Motor-vehicle collisions are the leading cause of unintentional injury and death in children in many parts of the world, including Europe, North America and Australia. The number of fatal collisions has decreased considerably in countries where safety measures such as child restraints, seat belts and air bags have been introduced, providing protection for children within vehicles, although it is recognised that there have been concomitant improvements in emergency responses and techniques, and in hospital treatments. Helmets and changes in external vehicle designs have been implemented to protect paediatric pedestrians and cyclists. However, despite the development of safety guidelines and technologies, injuries still occur. This paper provides an overview of the role of motor-vehicle collisions in paediatric morbidity and mortality to analyse the nature and aetiology of common fatal and non-fatal injuries in children that may present for forensic assessment as passengers, pedestrians or cyclists.
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http://dx.doi.org/10.1177/0025802418790857 | DOI Listing |
Med Biol Eng Comput
December 2024
School of Mechanical and Vehicle Engineering, Hunan University, Changsha, 410082, People's Republic of China.
Finite element human body models (HBMs) are the primary method for predicting human biological responses in vehicle collisions, especially personalized HBMs that allow accounting for diverse populations. Yet, creating personalized HBMs from a single image is a challenging task. This study addresses this challenge by providing a framework for HBM personalization, starting from a single image used to estimate the subject's skin point cloud, the skeletal point cloud, and the relative positions of the skeletons.
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November 2024
Anesthesia and Critical Care, Mohammed VI University Hospital, Tangier, MAR.
Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a rare condition in children that causes acute, severe, but often reversible systolic dysfunction of the left ventricle. Physical trauma is a recognized trigger, although distinguishing TTC from myocardial contusion in pediatric trauma cases can be challenging due to overlapping clinical features. We present the case of a six-year-old boy involved in a high-impact motor vehicle collision.
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November 2024
Medical Engineering, Cardiff University School of Engineering, Wales, GBR.
Objectives: Pediatric head and spinal traumas are challenging for healthcare professionals due to their potential for severe consequences. Understanding optimal management methods is crucial to prevent complications and improve outcomes. Head and spinal injuries are common in children, with falls and motor vehicle collisions as the leading causes.
View Article and Find Full Text PDFBMJ Open
December 2024
Emergency Department, Lausanne University Hospital, Lausanne, Switzerland.
Objectives: To develop and validate a simplified Bleeding Audit Triage Trauma (sBATT) score for use by lay persons, or in areas and environments where physiological monitoring equipment may be unavailable or inappropriate.
Design: The sBATT was derived from the original BATT, which included prehospital systolic blood pressure (SBP), heart rate, respiratory rate, Glasgow Coma Scale (GCS), age and trauma mechanism. Variables suitable for lay interpretation without monitoring equipment were included (age, level of consciousness, absence of radial pulse, tachycardia and trapped status).
J Trauma Acute Care Surg
December 2024
From the Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery (G.J.S., C.K.Z., W.R., R.X., S.S., S.K.A., K.L.H.), Duke University Medical Center, Durham, NC; AU/UGA Medical Partnership at the Medical College of Georgia (G.J.S.), Athens, GA; Eastern Virginia Medical School, Norfolk, VA (W.R., M.C.-A.); Division of Trauma, Burn and Surgical Critical Care, Department of Surgery (S.S.), Brigham and Women's Hospital, Boston, MA; and Weill Cornell Medical College (S.S.), New York, NY.
Background: Motor vehicle collisions (MVC) continue to be a leading cause of mortality for youth in the United States. Since 2010, seven states have revoked mandatory laws that suspended licenses for underage alcohol use, also known as use/lose laws. This study analyzed whether each state's policy change was associated with increased youth MVC mortality.
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