Pediatric transport related injuries in Tehran: the necessity of implementation of injury prevention protocols

Moosa Zargar1, Bahman Sayyar Roudsari, Mazyar Shadman

  • 1Department of Tehran University of Medical Sciences, Sina Trauma Research Center, Sina General Hospital, Hasan Abad SQ Iman Khomeini St., Tehran 11634, Iran. roudsari@sina.tums.ac.ir

Injury
|October 29, 2003
PubMed

Insights

Trauma injuries in children under 19 are common, with falls and transport-related injuries being leading causes. Head trauma is the most frequent cause of death in this age group.

Area of Science:

  • Pediatric Trauma Research
  • Injury Epidemiology
  • Public Health

Background:

  • Traumatic injuries represent a significant public health concern for children and adolescents.
  • Understanding injury patterns in pediatric populations is crucial for developing targeted prevention strategies.

Purpose of the Study:

  • To analyze the epidemiology of trauma injuries in patients under 19 years of age admitted to major trauma hospitals in Tehran.
  • To identify common mechanisms of injury, injury types, and outcomes in this demographic.

Main Methods:

  • Prospective data collection from six major trauma hospitals in Tehran between August 1999 and September 2000.
  • Analysis of demographic, injury mechanism, injury type, and outcome data for 2354 trauma patients under 19 years old.

Main Results:

  • Falls (46%) and transport-related injuries (TRIs) (39%) were the most common injury mechanisms.
  • Head trauma was the leading cause of death (28 out of 32 deaths).
  • Lower extremity (513) and head injuries (322) were the most frequent injuries; boys were more affected in TRIs.

Conclusions:

  • Pediatric trauma in Tehran is predominantly caused by falls and TRIs, with significant mortality from head injuries.
  • Targeted interventions for pedestrian and motorcycle safety, alongside promoting helmet and seatbelt use, are essential for reducing pediatric trauma deaths.

Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include: