Trauma

Summary:
The study aimed to determine the incidence, demographics, and injury patterns involved in E-Scooter-related hospital admissions due to significant trauma compared with bicycle-related trauma within England and Wales. The retrospective cohort study was based on data submitted to the UK Trauma Audit and Research Network (TARN) registry between 1 January 2021 to 31 December 2021.

The study found that E-Scooter users were more likely to be admitted to a major trauma center or a critical care unit than bicycle users. Serious head and limb trauma occurred more frequently among E-Scooter users, while serious chest and pelvic trauma were greater among bicycle users. Over one-third of E-Scooter injuries were incurred outside the current legislation by patients who were intoxicated by alcohol and drugs or under the age of 17.

The study suggests a greater relative incidence of serious trauma and an alternative pattern of injury among E-Scooter users compared with bicycle users. The study concludes that further legislation and tighter regulation of E-Scooter rental are required to reduce the already significant burden of injury associated with this mode of transport.

Article: Major trauma among E-Scooter and bicycle users: a nationwide cohort study – Injury Prevention

News Release: Crashing an e-scooter likely to lead to more serious injuries than crashing a bike – British Medical Journal

Commentary: E-scooter riders more likely than cyclists to sustain serious injuries – BBC

Guidelines | Efficacy and safety of non-steroidal anti-inflammatory drugs for the treatment of acute pain after orthopedic trauma

28 Feb, 2023 | 13:48h | UTC

Efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of acute pain after orthopedic trauma: a practice management guideline from the Eastern Association for the Surgery of Trauma and the Orthopedic Trauma Association – Trauma Surgery & Acute Care Open

A guide to indoor rock climbing injuries

13 Feb, 2023 | 12:31h | UTC

A Guide to Indoor Rock Climbing Injuries – Current Sports Medicine Reports (free for a limited period)

Spinal cord injury: the global incidence, prevalence, and disability from the Global Burden of Disease Study 2019

9 Feb, 2023 | 13:20h | UTC

Spinal Cord Injury: The Global Incidence, Prevalence, and Disability From the Global Burden of Disease Study 2019 – Spine

Commentary: Measures needed to combat growing incidence and burden of spinal cord injury – Spinal News International

Guideline | Assessment and management of complex fractures

7 Feb, 2023 | 14:19h | UTC

Fractures (complex): assessment and management – National Institute for Health and Care Excellence

RCT | Higher complication rate after nail compared with plate fixation of ankle fractures in patients aged 60 years or older

7 Feb, 2023 | 13:50h | UTC

Higher complication rate after nail compared with plate fixation of ankle fractures in patients aged 60 years or older: a prospective, randomized controlled trial – The Bone & Joint Journal (link to abstract – $ for full-text)

RCT | Oral ibuprofen and oral ketorolac are similarly effective for children with acute traumatic pain

20 Jan, 2023 | 14:47h | UTC

Oral ibuprofen versus oral ketorolac for children with moderate and severe acute traumatic pain: a randomized comparative study – European Journal of Pediatrics

RCT | Aspirin noninferior to low-molecular-weight heparin for thromboprophylaxis after a fracture

19 Jan, 2023 | 14:30h | UTC

Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Aspirin as effective as blood thinner injections to prevent deadly complications in patients hospitalized with bone fractures – University of Maryland School of Medicine

Commentary: PREVENT CLOT Supports Aspirin for VTE Prevention in Trauma Fractures – TCTMD

Review | Ultrasound imaging of bone fractures.

15 Dec, 2022 | 13:27h | UTC

Ultrasound imaging of bone fractures – Insights into Imaging

Cohort Study | 1 in 3 patients with hemodynamically unstable pelvic fractures die.

1 Dec, 2022 | 13:54h | UTC

Association Between Hemorrhage Control Interventions and Mortality in US Trauma Patients With Hemodynamically Unstable Pelvic Fractures – JAMA Surgery (free for a limited period)

Invited Commentary: Nationwide Variation of Care for Patients With Bleeding Pelvic Fracture—An Opportunity to Rescue Better? – JAMA Surgery (free for a limited period)

Author Interview: Hemorrhage Control Interventions and Mortality in Trauma Patients With Hemodynamically Unstable Pelvic Fractures – JAMA

Commentary on Twitter

Study by @AZTraumaCats comparing pelvic fracture hemorrhage control interventions, >1/3 of pts died despite advancements in hemorrhage control strategies. Only pelvic angioembolization was assoc'd w reduction in mortality. https://t.co/j8ujPmr1vO @TopKniFe_B @TanyaAnand8

— JAMA Surgery (@JAMASurgery) November 30, 2022

Retrospective Cohort Study | Comparative analysis of all-terrain vehicles, motorcycle and automobile-related trauma in a rural community.

