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  1. Train injuries in children.

    Article - En anglais

    Objective 

    To describe the pattern of injuries sustained in pediatric victims of train accidents.

    Design 

    Retrospective review ofpatients identified in a search of two trauma registries for the years 1984-1994.

    Setting 

    Two pediatric level one trauma centers in one metropolitan area.

    Patients 

    Between 1984 and 1994, seventeen children were identified as treated for injuries sustained in train accidents.

    Children pronounced dead at the scene and those injured when a car was struck by a train were excluded.

    Intervention 

    AILS protocols were followed.

    All open musculoskeletal injuries were treated with multiple operative irrigation and debridement procedures and broad spectrum antibiotics.

    Main Outcome Measurements 

    Variables included the following : age, sex, mechanism of injury, circumstances surrounding the injuries, all injuries sustained, operations performed during the acute hospitalization, subsequent operations, level of amputation (s), complications, and cost and length of hospitalization.

    Results 

    Presenting injuries included eight patients with ten complete amputations and eight patients with ten near-complete amputations.

    The average number of operative procedures for the survivors during the initial hospitalization was 5.7 (range three to sixteen).

    Five patients (five extremities) required amputation revision to a more proximal level after the initial surgical intervention but prior to definitive wound closure. (...)

    Mots-clés Pascal : Traumatisme, Enfant, Homme, Train, Epidémiologie, Survivant, Symptomatologie, Amputation chirurgicale, Traitement, Pronostic, Système ostéoarticulaire pathologie, Chirurgie orthopédique

    Mots-clés Pascal anglais : Trauma, Child, Human, Train, Epidemiology, Survivor, Symptomatology, Surgical amputation, Treatment, Prognosis, Diseases of the osteoarticular system, Orthopedic surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0197483

    Code Inist : 002B16M. Création : 21/05/1997.