Epidemiological characteristics of 500 cases of first-aid injuries outside hospital / 公共卫生与预防医学

Objective To analyze the distribution spectrum and epidemiological characteristics of 500 patients with accidental injury, and to provide a theoretical basis for targeted preventive measures. Methods Data of 500 pre-hospital emergency patients with accidental injuries were selected from the first aid station in Suining area of Sichuan Province from January 1 to December 31, 2021. The consequences and external causes of accidental injuries were classified according to the International Classification of Diseases (ICD-10). The gender, age, time to call for help and disease spectrum of patients were collected as investigation elements. Results Among the 500 cases of accidental injury patients, 48.80% were mainly from 18 to 40 years old. There were significant differences in the proportion of male and female accidental injury patients in different age groups (P<0.05). The distribution spectrum of accidental injury was traffic accident injury, fall injury/collision injury, fight injury, and fall from height injury. Accidental injuries occurred mainly in the brain, limbs and face, and the distribution of brain injuries in different age groups had statistical significance (P<0.05). The occurrence of accidents in different seasons was summer, winter, spring and autumn in sequence. Accidental injuries mainly occurred from 18:00 to 23:59 and from 6:00 to 11:59. Conclusion The main cause of accidental injuries in Suining area of Sichuan Province is traffic accidents, especially during the evening rush hours. The majority of patients are 18 - 40 years old. Safety and health education should be actively strengthened, and the occurrence of traffic accidents should be reduced through all-round and multi-means joint efforts.

Etiology and characteristics of accidental injury in 350 children in PICU / 中国小儿急救医学

Objective:To analyze the causes and characteristics of children′s accidental injuries, and provide reference for preventing accidental injury in children.Methods:The case data of 350 children who were hospitalized due to accidental injury in the PICU at Shengjing Hospital of China Medical University from June 2017 to May 2020 were collected, and their age characteristics, family factors, accident time, location, cause of injury and prognosis were analyzed.Results:A total of 350 children with accidental injury were treated during three years, accounting for 12.2% of the total number of children admitted to the PICU during the same period, and the fatality rate was 10.6%.There were 200 males and 150 females; infants and young children were still the high-risk group of accidental injuries, accounting for 42.9%, while adolescent children accounted for 27.4%.The top three causes of accidental injury were poisoning in 149 cases (42.6%), traffic injury in 75 cases (21.4%), and fall injury in 65 cases (18.6%). The accident occurred most frequently in summer, mainly from 12∶00 to 18∶00, the average hospitalization days were 8.04 days, and the average hospitalization cost was 28 686.74 yuan.Conclusion:At present, accidental injuries of children are still an important factor endangering children′s health.The fatality rate is high and the characteristics of the disease are closely related to age, season, location, etc.Targeted prevention and intervention measures should be carried out according to different characteristics.

Heberprot P en lesión grave de la mano e injerto bipediculado al abdomen. Presentación de caso / Heberprot P in serious hand injury and bipedicular graft to the abdomen. Case report

RESUMEN Fundamento: El Heberprot P es una terapia que contribuye a la reparación de tejidos dañados. Su utilización en las lesiones ortopédicas de los miembros superiores es muy reciente y de escasa publicación. Objetivo: Describir la evolución de una paciente con lesión grave del dorso de la mano derecha en el que se utilizó el Heberprot P, seguido de injerto pediculado. Presentación de caso: Paciente que sufrió accidente con lesión grave en la mano derecha. Se realizó diagnóstico clínico e imagenológico con pérdida de piel, tejido celular subcutáneo y fractura del cuarto y quinto metacarpianos, se le aplicó procedimiento quirúrgico. Evolucionó de forma tórpida con infección profunda, pérdida de tendones extensores y exposición ósea, se decidió iniciar tratamiento con Heberprot P para incentivar tejido de granulación; 21 días después se logró cubrir las estructuras óseas, se operó los tendones y cobertura cutánea con injerto bipediculado al abdomen con evolución favorable. La paciente se reincorporó a su actividad social y laboral a los 10 meses. Conclusiones: El Heberprot P aceleró la cicatrización de tejidos, asociado a colgajos a distancia facilitó una evolución satisfactoria y evitó la amputación, disminuyó estadía hospitalaria, asimismo propició la reincorporación a la vida social y laboral.

ABSTRACT Background: Heberprot P is a therapy that contributes to the repairing of damaged tissues. Its use in orthopedic injuries of the upper limbs is very recent and of little publication. Objective: To describe the evolution of a patient with a serious injury to the back of the right hand in which the Heberprot P was used, followed by a pedicle graft. Case report: Patient who suffered an accident with a serious right hand injury. Clinical and imaging diagnosis was made with skin loss, subcutaneous cellular tissue and fracture of the fourth and fifth metacarpals, a surgical procedure was applied. It evolved torpidly with deep infection, loss of extensor tendons and bone exposure, it was decided to start treatment with Heberprot P to stimulate granulation tissue; 21 days later, the bone structures were covered, the tendons and skin coverage were operated with a bipedicular graft to the abdomen with a favorable evolution. The patient returned to her social and work activity at 10 months. Conclusions: Heberprot P accelerated tissue healing, associated with remote flaps, facilitated a satisfactory evolution and avoided amputation, decreased hospital stay, and also favored return to social and work life.

Acidente com autoinjetor de adrenalina / Accidental use of an adrenaline autoinjector

A anafilaxia é uma reação alérgica potencialmente fatal. Autoinjetor pode ser prescrito para tratamento precoce nesses casos. Relatamos o caso de uma criança que fez uso acidental de adrenalina autoinjetora que ao exame de imagem evidenciou falange distal com fratura. Objetivamos alertar a importância de orientar o paciente e seus familiares acerca do uso correto desse dispositivo.

Anaphylaxis is a potentially fatal allergic reaction. Autoinjection can be prescribed for early treatment in these cases. We report the case of a child who accidentally used an adrenaline autoinjector and then had a distal phalanx fracture on imaging examination. We aim to draw attention to the importance of carefully guiding patients and their families about the correct use of this device.

Retrospective analysis of 617 cases of accidental injury in critically ill children / 中国实用儿科杂志

OBJECTIVE: By analyzing the cases of accidental injuries among critically ill children in our hospital in recent years,we put forward feasible preventive measures to effectively reduce the occurrence of accidental injuries. METHODS: A retrospective analysis was performed on the clinical data of children who were admitted to the PICU in our hospital from May1,2015 to April 30,2018;the types of children with accidental injuries were analyzed,and the male-to-female ratio of the results was analyzed. Seasonal characteristics,age,and the proportion of deaths were analyzed. RESULTS: It was found that the top three causes of accidents in critically ill children were falling injuries(246,39.87%),traffic accidents(156,25.28%),and poisoning(57,9.23%). The incidence of accidental injuries for boys was significantly greater than that for girls;there were 375 boys and 242 girls,the ratio being 1.55∶1;severe accident injuries peaked in early childhood(1～4 years old);there was no significant difference between urban and rural areas. CONCLUSION: The accidental injuries in critically ill children have undergone tremendous changes. We should adopt preventive measures to reduce accidental injuries.

Relationship between unintentional injury and health risk behaviors among adolescents / 中华行为医学与脑科学杂志

Objective To identify the effect of health risk behaviors on accidental injury of adoles-cents.Then analyze the strength and approach of the health risk behaviors. Methods Cluster sampling on various stages and strata methods was adopted. The adolescents from grade one to three in junior school students and grade one to three in senior high school students completed the questionaire. A total of 4408 students were surveyed and 4309 samples were valid. Path analysis was used to understand how factors could influence injury incidence. Results The incidence of adolescent injury was 15.53%. Statistical differences were found between genders (male 17.77%,female 13.36%,χ2=15.91, P<0.01),education levels (junior high school 17.36%,senior high school 13.99%,χ2=11.45, P<0.01) and cities ( Beijing 12.97%,Zhongs-han 17.95%,χ2=20.33, P<0.01) . Those who got injured were found with more health risk behaviors. Health risk behavior was the direct influencing factor to injury,as well as a possible risk factor to multiple injuries. Conclusion Health risk behaviors can strongly affect adolescent injury,and can be an indicator. Reducing health risk behaviors is important in adolescent injury prevention.

