ABSTRACT
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Subject(s)
Humans , Heart Arrest/therapy , Cardiopulmonary Resuscitation/education , Education, Medical, Undergraduate/organization & administrationABSTRACT
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Humans , Male , Female , Adolescent , Accident Prevention/trends , Abdominal Injuries/diagnosis , Abdominal Injuries/prevention & control , Brain Injuries, Traumatic/complications , Brain Injuries, Traumatic/diagnosis , Open Trucks/prevention & control , Emergencies , Emergency MedicineSubject(s)
Accidents , Off-Road Motor Vehicles , Adolescent , Child , Female , Humans , Male , SafetyABSTRACT
Introducción: Las actividades ecuestres en los ámbitos doméstico, lúdico, deportivo y educativo son relativamente frecuentes y no están exentas de riesgos para los niños. Se dispone de muy pocos datos sobre los accidentes provocados por caballos, sus circunstancias y las claves para su prevención. Método: Estudio retrospectivo y descriptivo de los accidentes relacionados con caballos en pacientes pediátricos que requirieron ingreso hospitalario entre julio de 1997 y septiembre de 2008. Resultados: Se analizó a 17 pacientes con edades de entre 4 y 17 años, que tuvieron 14 caídas accidentales, 2 coces y una mordedura. Ocho pacientes perdieron el conocimiento tras el accidente. Sólo un paciente portaba casco protector. Se produjeron 3 fracturas craneales, 4 hemorragias intracraneales, un neumoencéfalo y 2 lesiones neuronales difusas. Se registraron 4 fracturas de huesos largos, una fractura mandibular, un acuñamiento vertebral y una avulsión parcial de pabellón auricular. Ocho pacientes requirieron cuidados intensivos, 2 pacientes necesitaron intervenciones neuroquirúrgicas y 4 pacientes precisaron reducción quirúrgica de sus fracturas. Conclusiones: El manejo de caballos por parte de niños y adolescentes puede resultar una actividad de alto riesgo. En esta serie, el traumatismo craneoencefálico fue la lesión más habitual y grave. Dada la baja adherencia a los métodos de protección observada en estos pacientes, parece necesario promover medidas que aumenten la seguridad durante las prácticas ecuestres (AU)
Introduction: Childrens equestrian activities in the domestic, play activities, sports and educational areas are relatively frequent, and are not exempt from risks. Nevertheless, there is a lack of data on horse-related injuries, their circumstances and the key points for their prevention. Method: Retrospective and descriptive study of pediatric equestrian injuries admitted to Hospital between July 1997 and September 2008. Results: A total of 17 patients with ages between 4 and 17 years were analyzed. There were 14 accidental falls, 2 kicks and 1 bite, and 8 patients had lost consciousness after the accident. Only 1 patient used a protective helmet. There were 3 skull fractures, 4 intracranial haemorrhages, 1 pneumoencephalus and 2 diffuse axonal injuries. There were also 4 long bone fractures, 1 jaw fracture, 1 vertebral wedging and 1 partial ear avulsion were recorded. A total of 8 patients required intensive care, 2 underwent neurosurgery due to an intracranial haematoma and 4 surgical fracture reduction. Conclusions: Horse handling by children and teenagers can be a high risk activity. In our cases brain trauma was the most common and severe injury. Due to the poor use of protection devices by our patients, we believe it is now necessary to take measures to increase safety in equestrian activities (AU)
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Horses , Accidental Falls/statistics & numerical data , Bites and Stings/epidemiology , Accident Prevention , SportsABSTRACT
INTRODUCTION: Children's equestrian activities in the domestic, play activities, sports and educational areas are relatively frequent, and are not exempt from risks. Nevertheless, there is a lack of data on horse-related injuries, their circumstances and the key points for their prevention. METHOD: Retrospective and descriptive study of pediatric equestrian injuries admitted to Hospital between July 1997 and September 2008. RESULTS: A total of 17 patients with ages between 4 and 17 years were analyzed. There were 14 accidental falls, 2 kicks and 1 bite, and 8 patients had lost consciousness after the accident. Only 1 patient used a protective helmet. There were 3 skull fractures, 4 intracranial haemorrhages, 1 pneumoencephalus and 2 diffuse axonal injuries. There were also 4 long bone fractures, 1 jaw fracture, 1 vertebral wedging and 1 partial ear avulsion were recorded. A total of 8 patients required intensive care, 2 underwent neurosurgery due to an intracranial haematoma and 4 surgical fracture reduction. CONCLUSIONS: Horse handling by children and teenagers can be a high risk activity. In our cases brain trauma was the most common and severe injury. Due to the poor use of protection devices by our patients, we believe it is now necessary to take measures to increase safety in equestrian activities.
