Trauma
E-Scooter users more likely to suffer serious trauma compared to bicycle users: a nationwide study in England and Wales
8 Mar, 2023 | 14:13h | UTCSummary:
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
A guide to indoor rock climbing injuries
13 Feb, 2023 | 12:31h | UTCA 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 | UTCCommentary: 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 | UTCFractures (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 | UTCHigher 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
RCT | Aspirin noninferior to low-molecular-weight heparin for thromboprophylaxis after a fracture
19 Jan, 2023 | 14:30h | UTCAspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: PREVENT CLOT Supports Aspirin for VTE Prevention in Trauma Fractures – TCTMD
Review | Ultrasound imaging of bone fractures.
15 Dec, 2022 | 13:27h | UTCUltrasound imaging of bone fractures – Insights into Imaging
Cohort Study | 1 in 3 patients with hemodynamically unstable pelvic fractures die.
1 Dec, 2022 | 13:54h | UTCAssociation 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 | UTCCommentaries:
Children very vulnerable to severe injury from quad bike use – BMJ Open
More Male, Pediatric Patients Suffer ATV-Related Injury – HealthDay
Related: AAP Recommendations | Prevention of pediatric all-terrain vehicles related deaths and injuries.
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 | UTCAqueous 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)
Related:
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)
[Not published yet] Aspirin noninferior to LMW Heparin for prevention of death or pulmonary embolism after fracture surgery.
17 Oct, 2022 | 12:36h | UTC
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
Multicenter, international retrospective audit of lower extremity open fractures.
1 Sep, 2022 | 11:48h | UTC
Trauma care in older people: charting a path from outlier to excellence.
11 Aug, 2022 | 12:16h | UTCTrauma care in older people: charting a path from outlier to excellence – Age and Ageing
RCT | Immobilization of torus fractures of the wrist in children.
4 Jul, 2022 | 12:46h | UTC
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
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#InvestInYouthhttps://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 | UTCNews Release: Serious injuries more likely for kids using trampoline centers than home trampolines – British Medical Journal
The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank.
1 Jun, 2022 | 10:49h | UTCRelated Guideline: Pelvic trauma: WSES classification and guidelines – World Journal of Emergency Surgery
RCT: Extended-course antibiotic prophylaxis in lower limb amputation.
17 May, 2022 | 10:50h | UTCExtended-course antibiotic prophylaxis in lower limb amputation: randomized clinical trial – British Journal of Surgery (link to abstract – $ for full-text)
Commentary on Twitter
In the May issue of BJS: Extended-course antibiotic prophylaxis in lower limb amputation: randomized clinical trial https://t.co/2H0TthufvZ @AmyLightnerMD @bplwijn @des_winter @ksoreide @MalinASund @evanscolorectal @nfmkok @robhinchliffe1 @young_bjs pic.twitter.com/taSa4Caibn
— BJS (@BJSurgery) April 30, 2022
Giant tube slides and broken legs: why the latest playground craze is a serious hazard.
26 Apr, 2022 | 07:50h | UTC
AAOS Guideline: Prevention of surgical site infections after major extremity trauma.
19 Apr, 2022 | 02:35h | UTCEvidence Review: Prevention of Surgical Site Infection After Extremity Trauma (2022)
Incidence of electric scooter–associated injuries in Finland from 2019 to 2021.
18 Apr, 2022 | 09:54h | UTCIncidence of Electric Scooter–Associated Injuries in Finland From 2019 to 2021 – JAMA Network Open
Commentary on Twitter
This cross-sectional study found that actual incidence of any injury and major trauma was 18/100k and 5.9/100k trips taken with rental e-scooters in Finland. https://t.co/ZKz1j219vQ
— JAMA Network Open (@JAMANetworkOpen) April 14, 2022
Systematic Review: Timing of antibiotic administration, wound debridement, and the stages of reconstructive surgery for open long bone fractures of the upper and lower limbs.
5 Apr, 2022 | 08:08h | UTC