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Military Injuries: Helocasting Accident
Anand Katiyar1, Eranki Sibi2, Anil Kumar1
1Surgical Division, Command Hospital (Northern Command), Udhampur, India.
Indian Journal of Occupational and Environmental Medicine
|August 8, 2024
Summary
Accidental helocasting injuries are common due to high-velocity water impact. Prompt medical evacuation and spine stabilization are crucial for survival, with CT scans aiding diagnosis.
Area of Science:
- Emergency Medicine
- Sports Medicine
- Trauma Surgery
Background:
- Helocasting, a water-based activity, presents unique risks.
- Accidental injuries sustained during helocasting are not well-documented.
Purpose of the Study:
- To analyze conditions and casualties during helocasting.
- To understand the mechanisms and patterns of helocasting injuries.
Main Methods:
- Analysis of conditions during a helocasting exercise.
- Review of resulting casualties and injury patterns.
Main Results:
- High-velocity impact injuries result from exceeding optimal height (>7m) and speed (>5 knots).
- Torso and spine injuries (lungs, ribs, spinal cord) are prevalent due to direct trauma, deceleration, barotrauma, and hyperflexion.
- Computerized tomography (CT) is essential for diagnosing these injuries.
Conclusions:
- Adverse slamming dynamics cause helocasting injuries, primarily affecting the thorax and spine.
- CT imaging is optimal for assessment, and timely spine stabilization and evacuation are critical.
- Adhering to safe height and speed limits during helocasting can prevent injuries.

