Postmortem Radiology of Head and Neck Injuries in Fatal Traffic Accidents

George J. Aiker; Young S. Oh; Eugene V. Leslie; Judith Lehotay; Victor A. Panaro; Edward G. Eschner

doi:10.1148/114.3.611

Lockdown 1.0 mishaps in Bangalore: an observational study on head and neck injuries

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20212443 ◽

2021 ◽

Vol 7 (7) ◽

pp. 1100

Author(s):

Smitha S. G. ◽

Suhasini Hanumaiah ◽

Arunima Sheeja

Keyword(s):

Observational Study ◽

Head And Neck ◽

Traffic Accidents ◽

Road Traffic ◽

Neck Region ◽

Research Centre ◽

Neck Injuries ◽

Road Traffic Accidents ◽

The Face ◽

The Government

Background: The government of India imposed a nationwide lockdown from 24 March to 14 April 2020, to contain the highly contagious corona virus. The aim of the study was to reflect upon the psychosocial impact of lockdown 1.0 on the population in terms of assaults, self-inflicted injuries and road traffic accidents during the 21 days of lockdown.Methods: This was a prospective observational study done in KIMS hospital and research centre during nation-wide lockdown 1.0 i.e. from 24 March to 14 April 2020. Patients who visited emergency medicine department with history of assault, self-inflicted injuries, road traffic accidents sustaining injuries to ear, nose, neck and other regions of the face were included in the study.Results: A total of 32 patients who sustained injuries in the head and neck region during the 21-day lockdown period and came to our institution were included. Out of the 32 injuries, 6 injuries were to the ear, 12 to nose,5 to the neck region and 9 to other facial regions. There were 18 assault cases causing head and neck injuries,3 were self-inflicted wounds and rest were injuries due to road traffic accidents.Conclusions: Several problems emerged following the forced quarantine to combat COVID-19. These inexorable circumstances which are beyond normal experience, lead to stress, anxiety and a feeling of helplessness in all. There is a need to ameliorate people’s access to mental health support services geared towards providing measures for developing healthy coping mechanisms during such crisis.

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A Young Man with Sudden Unilateral Blindness and Hemiparesis

Hong Kong Journal of Emergency Medicine ◽

10.1177/102490790100800405 ◽

2001 ◽

Vol 8 (4) ◽

pp. 212-217

Author(s):

YS Sia ◽

YT Wong ◽

PG Kan ◽

W Day ◽

YW Fan

Keyword(s):

Hong Kong ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Head And Neck ◽

Traffic Accidents ◽

Internal Carotid ◽

Neck Injuries ◽

Emergency Physicians ◽

Extracranial Internal Carotid Artery ◽

Post Traumatic

Head and neck injuries are very common in Hong Kong, especially resulting from assaulted or traffic accidents. Delayed manifestation of post-traumatic carotid thrombo-embolism and aneurismal formation are known pitfalls that emergency physicians and neurosurgeons may encounter. We present a patient with blunt neck injury with the complication of traumatic dissection of the extracranial internal carotid artery.

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Head and neck injuries after leopard attack: presentation and management

Chinese Journal of Traumatology ◽

10.1016/j.cjtee.2021.01.003 ◽

2021 ◽

Author(s):

Padmanidhi Agarwal ◽

Ajay Dhiman ◽

Nouman Rashid ◽

Ruby Kataria

Keyword(s):

Head And Neck ◽

Neck Injuries

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A New Computer Simulation of Neck Injury Biomechanics

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.467-469.339 ◽

2011 ◽

Vol 467-469 ◽

pp. 339-344

Author(s):

Na Li ◽

Jian Xin Liu

Keyword(s):

Finite Element ◽

Cervical Spine ◽

Head And Neck ◽

Traffic Accidents ◽

Ethical Issues ◽

Human Head ◽

Element Model ◽

Neck Injury ◽

Element Analysis ◽

Injury Mechanisms

Head and neck injuries are the most frequent severe injury resulting from traffic accidents. Neck injury mechanisms are difficult to study experimentally due to the variety of impact conditions involved, as well as ethical issues, such as the use of human cadavers and animals. Finite element analysis is a comprehensive computer aided mathematical method through which human head and neck impact tolerance can be investigated. Detailed cervical spine models are necessary to better understand cervical spine response to loading, improve our understanding of injury mechanisms, and specifically for predicting occupant response and injury in auto crash scenarios. The focus of this study was to develop a C1–C2 finite element model with optimized mechanical parameter. The most advanced material data available were then incorporated using appropriate nonlinear constitutive models to provide accurate predictions of response at physiological levels of loading. This optimization method was the first utilized in biomechanics understanding, the C1–C2 model forms the basis for the development of a full cervical spine model. Future studies will focus on tissue-level injury prediction and dynamic response.

