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Baseball bat assault injuries

G A Groleau1, E L Tso, J S Olshaker

  • 1University of Maryland Medical Center, Baltimore 21202.

The Journal of Trauma
|March 1, 1993
PubMed
Summary
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Baseball bat injuries are common, often causing severe head trauma. Many patients with intracranial hemorrhage had normal Glasgow Coma Scale scores, indicating limitations in assessing injury severity.

Area of Science:

  • Traumatology
  • Neurology
  • Forensic Medicine

Background:

  • Baseball bats are frequently used as weapons, leading to significant injuries.
  • Previous research indicates a need to better understand the severity of baseball bat-related trauma.

Purpose of the Study:

  • To assess the severity of injuries resulting from baseball bat assaults.
  • To identify the most common injury patterns and outcomes in patients treated for baseball bat trauma.

Main Methods:

  • Retrospective review of 75 patient charts from University of Maryland Medical Systems Hospital (January 1990 - July 1991).
  • Analysis of injury types, severity, and outcomes, with a focus on craniocerebral injuries.

Main Results:

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  • Multisystem trauma was common, with craniocerebral injury being the most frequent and leading cause of death.
  • 26% of head-struck victims sustained intracranial hemorrhage.
  • Glasgow Coma Scale scores and history of loss of consciousness were unreliable in identifying serious intracranial injuries in 17% of patients.

    • Conclusions:

    • Baseball bat injuries frequently result in severe multisystem trauma, particularly to the head.
    • Standard neurological assessments like the Glasgow Coma Scale may not adequately identify all patients with intracranial hemorrhages.
    • Further research is needed to improve the diagnostic accuracy for baseball bat-related head injuries.