tailieunhanh - Báo cáo y học: "Patterns in deer-related traffic injuries over a decade: the Mayo clinic experience"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Patterns in deer-related traffic injuries over a decade: the Mayo clinic experience | Smoot et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 46 http content 18 1 46 SCANDINAVIAN JOURNAL OF 8 emergency medicine ORIGINAL RESEARCH Open Access Patterns in deer-related traffic injuries over a decade the Mayo clinic experience Dustin L Smoot Martin D Zielinski Daniel C Cullinane Donald H Jenkins Henry J Schiller Mark D Sawyer Abstract Background Our American College of Surgeons Level 1 Trauma Center serves a rural population. As a result there is a unique set of accidents that are not present in an urban environment such as deer related motor vehicle crashes dMVC . We characterized injury patterns between motorcycle all-terrain vehicles MCC and automobile MVC crashes related to dMVC deer motor vehicle crash with the hypotheses that MCC will present with higher Injury Severity Score ISS and that it would be related to whether the driver struck the deer or swerved. Methods The records of 157 consecutive patients evaluated at our institution for injury related to dMVC from January 1st 1997 to December 31st 2006 were reviewed from our prospectively collected trauma database. Demographic clinical and crash specific parameters were abstracted. Injury severity was analyzed by the Abbreviated Injury Scale score for each body region as well as the overall Injury Severity Score ISS . Results Motorcycle crashes presented with a higher median ISS than MVCs 14 vs 5 p . Median Abbreviated Injury Score AIS of the spine for MCC riders was higher 3 vs 0 p if they swerved rather than collided. Seventy-seven percent of riders were not wearing a helmet which did not result in a statistically significant increase in median ISS 16 vs 10 head AIS 2 vs 0 or spine AIS 0 vs 0 . Within the MVC group there was no difference between swerving and hitting the deer in any AIS group. Fortyseven percent of drivers were not wearing seat belts which resulted in similar median ISS 6 vs 5 and AIS of all body regions. Conclusions .