An epidemiological analysis on accidental mortality among children under five in Zhejiang Province during last ten years / 预防医学

Objective TostudythetrendofaccidentaldeathamongchildrenunderfiveinZhejiangProvinceduringthelast tenyears,andfurthertoprovidepreventivestrategiesforreducingtheaccidentalmortalityintheregion.Methods By stratified cluster random sampling,all the children under five from 30 sampling areas of Zhejiang Province from 2005 to 201 4 were enrolled.The accidental injury mortalities were investigated by descriptive analysis and chi -square test for lineartrend.Results Theunder-fivemortalitycausedbyaccidentaldeathdemonstratedadecreasedtrendinZhejiang Province between 2005 and 201 4,from 2.52‰in 2005 to 1.48‰in 201 4.During 2005 to 201 4,the accidental mortality rate caused by accidental injuries of neonatal was reduced by 70.05%,1 -1 1 months old by 45.60%,and 1 -4 years old by 31.63% with statistical significance (P<0.05 ).The major cause of accidental death among infants was accidental asphyxia.The top cause in 1 -4 years old children was drowning,followed by traffic incidents and falls.The accidental mortality rate in rural regions decreased faster than that in urban regions.Compared with the resident population, decreasing was slower in cause -mortality rate in floating population.The gap between resident and floating population becamewiderfrom2005to2014.Conclusion Accidentalinjuriesarethemostcriticalmortalfactorstochildrenunder five.The prevention programs should be carried out especially on the floating population.The prevention of accidental asphyxia is critical to infants,while drowning and traffic incidents is critical to 1 -4 years old children.

A hospital based survey on childhood accidental injuries in five years / 中国小儿急救医学

ObjectiveTo study the causes and risk factors of childhood accidental injuries as a reference for prevention.MethodsA retrospective analysis was made on the clinical data of 4 116 cases of childhood accidents admitted to children's hospital of Fudan university from Jan 1,2005 to Aug 31,2009.ResultsThe 4 116 cases with accidental injuries were found to account for 4.35 ％ (4 116/94 579) of all inpatients during the same period.Ratio of male to female was 2.01∶ 1.The most common causes of injury were accidental falls (30.73％,1 265/4 116),traffic accidents (23.71％,976/4 116) and accidental drops (11.59％,477/4 116).Accidental falls were mainly seen in children over one year,traffic accidents mainly occurred in children aged four to seven,while the accidental drops were mainly seen in infants less than oneyear-old.The top three causes of accidental injury with highest mortality rate were airway foreign body,drowning and poisoning.Bone and joint injuries were mostly seen in accidental injury.ConclusionAccidental injury of children has been a serious threat to the lives of children and we should base on the characteristics of children to take preventive measures.

The Death Analysis of the Accidental Injury in Urban Residents of Chifeng city in 2001-2003 / 中国慢性病预防与控制

Objective To explore the distribution and development characters of the accidental injury and death in urban residents in Chifeng city.Method The data came from the annals of death caused by illness or injury and of the demography of the residents from Hongshan district of the Chifeng city(urban area),Ningcheng county(rural area) and Balin You Banner(pasturing area) during 2001-2003.The causes of the death were classified with ICD-9.Results The mortality of the accidental injury during 2001-2003 were 14.17/100 000 in urban area,48.13/100 000 in rural area and 38.02/100 000 in pasturing area,respectively;and which accounted for 5.63%,10.42% and 9.83% of the total deaths,respectively.The death caused by accidental injury ranked the top 5th in urban and rural areas,and the 4th in pasturing area.The main cause for the potential life losing was traffic accidents of the motor vehicles for men and suicides for women.The mortality of the accidental injury in urban and rural residents of over 20 s yrs was higher,and it was higher in male that in female.Conclusion The main causes for the death of the residents in Chifeng city were traffic accidents,suicides and accidental poisoning.It is necessary to adopt correspond measures and make prevention for it according to the epidemic and different ages and sex characters.