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Feel the Burn! Fireworks-related Otolaryngologic Trauma

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894211008100 ◽

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.

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Field Evaluation and Management of Head and Neck Injuries

Clinics in Sports Medicine ◽

10.1016/s0278-5919(20)31054-1 ◽

1987 ◽

Vol 6 (1) ◽

pp. 1-15 ◽

Cited By ~ 3

Author(s):

Joseph J. Vegso, MS ◽

Richard C. Lehman

Keyword(s):

Head And Neck ◽

Field Evaluation ◽

Neck Injuries

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Baby Walker Injuries

PEDIATRICS ◽

10.1542/peds.70.1.106 ◽

1982 ◽

Vol 70 (1) ◽

pp. 106-109 ◽

Cited By ~ 2

Author(s):

Louis E. Fazen ◽

Pamela I. Felizberto

Keyword(s):

Child Health ◽

Head And Neck ◽

Health Risks ◽

Medical Management ◽

Regulatory Agencies ◽

Neck Injuries ◽

Product Labeling ◽

Phone Interview ◽

Baby Walker

In a study of 49 children between the ages of 8 and 14 months, parents were surveyed with a written questionnaire and a follow-up phone interview to determine the utilization of baby walkers and the frequency and severity of baby walker injuries. Most respondents (86%) placed their children in various types of baby walkers between 4 months and 1 year of age. Half of the 42 infants who used walkers experienced at least one accident involving a tip over, a fall down stairs, or finger entrapment. Two of those accidents resulted in injuries serious enough to require medical management. Both infants sustained head and neck injuries after falling down stairs in a walker. Whereas stairway and finger entrapment accidents occurred before the age of 7 months, tip overs were much more likely to occur after the age of 8 months. Injuries are more common but less severe than previously reported. Pediatricians and other child health advocates can inform parents about the health risks, encourage regulatory agencies to improve product labeling, and stimulate manufacturers to adjust the product to age and weight specifications of the growing infant.

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The Most Dangerous Game: A Review of Head and Neck Injuries in American Football and Rugby

Craniomaxillofacial Trauma & Reconstruction ◽

10.1177/19433875211073437 ◽

2022 ◽

pp. 194338752110734

Author(s):

Jordan Richardson ◽

Dani Stanbouly ◽

Harrison Moynihan ◽

Renée M. Reynolds ◽

Matthew J. Recker ◽

...

Keyword(s):

Emergency Department ◽

Hospital Admission ◽

Head And Neck ◽

Predictor Variable ◽

American Football ◽

Outcome Variable ◽

Neck Injuries ◽

Injury Surveillance System ◽

Admission Rates ◽

Increased Risk

Study Design The investigators designed and implemented a 20-year cross-sectional study using the National Electronic Injury Surveillance System database. Objective The purpose of this study is to estimate and compare hospital admission (danger) rates between rugby and football of those who presented to the emergency department with head and neck injuries after playing these sports. Methods The primary predictor variable was sport played. The primary outcome variable was danger, measured by hospital admission rates. Results Over the past 20 years, there has been a trend of decreasing incidence of injuries presenting to the emergency department in both sports. There was no difference in the rate of hospital admission when comparing football and rugby (OR, 1.2; P = .1). Male gender was associated with an increased risk of admission. Other variables associated with hospital admission included white racial group, injury taking place in the fall, being either young (15–24 years old) or senior (65 years of age and over), and being injured at school or at a sport/recreational facility. Conclusions There is no difference in danger as measured by admission rates between American football and rugby. There exists, however, several variables that are associated with admission when sustaining injury to the head and neck, when playing these two sports.

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