A descriptive study of orthopaedic injuries due to parachute jumping in soldiers

Abstract

Background: While parachute jumping, soldiers may suffer minor or life-threatening injuries in various parts of the body. Several trauma scoring systems assess the severity of such injuries. The primary goal of this study was to assess clinical characteristics and the severity of orthopaedic, musculoskeletal, and other injuries from military training-related parachute jumping using two trauma scoring systems (AIS and ISS). Our secondary goal was to assess whether there was an increase in injury rates with age. Methods: In total, 185 military personnel between 19 and 51 years old who were injured as a result of daytime static parachute jumping during 44 months between January 2016 and August 2019 were included in the study. Demographic data; vital signs; the level of consciousness; the Glasgow Coma Scale; ISS trauma region classifications; anatomical injury sites; AIS and ISS scores; diagnoses; treatment methods; hospitalization status; and duration of hospital stay were examined descriptively. Results: There were 184 male and one female participant. The most commonly injured body site was the foot (33.5%), and the most common diagnosis was soft tissue trauma (64.3%). The most commonly injured body site was the foot (33.5%), and the most common diagnosis was soft tissue trauma (64.3%). Regarding treatment methods, 51.4% received analgesic pills and cold pack application, 42.7% received a plaster splint, and 5.9% had orthopaedic surgery. The mean ISS score was 5.16 ± 3.92. The hospitalization rate was significantly higher for patients with a critical AIS score than those with a severe AIS score (p < 0.001). Conclusions: The use of trauma scoring systems to assess injury severity among patients admitted to an ED due to a parachute jumping injury may facilitate treatment selection. We found that AIS and ISS were useful in determining injury severity. Therefore, we recommend the use of trauma scoring systems for assessing the injury severity and the therapeutic approach, and we advocate for the use of the 17 anatomical regions we used in this study. We also found that with increasing age, the severity of injury could increase.

Comparison of Scoring Systems for Mortality Prediction in Pediatric Multitrauma Patients

“…If a wound was determined an AIS of 6 (unsurvivable injury), the ISS was spontaneously determined to 75 (►Tables 2 and 3). 10 To calculate the PRISM 3 score, physiologic parameters were evaluated only in the first 4 hours of PICU admission, and laboratory measurements were calculated in the time period from 2 hours before PICU care through the first 4 hours. The neurological score was determined using the pupillary reflex and Glasgow coma scale (GCS).…”

“…If a wound was determined an AIS of 6 (unsurvivable injury), the ISS was spontaneously determined to 75 ( Tables 2 and 3 ). 10…”

Best Trauma Assessment System for Trauma Patients in Papua, Indonesia

“…The third type combines anatomical and physiological evaluation methods, such as Trauma and Injury Severity Score (TRISS) and A Severity Characterization of Trauma scoring systems (ASCOT). The combination type in the claim was created to overcome the inadequacies of both previous scoring systems (Sahin & Batln, 2020).…”

A prophylactic lumbosacral brace and the biomechanics of parachute landing

“…In the ideal position, the inside of the knee joint, the medial malleolus and the inside of the feet are close together, and the sole is parallel to the ground ( 5 , 6 ). In contrast to the sideway roll and static line parachute landing adopted by most other countries, the active and deeply flexion of the lower extremity joints after initial contact by Chinese military paratroopers prolong the impact and energy absorption by the body and prevent potential injury ( 7 , 8 ).…”