A cross-sectional study of knife injuries at a London major trauma centre

Pallett, JR; Sutherland, Emer; Glucksman, E; Tunnicliff, Malcolm; Keep, Jeff

doi:10.1308/003588414x13824511649616

Cited by 47 publications

(43 citation statements)

References 15 publications

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“…The cases were self‐reported as accidents (49%), assaults (43%) and deliberate self‐harm (8%). The majority of abdominal trauma caused superficial injuries only, while only 1.6% of all knife injuries involved a solid organ .…”

Section: Discussionmentioning

confidence: 99%

Managing penetrating renal trauma: experience from two major trauma centres in the UK

et al. 2018

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The vast majority of patients with penetrating renal injuries can be safely managed non-operatively in this setting. Selective renal artery embolization is an effective option for patients in an unstable condition, with excellent outcomes. Associated thoracic or visceral injuries requiring operative management are common in penetrating renal trauma, while urologists should limit or have a high threshold for surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Managing penetrating renal trauma: experience from two major trauma centres in the UK

et al. 2018

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“…Young people are the most frequent victims of knife violence. 7 Male teenagers from deprived communities in urban areas are at particularly high risk, with a peak in incidence between the ages of 16 and 24 years. 1 2 8 Stab injuries in children are less common than in adolescents, but also predominantly affect those living in areas with the highest level of socioeconomic deprivation.…”

Section: Introductionmentioning

confidence: 99%

Temporal and geographic patterns of stab injuries in young people: a retrospective cohort study from a UK major trauma centre

et al. 2018

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ObjectivesTo describe the epidemiology of assaults resulting in stab injuries among young people. We hypothesised that there are specific patterns and risk factors for injury in different age groups.DesignEleven-year retrospective cohort study.SettingUrban major trauma centre in the UK.Participants1824 patients under the age of 25 years presenting to hospital after a stab injury resulting from assault.OutcomesIncident timings and locations were obtained from ambulance service records and triangulated with prospectively collected demographic and injury characteristics recorded in our hospital trauma registry. We used geospatial mapping of individual incidents to investigate the relationships between demographic characteristics and incident timing and location.ResultsThe majority of stabbings occurred in males from deprived communities, with a sharp increase in incidence between the ages of 14 and 18 years. With increasing age, injuries occurred progressively later in the day (r2=0.66, p<0.01) and were less frequent within 5 km of home (r2=0.59, p<0.01). Among children (age <16), a significant peak in injuries occurred between 16:00 and 18:00 hours, accounting for 22% (38/172) of injuries in this group compared with 11% (182/1652) of injuries in young adults. In children, stabbings occurred earlier on school days (hours from 08:00: 11.1 vs non-school day 13.7, p<0.01) and a greater proportion were within 5 km of home (90% vs non-school day 74%, p=0.02). Mapping individual incidents demonstrated that the spike in frequency in the late afternoon and early evening was attributable to incidents occurring on school days and close to home.ConclusionsAge, gender and deprivation status are potent influences on the risk of violent injury in young people. Stab injuries occur in characteristic temporal and geographical patterns according to age group, with the immediate after-school period associated with a spike in incident frequency in children. This represents an opportunity for targeted prevention strategies in this population.

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“…In a study by Bostrom et al 15% of deaths resulting from stab wounds were caused by stabs to the extremities ( 20 ). Furthermore, a recent study reported that among stab victims 19% suffered from multiple injuries ( 21 ). In such settings the control of hemorrhage can be difficult and time consuming.…”

Section: Discussionmentioning

confidence: 99%

Celox-Coated Gauze for the Treatment of Civilian Penetrating Trauma: A Randomized Clinical Trial

Hatamabadi¹,

Zarchi²,

Kariman³

et al. 2015

Trauma Mon

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Background:Uncontrolled hemorrhage is a well-recognized cause of mortality in trauma victims and the control of active hemorrhage is among the initial steps in resuscitation.Objectives:The purpose of this study was to assess the role of a hemostatic agent “celox” in the management of civilian stab-wound trauma.Patients and Methods:In this clinical trial study, 160 patients with penetrating limb trauma were randomly allocated to either the control or intervention group (n = 80, each group). Controls were treated with the simple pressure dressing, while the celox-coated gauze was used in the intervention group. The time for achievement of hemostasis and the amount of bleeding were recorded. Data were analyzed using SPSS Version 21 and Stata 13. A P value of less than 0.05 was considered statistically significant.Results:The mean age of participants was 30.5 and the majority of patients were male (90.6%). The forearm and distal leg were the most sites of injury. Hemostasis was achieved within 5 minutes in 32.5% of the control group and 51.3% of the intervention group. Using the celox-coated gauze significantly reduced the time to hemostasis (P = 0.01). Moreover, the blood loss was significantly lower in the celox group compared to the controls (P < 0.05).Conclusions:Using the celox-coated gauze is able to achieve hemostasis in penetrating limb trauma faster than the conventional pressure bandage. Further research is required to clarify the subset of patients who will benefit the most from this effect in the emergency department.

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A cross-sectional study of knife injuries at a London major trauma centre

Cited by 47 publications

References 15 publications

Managing penetrating renal trauma: experience from two major trauma centres in the UK

Managing penetrating renal trauma: experience from two major trauma centres in the UK

Temporal and geographic patterns of stab injuries in young people: a retrospective cohort study from a UK major trauma centre

Celox-Coated Gauze for the Treatment of Civilian Penetrating Trauma: A Randomized Clinical Trial

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