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Critical Care Nursing QuarterlyTrauma in pregnancy can range from a mild injury, such as a fall from standing height, to a major injury, involving a penetrating injury or a high force motor vehicle...
Trauma in pregnancy can range from a mild injury, such as a fall from standing height, to a major injury, involving a penetrating injury or a high force motor vehicle collision. Providing care to a pregnant patient with trauma presents a unique challenge as 2 patients are at risk for complications, that is, the mother and the fetus, both of whom require evaluation and management. Health care professionals should be aware of and be prepared to manage complications of trauma in pregnancy, given its significant associated morbidity and mortality. This article details the epidemiology, etiology, assessment, diagnosis, and management of trauma in pregnancy.
Topics: Pregnancy; Female; Humans; Pregnancy Complications; Accidental Falls; Accidents, Traffic; Wounds and Injuries
PubMed: 37684735
DOI: 10.1097/CNQ.0000000000000475 -
Pediatrics Jul 2023The field of pedestrian safety has advanced with new evidence related to pediatric pedestrian education, the risks of distracted walking, the benefits of design and...
The field of pedestrian safety has advanced with new evidence related to pediatric pedestrian education, the risks of distracted walking, the benefits of design and programming in safe routes to school, and the emergence of the "Vision Zero" strategy to eliminate all traffic fatalities and severe injuries while increasing safe, healthy, equitable mobility for all. This statement is a revision of the 2009 American Academy of Pediatrics policy statement "Pedestrian Safety" and is accompanied by a technical report (www.pediatrics.org/cgi/doi/10.1542/peds.2023-062508) providing additional detail to support recommendations. This statement is intended to assist practicing pediatricians to offer evidence-based advice to families about the benefits of active transportation and the specific risks and safety precautions to consider for child pedestrians at different ages. For community pediatricians and the American Academy of Pediatrics, the statement provides an overview of specific programs and policies that, if implemented, could foster independent mobility for children while increasing pediatric pedestrian safety. This statement identifies trends in public health and urban design relevant to pedestrian safety.
Topics: Child; Humans; Accidents, Traffic; Pedestrians; Transportation; Safety; Schools; Walking
PubMed: 37337837
DOI: 10.1542/peds.2023-062506 -
Recenti Progressi in Medicina Sep 2023
Topics: Humans; Workplace; Accidents
PubMed: 37530024
DOI: 10.1701/4088.40817 -
Lakartidningen Aug 2023
Topics: Humans; Automobiles; Accidents
PubMed: 37548448
DOI: No ID Found -
Ergonomics Nov 2023Given that automation complacency, a hitherto controversial concept, is already used to blame and punish human drivers in current accident investigations and courts, it... (Review)
Review
Given that automation complacency, a hitherto controversial concept, is already used to blame and punish human drivers in current accident investigations and courts, it is essential to map complacency research in driving automation and determine whether current research can support its legitimate usage in these practical fields. Here, we reviewed its in the domain and conducted a thematic analysis. We then discussed five fundamental challenges that might undermine its scientific legitimation: conceptual confusion exists in whether it is an individual versus systems problem; uncertainties exist in current evidence of complacency; valid measures specific to complacency are lacking; short-term laboratory experiments cannot address the long-term nature of complacency and thus their findings may lack external validity; and no effective interventions directly target complacency prevention. The Human Factors/Ergonomics community has a responsibility to minimise its usage and defend human drivers who rely on automation that is far from perfect. Human drivers are accused of complacency and overreliance on driving automation in accident investigations and courts. Our review work shows that current academic research in the driving automation domain cannot support its legitimate usage in these practical fields. Its misuse will create a new form of consumer harms.
Topics: Humans; Automation; Social Behavior; Ergonomics; Man-Machine Systems; Automobile Driving; Accidents, Traffic
PubMed: 37139680
DOI: 10.1080/00140139.2023.2210793 -
Accident; Analysis and Prevention Aug 2023Cerebral laterality has been linked to accident proneness and time perception, but the possible role of time estimation abilities has received little attention....
Cerebral laterality has been linked to accident proneness and time perception, but the possible role of time estimation abilities has received little attention. Accordingly, the present study focused on this under-explored question while also aiming to replicate past work examining the relationship between measures of laterality and injury proneness. Participants reported on the number of accidents they have had in their lifetime requiring medical care and the number of minor accidents they had in the past month as outcome variables. They also completed the Waterloo Handedness Questionnaire, a left bias visual task (Greyscales task), a right bias auditory verbal task (Fused Dichotic Words Task), and an objective measure of time perception. Extensive examination of statistical model fit showed that a model assuming a Poisson distribution provided the best fit for minor injuries and an additional negative binomial provided the best fit to the lifetime accidents. Results showed a negative relation between the degree of verbal laterality (absolute right bias) and injuries requiring medical care. Furthermore, the number of accidents requiring medical care was positively related to the precision of time estimation and the direction of verbal laterality on response time (raw right bias). Interpretations of these findings emphasize their implications for interhemispheric communication and motor control in the context of time estimation and auditory verbal laterality. These aspects seem to provide promising avenues for future research.
Topics: Humans; Functional Laterality; Accident Proneness; Accidents, Traffic; Attention
PubMed: 37172453
DOI: 10.1016/j.aap.2023.107098 -
Journal of Pediatric Orthopedics Sep 2023All-terrain vehicles (ATVs) are prevalent in Appalachia and cause significant morbidity and mortality in the pediatric population. This study investigated the injury...
