11-1.99) more likely to be admitted than patients injured at other locations. Although the number of nonfatal ATV–related head and neck injuries decreased during the latter part of the study period, they remain common and can have serious medical outcomes.

Assessment of Elevator Risk and Code Requirements to Address These Hazards

2019 ◽  
Author(s):  
Thomas Bress ◽  
Eugenia Kennedy ◽  
MariAnne Sullivan ◽  
Mark Guttag
Keyword(s):  
Older Adults ◽  
Surveillance System ◽  
Body Part ◽  
Consumer Product Safety Commission ◽  
Injury Surveillance System ◽  
Safety Code ◽  
Inspection And Maintenance ◽  
Elevator Door ◽  
The U.S ◽  
Design Construction

Abstract The ASME A17.1 Safety Code for Elevators and Escalators establishes safe practices in the design, construction, installation, operation, testing, inspection, and maintenance of elevators. This Code continues to be updated with new regulations to improve safety for elevator riders. The estimated number of elevators in service in the U.S. is approximately 1.1 million.1 Two of the most common injuries for elevator riders are associated with unexpected door closures and trips and falls when entering or leaving an elevator. A recent study reported that door-related incidents accounted for 40% of the total elevator related injuries [1]. This same study reported that another 40% of the total injuries were associated with trips and falls caused by elevator cars that were not level with the landing. These two hazards result in approximately 80% of the elevator-related injuries occurring at the entrance of the elevator. Other recent studies have concluded that older adults [2] and young children [3] are particularly impacted by these elevator-related hazards. This paper will focus on identifying and analyzing the hazards associated with elevator door closures. In this study, the National Electronic Injury Surveillance System (NEISS) database of the U.S. Consumer Product Safety Commission (CPSC) is reviewed from 1990 to 2017 to better understand the trends associated with door strikes, the affected body part and the age of those involved in the incidents. This study also explores and discusses the safety mechanisms currently available to address these hazards. An examination of updates to the ASME A17.1 Code along with improvements in door reopening technologies will be presented to guide the discussion.

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