• Title/Summary/Keyword: Accidental injuries

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A Pilot Study on Environmental Factors Contributing to Childhood Home Slip-Down Injuries (가정 내 낙상으로 인한 아동 손상의 유발 환경 인자에 관한 예비연구)

  • Ryu, Jeong-Min;Seo, Min Hoo;Kim, Won-Young;Kim, Won;Lim, Kyoung-Soo
    • Journal of Trauma and Injury
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    • v.22 no.1
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    • pp.51-56
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    • 2009
  • Purpose: The purpose of this study was to investigate environmental factors contributing to childhood home slip-down injuries. Methods: Among a total of 2,812 injured children in our Customer Injury Surveillance System (CISS), we performed a prospective study on 262 children with home slip-down injuries who visited the pediatric emergency department of Asan Medical Center between March 2008 and February 2009. We made a frequency analysis on parameters such as activities just before the accident, the presence of any obstacles or lubricant materials, specific home place in the home where the injuries occurred, flooring materials on which the slip-down happened, additional objects hit after slip down, the site and kind of injury, the duration of therapy, and the disposition. Results: Walking was the most common activity just before the injury. Because rooms and bathrooms were most common places in the home for slip down injuries, laminated papers/ vinyl floor coverings and tiles were the most common flooring materials used in the places where the injuries occured. Most commonly, no obstacles caused the children to slip down, but the furniture, stairs, doorsills, wetness, or soapy fluid followed after that. Over half of the children who slipped (58%) also collided with other than the floor itself after the slip-down, most common objects hit were the edges of the furniture, and doorsills, followed by stairways. The head and neck were the most commonly injured sites, and a laceration was the most common kind of injury. Most children needed less than 1 week of therapy, only 4 children (1.53%) admitted. There were no mortalities. Conclusion: The environmental factors contributing to slip-down injuries were the bathroom, laminated papers/vinyl floors, the furniture, stairs, doorsills, and wetness or soapy fluid. Especially, the furniture, stairs, and doorsills can be both primary obstacles and secondary collision objects. For the safety of our children, we must consider these factors on housing, when decorating or remodeling our house.

Features of Patients Associated with Falls from Heights Admitted to Republican Research Center of Emergency Medicine (우즈베키스탄 국립응급병원에 내원한 낙상환자들의 임상적인 특성)

  • Khadjibaev, Abdukhakim Muminovich;Sultanov, Pulat Karimovich;Kim, Hoon
    • Journal of Trauma and Injury
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    • v.28 no.4
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    • pp.248-255
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    • 2015
  • Purpose: study of the mutual influence of the individual anatomical regions damage in patients associated with falls from heights. Methods: 561 medical reports of patients associated with falls from heights admitted to Republican Research Center of Emergency Medicine (RRCEM), in period of 2010-2013 yy, were analyzed retrospectively. Patient's age range was from 15 to 89. Treatment of these patients held in three stages: period of acute disorders of vital functions; relative stabilization period; stabilization of vital functions. The scope and content of medical diagnostic procedures performed on pre-hospital and intensive care stages. The severity of each injury was scored according to the AIS scale, the total severity of lesions was scored by points due to ISS. Digital material is treated by methods of mathematical statistics. Results: Falls from heights leads to associated injuries for 4 times more than isolated trauma, and increases according to height of fall and falling surface. Patients with TBI+chest trauma, are most serious contingent that has highest mortality and complications (36.8%). TBI+musculoskeletal system trauma are characterized by high blood loss, traumatic shock and fat embolism, forming a vicious circle. Conclusion: in patients associated with falls from heights clinical manifestations of injuries mutual aggravation syndrome will be seen. TBI leads to complication of chest trauma, delayed diagnostics of abdominal and chest trauma, aggravation of coma condition. Developing of high blood loss and fat embolism in musculoskeletal system trauma leads to shock and pulmonary embolism, which increases probability of death in the presence of abdominal or chest trauma, but abdominal trauma or chest trauma has no significant effect on the severity of the musculoskeletal system trauma.

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Fall Direction Detection using the Components of Acceleration Vector and Orientation Sensor on the Smartphone Environment (스마트폰 환경에서 가속도 벡터의 성분과 방향센서를 활용한 넘어지는 방향 측정)

  • Lee, Woosik;Song, Teuk Seob;Youn, Jong-Hoon
    • Journal of Korea Multimedia Society
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    • v.18 no.4
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    • pp.565-574
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    • 2015
  • Falls are the main cause of serious injuries and accidental deaths in people over the age of 65. Due to widespread adoption of smartphones, there has been a growing interest in the use of smartphones for detecting human behavior and activities. Modern smartphones are equipped with a wide variety of sensors such as an accelerometer, a gyroscope, camera, GPS, digital compass and microphone. In this paper, we introduce a new method that determines the fall direction of human subjects by analyzing the three axis components of acceleration vector.

Quadriplegia Following Epileptic Seizure : Things to Keep in Mind

  • Kozak, Hasan Huseyin;Yesilbudak, Zulal;Sisman, Lokman;Uca, Ali Ulvi
    • Journal of Korean Neurosurgical Society
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    • v.59 no.3
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    • pp.319-321
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    • 2016
  • People with epilepsy are believed to be at a higher risk of incurring accidental injury than people who do not have seizures. The incidence of injury, either due to seizure or accident as a consequent of seizure is also high and varies from 0.03% to 3%. The most common injuries are head contusions, lacerations, burns and fractures. In this article, we present a case of quadriplegia after a generalized epileptic seizure.

