Pediatric Fall Injuries in Agricultural Settings: A New Look at a Common Injury Control Problem

Pickett, William; Dostaler, Suzanne M.; Berg, Richard L.; Linneman, James G.; Marlenga, Barbara

doi:10.1097/jom.0b013e31804630d0

Cited by 11 publications

(12 citation statements)

References 22 publications

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“…A loss of consciousness occurred in 55% of patients and was unknown in 17%. Sixty-one patients had a documented Glasgow Coma Scale score on arrival, with a median Glasgow Coma Scale score of 14 (range, [3][4][5][6][7][8][9][10][11][12][13][14][15]. Sixty-five patients (99%) had a computed tomography scan of the head.…”

Section: Resultsmentioning

confidence: 99%

“…2 The literature on rural pediatric falls is limited. [4][5][6][7][8][9] The family farm is recognized as a hazardous environment, and farm safety is an area of concern to all who live and work in agrarian settings. It is estimated that 41% of farm injuries involve falls and that falls within barns are disproportionately associated with hospitalizations compared with other agricultural fall hazards.…”

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confidence: 99%

“…It is estimated that 41% of farm injuries involve falls and that falls within barns are disproportionately associated with hospitalizations compared with other agricultural fall hazards. 4 There is a particular type of fall injury in agrarian settings that is uniquely related to a structural barn design that may result in serious injury or death. The 2-story Pennsylvania forebay bank barn is a ubiquitous construction design found in agrarian communities throughout the Northeast and Midwest United States and Canada, many of which remain structurally sound after two centuries of use (Fig.…”

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confidence: 99%

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Childhood Injuries Due to Hay-Hole Falls

Engbrecht

Kulaylat²,

Dias

et al. 2016

Pediatr Emer Care

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Objective: Children who live, work, and play on farms with barn design that includes hay-holes are at risk for a particular type of fall. This study retrospectively reviews all children admitted to a pediatric trauma center with injuries due to fall through a hay-hole over a 19-year period. This study is the first to specifically describe hay-hole fall injuries.Methods: A retrospective review from a 19-year period at a rural pediatric trauma center identified 66 patients who sustained injuries from a hay-hole fall. Charts were reviewed for patient demographics, injuries, interventions, and hospital course.Results: Sixty-six patients sustained injuries from hay-hole falls. Median patient age was 4 years, and median Injury Severity Score was 14. Fortyone percent of patients were admitted to the intensive care unit, and 26% of patients were intubated. Injuries included skull fracture (73%), facial fracture (27%), intracranial hemorrhage (53%), and noncraniofacial injuries (12%). Eighteen percent required a therapeutic intervention. There was 1 fatality (2%).Conclusions: Hay-hole fall appears to be a distinct injury mechanism, and patients present with different injury patterns than other types of falls. In this study, a high proportion of patients were young, and craniofacial injuries accounted for the majority of injuries. Only a small proportion of patients sustained noncraniofacial injuries. Injury prevention strategies should be targeted to this unique agrarian injury.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Childhood Injuries Due to Hay-Hole Falls

Engbrecht

Kulaylat²,

Dias

et al. 2016

Pediatr Emer Care

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“…These include rollovers, entanglements, and falls in farm workers, and falls and drowning in young children. [1][2][3][4] Strengths of this brief report include the novelty of the data for Canada as well as the practical implications of our findings. Limitations include the self-reported nature of our reports.…”

Section: Discussionmentioning

confidence: 99%

“…Major risk factors include the absence of rollover protection on farm tractors, unguarded and unshielded moving parts on agricultural machines, lack of physical barriers and safety cages to prevent falls, and drowningrelated hazards. [1][2][3][4] Contemporary estimates of the presence of safety features to protect farm people from these hazards are seldom published for our country. We had a unique opportunity to describe the condition of a large cohort of Canadian farms according to the presence or absence of safety features known to be effective in the prevention of major injury on farms.…”

Section: Introductionmentioning

confidence: 99%

Safety Features on Agricultural Machines and Farm Structures in Saskatchewan

Pickett

Hagel

Dosman

2012

Journal of Agromedicine

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Major injury is an important occupational health problem for farming populations in North America. There are several well-established risk factors for injury in this setting, including lack of safety features on farm vehicles and machinery, and a lack of passive safety devices that offer protection from falls and drowning events. Through the examination of common risk factors, the authors demonstrate that substantial proportions of farms in Saskatchewan, Canada, are exposed to occupational hazards that leave workers and others vulnerable to major injury.

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Injuries and illnesses to children in commercial fishing in Alaska: A brief report

Rudolphi

Berg

2021

American J Industrial Med

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Background Commercial fishing is the most hazardous occupation in the United States. While the epidemiology of adult injuries and fatalities are well documented, injuries to children (<18 years old) are not described. The purpose of this report was to describe the characteristics of nonfatal injuries to children involved in commercial fishing. Methods Nonfatal commercial fishing injuries to children were identified in the Alaska Fishermen's Fund. The Alaska Fishermen's Fund is an emergency fund payor of last resort. Data on nonfatal injuries to victims aged 17 or younger were analyzed. Descriptive statistics were used to characterize demographics and injury characteristics. Results Forty‐four nonfatal child injury claims were made between 2012 and 2016. The mean age at the time of claim was 15.6 years (SD = 1.8) and 84% were male. The most common types of injuries among children were sprains and strains and the most commonly injured body parts were upper extremities and the trunk. Most injuries occurred in salmon fisheries. Conclusions Children are participating in commercial fishing. Based on the results of this analysis, children are also experiencing occupational injuries. The results of this analysis underscore the need for additional safety and health information, guidance for supervisors, and intervention to prevent injuries to children participating in commercial fishing.

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Pediatric Fall Injuries in Agricultural Settings: A New Look at a Common Injury Control Problem

Abstract: Pediatric fall injuries were common. This analysis provides a novel look at this occupational injury control problem.

Cited by 11 publications

References 22 publications

Childhood Injuries Due to Hay-Hole Falls

Childhood Injuries Due to Hay-Hole Falls

Safety Features on Agricultural Machines and Farm Structures in Saskatchewan

Injuries and illnesses to children in commercial fishing in Alaska: A brief report

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