ABSTRACT
Patients injured due to falling when working aloft always have negative psychic reaction such as psy-chological panic, tension, anxiety.The author pointed out medical staff should implement effective measures of hu-manistic solicitude according to psychological characteristics of injured workers, to help patients relieve occurred or potential occurred psychological problem.As a result, establishing harmonious physician-patient relationship and strengthening the consciousness of humanity has an active effect on emergency treatment and rehabilitation for fall-ing injured patients when working aloft.
ABSTRACT
Objective To investigate the causes and time distribution of trauma in prehospital patients. Methods The data of 2 055 trauma patients of our department admitted from January 2003 to March 2005 were analyzed. Results ① The mortality was 1.9%. ②723 patients (35.2%) were common trauma,and 32 had falling injuries (4.4%) with 18 dead including 12 at scene and 6 in emergency room. ③1 332 were Traffic accidents (64.8%) including 13 dead associated with bike , electric bicycle and motorbike. At the same time, there were 566 patients from 18:00 to 24:00 including 298 patients(52.7%) for the drivers after drinking. Conclusion Falling injuries and traffic accidents were the most important cause for death, especially in building spot . So we should enhance the security education for workers in these companies and limit the speed of electric bicycle for the increasing injury and mortality in traffic accidents . Driving after drinking at night should be prohibited too.
ABSTRACT
It is known that free-falling accident is one of the major causes of head or spinal injury, especially in the elderly and children. But, the frequent injury types are diverse according to the reports because of the different subjects studied among the reports. A cranio-spinal injury caused by free-falling accident from height hasn't been studied a lot in Korea yet. To evaluate the clinical aspects of cranio-spinal fracture caused by free-falling injury which developed particularly in a certain fixed place, we analyzed 122 patients who had had the fractures involving extremities, ribs, and cranio-spinal regions during the past 4 years from January 1994 through July 1997. Forty-seven patient(38.5%) had the cranio-spinal fracture. The incidence of the skull and vertebral body fracture were significantly higher than that of the vertebral transverse process fracture, respectively (p=.052 and p=.007). There was statistically insignificant in the height of falls between the skull and vertebral body fracture(p=.175). Associated extra- craniospinal fractures were noted on radius(25.4%), rib(20.5%), femur(9%), calcaneus(5.7%), and pelvic bone(4.9%), in order of frequency.
Subject(s)
Aged , Child , Humans , Extremities , Head , Incidence , Korea , Ribs , Skull , Skull Fractures , Spinal InjuriesABSTRACT
During a six-year period, 15 cases of "Talk and Deteriorate"patients who were suffering from delayed traumatic intracerebral hematoma(DTICH) were found retrospectively among 1055 patients with head injuries. All fifteen had suffered initial mild head injury(GCS score, 13-15), and apoplectic events or progressive neurological deficits(GCS<8) requiring surgical intervention developed within 72 hours. Subsequent CT scanning showed worsening of the original contusional lesion in ten cases, new hematoma in six, and new lesion(contusion, ischemia and/or edema) in five. cases. The most common location of DTICH was the frontal lobe(11 cases) and the most common cause of injury was a fall(10 cases). The condition of most of these patients could not be predicted, and there was no clear evidence of secondary insults such as hypoxia, hypotension, anemia, or hypercarbia, but hyperglycemia and coagulopathy were seen. Our results demonstrated that in spite of an initially high GCS score, patients who had been injured during a fall and on initial CT scan showed frontal lobe hemorrhagic contusion and/or swelling should be observed closely for at least three days after the injury. Among patients in the "Talk and Deteriorate"group whose condition was caused by DTICH, early diagnosis and aggressive treatment may be the most important life-saving management strategy.