A review of 48 patients after bear attacks in Central India: Demographics, management and outcomes

Patil, Surendra B.; Mody, Nikunj B; Kale, Satish M.; Ingole, Sonali D

doi:10.4103/0970-0358.155267

Cited by 15 publications

(24 citation statements)

References 8 publications

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“…Our study shows commonly affected body parts as scalp and face which were also reported in a study as scalp 24% and Face 46%. 2,5,7 In contrast head injury is encountered in 41% cases in a report while it is noted 4% in present study. 8 In present study upper limb injury were seen in 14% cases and involvements of back and buttock in 10% cases, predominantly punctured wound produced by teeth of bear during attack.…”

Section: Parts Involvedcontrasting

confidence: 37%

“…Similar report was also noticed as wound infections in 13 (27%) patients in his study. 5 In another study similar reports of 5 (23.8%) patients out of 21 had surgical site infection. 11 In contrast one study reported no surgical site infections in any patients.…”

Section: Complicationsmentioning

confidence: 78%

“…2 On contrary in a report, over 80% of patients had deep lacerations while no punctured wounds found in a series of study. 5 A case is also reported with penetrating head injury with bilateral eye avulsion. 6 In our study avulsion injury were found to be 8 (16%) and similar study is found where avulsion injury in 18.94% and tissue loss in 9.11% cases.…”

Section: Discussionmentioning

confidence: 98%

“…In contrast other some literature reported zero mortality in their studies. 5,11 C O N C L U S I O N S Bear attack injuries are usually defensive and involve minor to deep lacerations or loss of organ, sometimes fatal. Scalp and face are most commonly affected body parts, but no part is spared.…”

Section: Complicationsmentioning

confidence: 99%

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Study of Bear Bite Injury and Management in Tribal Belt of Chhattisgarh, India

Siddharth¹,

Kujur²,

Shivhare³

et al. 2020

jebmh

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BACKGROUND Bear injuries are unusual, but a trend is often observed in areas of bear habitats. Northern part of Chhattisgarh, a tribal belt is surrounded by bear habitat dense tropical moist deciduous forest. Industrialization and human invasion in their habitats resulting in frequent attacks by bear and victims present to the health care center with grievous injuries and psychological trauma. METHODS Present study included 50 victims of bear attacks admitted in the Department of Surgery, Government Medical College, Ambikapur, Surguja, Chhattisgarh, from 2016 to 2018. Data included are age, sex, precision time of attack, seasons, body parts involved, types of injuries and activity of victims during attack including the course of management. RESULTS In our study of 50 cases, most of the victims were attacked early in the morning and most of the attacks were in winter and monsoon. Common age group encountered was young adults to middle age ranging from 21-40 years. Out of 50 cases studied, 31 (62%) were males and 19 (38%) were females with a male: female ratio of 1.63:1. Attacked victims were usually engaged in cattle grazing activity (40%) and common tendency of attack observed was on face in 46%, followed by scalp in 24% and upper limb in 14%. Commonest injuries made in chronological order were laceration 76% followed by punctured wound in 48%, and avulsion injuries in 16%. Common major complications observed were wound infections 26%, followed by wound dehiscence 10%, with a fatality rate of 4%. CONCLUSIONS Human and bear interactions are accidental and unusual, but frequency is found to be increasing due to encroachment of forest by humans. Victims are usually villagers of near forest. Face and scalp are most commonly attacked body parts but no part is spared and the attack is sometimes fatal. Laceration injury was most common, and mostly on the face and scalp. Management of bear injury required multispecialty approach due to the variety of injuries with involvement of eye, ear, fractures, head injury including reconstruction surgery, to minimise complications.

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Section: Parts Involvedcontrasting

confidence: 37%

Section: Complicationsmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 98%

Section: Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Study of Bear Bite Injury and Management in Tribal Belt of Chhattisgarh, India

Siddharth¹,

Kujur²,

Shivhare³

et al. 2020

jebmh

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show abstract

“…Multiple studies on craniofacial injuries by bear attacks have published their results however no comparisons has been made with musculoskeletal injuries. 11 , 12 , 13 …”

Section: Discussionmentioning

confidence: 99%

A review of upper limb injuries in bear maul victims: Consistent pattern and inverse relation in severity with facial and scalp injuries

Bhat¹,

Gulzar

Bhat

et al. 2018

Chinese Journal of Traumatology

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PurposeBear maul injuries are the most common wild animal inflicted injuries in India. More than 300 bear maul injuries report to our hospital per year.MethodsTwenty-one consecutive patients over a period of 1 year reported to our department for orthopaedic management of bear maul injuries. All the patients were referred either from peripheral hospitals or from other surgical departments of our hospital.ResultsAll the patients had facial/scalp injuries of variable severity. In all the patients the severity of limb and facial trauma was inversely proportional to each other. Pattern of upper limb trauma in most of the patients was similar. Fifteen patients had either fractures of distal humerus or mid shaft/proximal forearm bone fracture. Two had distal forearm bone fracture, 2 had carpal/metacarpal fractures and 1 had clavicle fracture. Only 1 had lower limb fracture. Thirteen out of 21 patients had associated neurovascular injury of the involved limb. The characteristic feature was extensive soft tissue involvement of the affected limb.ConclusionUpper limb injuries in bear maul patients usually have similar pattern. The severity of upper limb and facial/scalp trauma is inversely proportional to each other. Multistage orthopaedic surgeries are needed for such complex limb injuries.

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Characteristics of black bear‐related trauma: A retrospective observational study

Tsuchida,

Satoh,

Hirasawa

et al. 2024

Acute Medicine & Surgery

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AimBear‐related trauma is a significant concern in Japan. This study identified trauma patterns, outcomes, and therapeutic approaches for bear‐related injuries treated.MethodsThis retrospective observational study used medical records from Akita University Hospital, focusing on patients with bear‐related trauma in 2023. Demographic data, injury details, treatment procedures, and outcomes were extracted.ResultsThe study included 20 patients (median age: 74.5 years, 65% males). Most injuries occurred in human habitats, mainly in autumn, with the face being the most affected area (90%). Three patients required emergency transfusions and tracheal intubation. Emergency surgery was performed in 52.6% of patients, and 42.1% were admitted to the intensive care unit. All patients survived with a median hospital stay of 17 days. However, 15.8% of patients had significant sequelae, such as blindness. Despite prophylactic antibiotics, wound infections occurred in 21.1% of patients, particularly in deep wounds that were not adequately washed under general anesthesia.ConclusionsBear‐related trauma often results in severe upper‐body injuries that require prompt medical intervention. These findings highlight the need for improved preventive measures and strategies for initial treatment and long‐term care.

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A review of 48 patients after bear attacks in Central India: Demographics, management and outcomes

Cited by 15 publications

References 8 publications

Study of Bear Bite Injury and Management in Tribal Belt of Chhattisgarh, India

Study of Bear Bite Injury and Management in Tribal Belt of Chhattisgarh, India

A review of upper limb injuries in bear maul victims: Consistent pattern and inverse relation in severity with facial and scalp injuries

Characteristics of black bear‐related trauma: A retrospective observational study

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