BACKGROUND
All-terrain vehicles (ATVs) are prevalent in Appalachia and cause significant morbidity and mortality in the pediatric population. This study investigated the injury types and severity in pediatric patients over a 15-year period.
METHODS
A retrospective chart review was performed on pediatric ATV-related traumas presenting to our institution from 2005 to 2020. Patients were divided into 3 age groups (0-7, 8-12, and 13-17 y) to evaluate differences in accident demographics, hospitalization, Glasgow Coma Scale, Injury Severity Score, substance use, characterization of orthopaedic and nonorthopaedic injuries, and procedures performed.
RESULTS
Inclusion criteria were met by 802 patients. Males represented 71.7% (n=575) and females 28.3% (n=227); the mean age was 12.4 years. The majority (88.5%, n=710) of patients admitted following their accident had a mean stay length of 3.3 days. Of admissions, intensive care unit admission was required by 23.8%, n=191 (mean stay 4.0 d). There were 7 fatalities. The vast majority of accidents occurred between May and September (79.2%, n=635). In patients with documented helmet status, 45% (n=271) were helmeted. Roughly half of all patients (n=393) sustained a fracture (excluding fractures to the head), 370 sustained an injury to the head/face, 129 sustained intra-abdominal/intra-thoracic injuries, and 29 sustained injuries to all 3 systems. The most common fractures involved the forearm (n=98), femur (n=65), and spine (n=59). The most common open fractures were the tibia (n=12), humerus (n=8), and forearm (n=8). The oldest group was more likely than the middle or younger groups to sustain spine ( P <0.0001), pelvis ( P =0.0001), hand ( P =0.0089), and foot ( P =0.0487) fractures. Ethanol testing was positive in 5.0% (n=25) of the oldest group and cannabinoids were present in 6.8% (n=34). The youngest group was significantly more likely to sustain a fracture of the humerus than the middle or older groups ( P <0.0001). Orthopaedic surgical management was required in 24.4% (n=196) of patients.
CONCLUSIONS
Pediatric ATV accidents present a significant source of morbidity and mortality. Further intervention is necessary to minimize pediatric ATV injuries.
LEVEL OF EVIDENCE
Level IV-Retrospective Case Series.
Topics: Male; Female; Child; Humans; Retrospective Studies; Accidents; Off-Road Motor Vehicles; Hospitalization; Fractures, Open; Wounds and Injuries; Accidents, Traffic; Trauma Centers
PubMed: 37264495
DOI: 10.1097/BPO.0000000000002447 -
Journal International de Bioethique Et... 2024The widespread use of teleworking during the health crisis reduced the flow of occupational accident claims by 20%. This applies to commuting accidents, as well as...
The widespread use of teleworking during the health crisis reduced the flow of occupational accident claims by 20%. This applies to commuting accidents, as well as claims related to « immediate » or “deferred” risks (Rapp. annuel 2020 de l’Assurance maladie - Risques professionnels : Eléments statistiques et financiers, déc. 2021, p. 2 and 113). On the basis of these figures, working at home could be analyzed as a means of preventing occupational risks and improving workers’ health. In reality, however, these figures should not obscure the fact that telecommuting is a major occupational hazard. This is all the more the case given that, while telecommuting was not very widespread before the pandemic, it is now popular with employees and is being developed by many companies as a source of productivity (Rapp. CNP, May 16 2022). We therefore need to keep a close eye on the development of workplace accident legislation in this area, its adaptability to the specific claims experience of teleworkers and its perfectibility, not forgetting the thorny question of the possible recognition of the employer’s inexcusable fault in the event of the accident being covered by professional legislation.
Topics: Humans; Accidents, Occupational; Teleworking; Occupational Health; France
PubMed: 38710631
DOI: No ID Found -
Marine Pollution Bulletin Nov 2023Ocean ecosystems and global well-being are connected and significant. Over the past few decades, shipping accidents have caused severe marine pollution all over the...
Ocean ecosystems and global well-being are connected and significant. Over the past few decades, shipping accidents have caused severe marine pollution all over the world, and after a lull during the hike of COVID pandemic, polluting events are again on the rise. Marine pollution caused by maritime accidents requires a clear understanding of the fate of spilled pollutants, post-disaster challenges, pollutant removal strategies, and mitigation strategies against environmental damage. Considering proactive prevention is always better than reactive response, while understanding accidents and ensuring corrective action is even more important. This Special Issue provides a broad overview of the marine and coastal pollution, not limited to, but focused on the 2021 X-Press Pearl containership disaster off the coast of Sri Lanka, and the impact on the marine environment. Topics address the most unprecedented nurdle and pyroplastic spill and subsequent oil spillage of the X-Press Pearl, causes and consequences of polluting ship disasters, novel oil pollution mitigation approaches, needfulness of post-disaster environmental assessment plans, future requirements for ecosystem restoration and environmental management of shipping, and other aspects of coastal pollution that are timely to consider unprecedented pressures, which marine environments are now subjected to.
Topics: Ecosystem; Environmental Pollution; Disasters; Petroleum Pollution; Accidents; Environmental Pollutants
PubMed: 37871458
DOI: 10.1016/j.marpolbul.2023.115532 -
Accident; Analysis and Prevention Feb 2024
Topics: Humans; Accidents, Traffic; Technology
PubMed: 37301670
DOI: 10.1016/j.aap.2023.107153