25 Nov, 2022 | 12:27h | UTC

Comparative analysis of all-terrain vehicles, motorcycle and automobile-related trauma in a rural border community of the USA – BMJ Open

Commentaries:

Children very vulnerable to severe injury from quad bike use – BMJ Open

More Male, Pediatric Patients Suffer ATV-Related Injury – HealthDay

Commentary on Twitter

Children are very vulnerable to severe injury from the use of quad bikes, also known as ATVs, finds new research published in the open access journal @BMJ_Open. https://t.co/kjFKRiVgbZ #ATVs #quadbikes pic.twitter.com/njEFhEKgYZ

— BMJ (@bmj_company) October 28, 2022

RCT | Povidone-iodine and chlorhexidine gluconate are similarly effective for preventing SSI in open fractures.

2 Nov, 2022 | 14:27h | UTC

Aqueous skin antisepsis before surgical fixation of open fractures (Aqueous-PREP): a multiple-period, cluster-randomised, crossover trial – The Lancet (link to abstract – $ for full-text)

News Release: Study finds antisepsis agents interchangeable in reducing infection risk in open fracture surgeries – Louisiana State University

Efficacy of different preoperative skin antiseptics on the incidence of surgical site infections: a systematic review, GRADE assessment, and network meta-analysis – The Lancet Microbe

Antiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Pragmatic randomized trial found similar rates of surgical site infectious with 2% alcoholic chlorhexidine skin preparation compared with povidone–iodine, or with triclosan-coated sutures compared with non-coated sutures.

[Not published yet] Aspirin noninferior to LMW Heparin for prevention of death or pulmonary embolism after fracture surgery.

17 Oct, 2022 | 12:36h | UTC

Aspirin as effective as standard blood thinner to prevent life-threatening blood clots and death after fracture surgery – University of Maryland School of Medicine

M-A | Effectiveness and safety of tranexamic acid use in acute traumatic injury in the prehospital and in-hospital settings.

7 Oct, 2022 | 14:06h | UTC

Effectiveness and Safety of Tranexamic Acid Use in Acute Traumatic Injury in the Prehospital and In-hospital Settings: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – Annals of Surgery Open

Commentary from the author on Twitter (thread – click for more)

The FORCE study is in @TheLancet – https://t.co/oyYvMMxjln has awesome stuff to implement result – ED pathway, animations & patient info leaflets (multiple languages).

Thanks to @PERUKItweep and everyone who made it possible. https://t.co/Wq67MgcQhB pic.twitter.com/mrA03tGzCs

— Dan Perry (@MrDanPerry) July 1, 2022

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019.

30 Jun, 2022 | 11:28h | UTC

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019 – The Lancet Public Health

News Release: The Lancet: Improving road safety measures could save half a million lives every year worldwide – Institute for Health Metrics and Evaluation

Commentaries on Twitter

(Thread – click for more)

NEW—#GBDstudy Improving road safety measures (helmets, seatbelts, obeying speed limits, and avoiding drunk driving) could save half a million lives every year WORLDWIDE. @TheLancet @LancetPH #RoadSafety #InvestInYouth https://t.co/E2RdjazHDF

— Institute for Health Metrics and Evaluation (IHME) (@IHME_UW) June 30, 2022

(Thread – click for more)

Our new research published in @TheLancetPH “highlights the neglect and chronic underinvestment by the global health community to prevent injury-related harms in adolescents.” @UNSW @UNSWMedicine @CforAH @MCRI_for_kids @IHME_UW @georgeinstitute https://t.co/gjbndubxGE

— Dr Amy Peden (@amyepeden) June 29, 2022

M-A: Trampoline center injuries in children and adolescents.

14 Jun, 2022 | 10:41h | UTC

Trampoline centre injuries in children and adolescents: a systematic review and meta-analysis – Injury Prevention

News Release: Serious injuries more likely for kids using trampoline centers than home trampolines – British Medical Journal

Guideline | Diagnosis and treatment of fragility fractures of the pelvis

Position Statement | Prehospital hemorrhage control and treatment by clinicians

Review | The antibiotic bead pouch – A useful technique for infection prevention and therapy in trauma surgery

Review | Nonsurgical management of major hemorrhage

RCT | Ultrasonography noninferior to radiography for pediatric distal forearm fracture diagnosis

AAOS Appropriate Use Criteria | Prevention of surgical site infections after major extremity trauma

E-Scooter users more likely to suffer serious trauma compared to bicycle users: a nationwide study in England and Wales