The impact of tree-stand falls on a Level 1 trauma center in West Michigan

Carroll, Joseph T.; Chapman, Alistair J.; Davis, Alan T.; Rodríguez, Carlos Hernán

doi:10.1016/j.amjsurg.2015.12.002

Cited by 6 publications

(26 citation statements)

References 7 publications

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“…Long bone fractures and closed head injuries were less common in our study than in previous studies. 12,13 Length of hospital stay in this study was similar to that described previously 12 , 13 and correlated with the ISS. In our series, however, there was no correlation between fall height and ISS.…”

Section: Discussionsupporting

confidence: 88%

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Common Injuries Associated with Falls from Tree Stands in Iowa

Garrett

Galet

Lilienthal

et al. 2020

Wilderness & Environmental Medicine

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IntroductiondTree stand falls are a common injury among hunters. This study was designed to identify specific injury patterns and local and regional factors affecting access to and care for this unique trauma cohort in Iowa. MethodsdThe University of Iowa trauma registry was retrospectively queried from 2004 to 2014 for patients with a mechanism of injury of fall from tree stands. Data are presented as mean±SD, median, and range, or raw number and percentages as appropriate. Correlation analyses were performed using the Spearman coefficient. ResultsdFifty-three patients were identified. Age was 44±14 (17e78) y. Median fall height was 4.6 m (15 ft), ranging from 1.5 to 12 m (5 to 40 ft). Transport times varied from <1 h to >7 h. Hypothermia was observed in 6 patients (11%). Two patients (4%) tested positive for alcohol. Three patients (6%) tested positive for drugs. Soft tissue injuries (32 [60%]; ie, lacerations and abrasions) were the most common, followed by 30 spine fractures (57%, including 11 lumbar and 10 thoracic fractures), 16 other bone fractures (30%), and 11 rib fractures (21%). Twenty-two patients underwent surgery. Median hospital length of stay was 4 d, ranging from 0 to 20 d. ConclusionsdTree stand falls lead to significant injuries. Hypothermia represents a significant risk for these patients, and remote location resulted in long transportation time. Improper use or poor condition of safety equipment contributed to falls and injuries in a few of our patients.

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Section: Discussionsupporting

confidence: 88%

“…A prior study from another institution reported a positive correlation between those variables. 13 Because deer hunting is an outdoor sport practiced during the fall and winter, deer hunters are likely to face extreme cold and harsh weather conditions, especially in the Midwest. Such conditions may affect the patient's body temperature.…”

Section: Discussionmentioning

confidence: 99%

Common Injuries Associated with Falls from Tree Stands in Iowa

Garrett

Galet

Lilienthal

et al. 2020

Wilderness & Environmental Medicine

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“…Falling from a height over 15 m will cause serious injuries. 4 The Persian walnut trees grow to a height of 15 to 40 m. 6 In this study, 3.93% of the injured (5 people) were admitted with no vital signs due to brain injury and skull fracture. Baba et al showed a mortality of 3.36% in 5-years in India, which was similar to our study.…”

Section: Discussionmentioning

confidence: 79%

“…The use of tree stands, with safety equipment, has reduced the amount of damage caused by falling from trees. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

Frequency of complications of falling from the walnut tree, as an occupational-seasonal injury

2018

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Abstract:Background:Falling from a tree is one of the major causes of serious injuries in farmers but it can be prevented. Walnut is one of the most important agricultural products in Iran and falling from walnut trees is common during the season of harvest. The aim of this study was to determine the frequency of complications due to falling from walnut tree in patients referred to the emergency department of Imam Ali Hospital in Bojnurd City, Iran.Methods:A descriptive cross sectional study was conducted on 127 patients with injuries due to falling from the walnut tree in Bojnurd City, Iran, in the walnut harvest season of August 2013 to November 2014. The tools used for data collection in this study included a demographic information form, checklists of information about the injury and the follow-up checklist of treatment. Data were analyzed using descriptive statistics by the SPSS software version 16. Results:From a total of 127 injured patients, 120 cases (94.4%) were males with a mean age of 36.49 ± 15.65 years. Five patients died on the day of admission. Eighty two patients (64.56%) were admitted in hospital wards. The most common type of injuries were trunk injuries (26.19%), followed by spinal cord injuries (18.1%). Also, 7 patients suffered from complete spinal cord injury.Conclusions:Injuries caused by falling from walnut trees are seasonal and impose large financial burden on our health system. In most cases, young men suffer from varying degrees of disability and experience financial problems. It is very important to train farmers and workers, so as to prevent such injuries.

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“…Prior series have described injury patterns from deer stand falls, and North Carolina has no mandatory reporting of such injuries. 2 Patients often present with severe injuries, and greater height is generally associated with a greater Injury Severity Score (ISS). Of note, most patients who fall are not using safety equipment.…”

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confidence: 99%