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BackgroundThe spread of different games through the internet and via social networks is becoming a serious health problem that physicians and medical professionals have to deal with, and it is necessary for them to be aware of the risks those behaviours are connected to. Unintentional injuries are the leading cause of morbidity and mortality among child and teens and some Authors reports recommendation regarding safe practices to reduce injuries [1][2]. The “deadly new craze” involving bikers taking turns to cross a busy road without checking for cars is an unsafe practice visible in web videos.MethodsIn this study we considered a particular case of bicycle accident related with a game proposed via web: the bike roulette challenge. We developed an appropriate, educational public health training program to understand the current characteristics of unintentional road traffic injury related with web challenges.ResultsThis case is about a 16 year-old male patient arrived alive to the hospital with thoracic and abdominal trauma. The length of stay was 18 days associated with serious surgical complications.ConclusionIn recent years is commonly possible to find strange, crazy, popular videos, via web with the intention to obtain in young population a good number of “likes”. Bike roulette is a particular game described via web and is one of the new cause of trauma. Identifying biker roulette related injury in administrative data collections can be very problematic; the results of this apparently isolated case report can be used to research appropriate procedures and timely referrals of severe adolescent injury related to web games. School appropriate interventions have got the potential to reduce unintentional trauma related to these behaviours.

BackgroundThe monitoring and management of risks regarding children and young people admitted to the emergency department as a result of dangerous behaviors distributed via the Internet should be based on clinical reasoning and knowledge about these social media–related phenomena. Here we examine 2 cases of teenagers who reported severe injuries while performing the “planking” craze, a challenge that consists in lying face-down stiffly like a board on any kind of surface.ObjectiveOur objective is to examine and describe the Internet craze called planking, also known as the “lying-down game,“ through 2 case reports from our experience, enriching this study with information gained through discussions with secondary school teenagers.MethodsDetails of the 2 case reports were taken from electronic medical records giving information on care support processes, care management, and the costs of traumatic episodes. Demographic data, hemoglobin and serum lactate values, and Injury Severity Scores were evaluated. The study took place in secondary schools of our city from 2013 to 2014 during medical education courses, with the aim of analyzing the influence of social media on teenagers' activities and behaviors.ResultsBoth patients suffered multiple trauma injuries and needed high-level health assistance. The first patient underwent a splenectomy and the second one a nephrectomy; both of them required a long hospital stay (14 and 20 days, respectively), and the costs for their management have been estimated at US $27,000 and US $37,000, respectively. Their decision to perform the planking in dangerous locations was due to their ambition to gain peers' acclaim through shared videos and pictures.ConclusionsReporting and understanding these cases may potentially help prevent future events occurring in similar circumstances: the scientific community cannot leave this problem unaddressed. There is also a role of education resources for health care professionals; for this, we must identify and follow up strange or misleading information found on websites. A key element of this research study was to report physicians’ misperceptions concerning planking and, with these cases used for teaching purposes, improve knowledge of the clinical and forensic aspects of this emerging problem.

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