Purpose: The purpose of this study is to report our experience with abdominal trauma treated in high mountain with a well skilled rescue team.Materials and methods: we retrospectively review cases of severe abdominal trauma in snowboarder aged 6-18 years treated between December 2010 and December 2018. This specific high mountain ski area has a well skilled rescue team with doctor. Demographic, type of injury, type of organ trauma, morbidity and outcomes were recorded and evaluated. Results: After reviewing cases, 32 patients were enrolled, 30 were male, 18 (56%) cases had an associated head trauma with concussion and neurocognitive deficits; other 5 cases had head trauma without deficits. One patients had thoracic spine injury associated with complete spine injury. Twenty were injured in a fall, 10 collided with a stationary object and in 2 cases the mechanism of injury was unclear. 19 patients had single organ injury (18 spleen and 1 kidney); 5 patients had spleen and kidney, 6 patients liver and spleen and 2 patients had spleen, liver and pancreatic injury. Two patients underwent splenectomy and nephrectomy while only one patients had splenectomy alone. All the other were treated conservatively without morbidity. Younger patients <15 years were more likely to have multiple organ injuries (p<0.05); all patients were secured and hospitalized by helicopter support. Mean time from injury to hospitalization was under 45 minutes. Conclusion: Young male snowboarders are at risk for having multiple organ injuries; it is essential to hospitalyze these cases as soon as possible. Abdominal trauma especially after collision with stationary object are at risk for severe organ failure.
Pediatric snowboarding severe abdominal trauma: report of our experience / Zampieri, N; Corain, M; Carità, E; Romagnoli, C; Camoglio, Fs. - In: SURGERY CLINICS JOURNAL. - ISSN 2687-6973. - (2019), pp. 1010-1012.
Pediatric snowboarding severe abdominal trauma: report of our experience
Camoglio FS
2019-01-01
Abstract
Purpose: The purpose of this study is to report our experience with abdominal trauma treated in high mountain with a well skilled rescue team.Materials and methods: we retrospectively review cases of severe abdominal trauma in snowboarder aged 6-18 years treated between December 2010 and December 2018. This specific high mountain ski area has a well skilled rescue team with doctor. Demographic, type of injury, type of organ trauma, morbidity and outcomes were recorded and evaluated. Results: After reviewing cases, 32 patients were enrolled, 30 were male, 18 (56%) cases had an associated head trauma with concussion and neurocognitive deficits; other 5 cases had head trauma without deficits. One patients had thoracic spine injury associated with complete spine injury. Twenty were injured in a fall, 10 collided with a stationary object and in 2 cases the mechanism of injury was unclear. 19 patients had single organ injury (18 spleen and 1 kidney); 5 patients had spleen and kidney, 6 patients liver and spleen and 2 patients had spleen, liver and pancreatic injury. Two patients underwent splenectomy and nephrectomy while only one patients had splenectomy alone. All the other were treated conservatively without morbidity. Younger patients <15 years were more likely to have multiple organ injuries (p<0.05); all patients were secured and hospitalized by helicopter support. Mean time from injury to hospitalization was under 45 minutes. Conclusion: Young male snowboarders are at risk for having multiple organ injuries; it is essential to hospitalyze these cases as soon as possible. Abdominal trauma especially after collision with stationary object are at risk for severe organ failure.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.