Bus Body Rollover Test using Photogrammetry (사진 측량법을 이용한 버스 차체 전복 시험)

  • 정태은;이용래
    • Transactions of the Korean Society of Automotive Engineers
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    • v.5 no.6
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    • pp.28-35
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    • 1997
  • Occupant injuries are always possible in a rollover accident, one of the major accidents in a bus. Thus the structure of body frame should have sufficient strength to protect passengers under accidental loads,. ECE(Economic Commission for Europe) regulation No.66 prescribes that residual space shall be preserved in the passenger compartment during and after the structure has been subjected to the prescribed rollover test. Rollover test on a bus section was completed according to the regulation. The coordinates of body section before and after rollover were measured, and it was checked that the structure still complied with the requirements of residual space. Direct measurement on a bus is difficult because of its large size. Thus photogrammetry by photographing and 3 dimensional digital modeling was introduced, and the coordinates of each point were measured through this method.

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Rollover Analysis and Measurement of a Large-sized Bus (대형 버스의 전복 해석과 측정법)

  • 정태은
    • Transactions of the Korean Society of Automotive Engineers
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    • v.5 no.6
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    • pp.148-154
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    • 1997
  • The safety problems of buses have been arisen due to the increasing of road traffic. Occupant injuries are always possible in the rollover accident and the frontal impact. Thus the structure of bus should have sufficient strength to protect passengers under accidental loads. ECE(Economic Commission for Europe) regulation No.66 prescribes that the superstructure of the vehicle shall be sufficient strength for passengers' surviving and the residual space shall be preserved in the passenger compartment during and after the standard rollover accident situation. Rollover test and simulation on a large-sized bus was completed according to the regulation. The coordinates of the points on the bus were measured by photogrammetry system. The rollover situation was revived by structural crashes simulation software, PAM-CRASH, and it was checked that the structure still complied with the requirements of residual space during rollover situation. The residual space was preserved during rollover, so it was proved that the structure of the investigated bus had much probability of survival in rollover accidents.

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Correlation Analysis between Safety and Health Indices in a Shipbuilding Industry (조선업종의 안전보건지수에 관한 상관성 분석)

  • Pyo, Yeon;Jeong, Byung-Yong
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.6
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    • pp.897-905
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    • 2010
  • The purpose of this study is to identify relationships between safety and health indices in a shipbuilding industry. From the results of periodical health examination, job stress test, and health questionnaire for musculoskeletal disorders, the author stratified the 704 shipbuilding workers into categories of smoking, drinking frequency, the amount of exercise per week, obesity, blood pressure, diabetic symptoms, liver function, audibility, job stress, fatigued condition, musculoskeletal symptom, and accident. The results show that occupational injuries are highly related to smoking, drinking frequency, auditory capacity, fatigued condition, and musculoskeletal symptoms. These results can be used to develop more effective accidental occupational injury prevention programs for shipbuilding industries.

Scalp injury management by a maxillofacial surgeon in a low-resource hospital

  • Frimpong, Paul;Nguyen, Truc Thi Hoang;Nimatu, Edinam Salia;Amponsah, Emmanuel Kofi;Kim, Soung Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.39.1-39.5
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    • 2020
  • Background: Head or scalp injury is a life-threatening and typically accidental human injury. Most medical departments require immediate medical treatment and proper treatment with specialized medical personnel and facilities. However, in low-resource environments, such as the rural region of West Africa, the authors have treated emergency trauma patients and provided immediate treatment despite lack of resources. Case presentation: We reviewed three cases of scalp injury patients, with representative clinical information, and used these cases to outline feedback on scalp trauma treatment based on the specialty knowledge of general and emergency surgeon. Conclusions: Oral and maxillofacial surgeons are medical specialists that can immediately diagnose and treat these scalp injuries based on their medical knowledge and experience with the maxillofacial region.

Accidental Trichloroacetic Acid Burn Injuries on Genital Area during Gynecological Procedures (부인과적 시술 중 발생한 생식기 부위의 Trichloroacetic Acid 화학 화상)

  • Lee, Chong Kun;Yu, Sung Hoon;Kim, Dong Chul
    • Journal of the Korean Burn Society
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    • v.24 no.1
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    • pp.18-20
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    • 2021
  • TCA is widely used in cosmetic treatments such as chemical peels, tattoo removal, and also in gynecological procedures for managing cervical intraepithelial neoplasia. However, storage of high concentration of TCA in a gynecology office is a potential hazard, as it may accidentally cause severe chemical burns. We report a case of deep dermal TCA chemical burn on genital area, which occured accidentally and resulted from misuse of high concentration (90%) of TCA coated vaginal gauze packing dressing during gynecological procedures.

Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey

  • Soo-Yeon Han;Cho Hee Kim
    • Child Health Nursing Research
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    • v.29 no.4
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    • pp.252-259
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    • 2023
  • Purpose: Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea. Methods: This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use. Results: The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68). Conclusion: To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.