Emergency Department Visits from a Local Amusement Park

Olympia, Robert P.; Brady, Jodi; Rupp, V.; Lansenderfer, Cheryl

doi:10.1016/j.jemermed.2008.04.052

Cited by 8 publications

(5 citation statements)

References 22 publications

(17 reference statements)

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“…Although some case studies and literature reviews describe injuries or fatalities associated with amusement rides, [1][2][3] little is known about amusement riderelated injuries from an epidemiological perspective.…”

Section: Introductionmentioning

confidence: 99%

US Pediatric Injuries Involving Amusement Rides, 1990-2010

Thompson

Chounthirath

Xiang

et al. 2013

Clin Pediatr (Phila)

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This study investigates pediatric injuries involving amusement rides treated in US emergency departments by retrospectively analyzing data from the National Electronic Injury Surveillance System. From 1990 to 2010, an estimated 92 885 children ≤17 years sought treatment in US hospital emergency departments for injuries involving amusement rides, yielding an annual average of 4423 injuries. The average annual injury rate was 6.24 injuries per 100 000 US children, and the mean patient age was 8.73 years. The head and neck was the most commonly injured body region (28.0%), and the most common type of injury was a soft tissue injury (29.4%). Falling in, on, off, or against the ride was the most frequent mechanism of injury (31.7%). Only 1.5% of injuries resulted in hospitalization. An improved national system for monitoring injuries involving amusement rides is needed. There are opportunities to improve the safety of amusement rides for children, especially to prevent injuries from falls.

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Section: Introductionmentioning

confidence: 99%

US Pediatric Injuries Involving Amusement Rides, 1990-2010

Thompson

Chounthirath

Xiang

et al. 2013

Clin Pediatr (Phila)

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“…Cervicocephalic arterial dissections account for 2% of ischemic strokes for the general population and 5% of pediatric strokes [12]. Roller coasters have been linked with dissections of the internal carotid artery, vertebral arteries and middle cerebral artery resulting in strokes [13]. The vertebral arteries can be dissected due to rotational forces at the third segment of the artery at the C1–C2 vertebral levels [14].…”

Section: Discussionmentioning

confidence: 99%

Middle Cerebral Artery Stroke as Amusement Park Injury: Case Report and Review of the Literature

et al. 2017

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Strokes as amusement park injuries are rare, but have been reported in the literature. Only about 20 cases of cerebrovascular accidents after amusement park visits have been described. We report a healthy 12-year-old boy who presented with facial droop, slurred speech, and inability to use his right arm after riding roller coasters at a local amusement park. He was evaluated and found to have a left middle cerebral artery (MCA) infarction. The patient was treated with anticoagulants and has recovered with no major residual symptoms. It is likely that his neurological symptoms occurred due to the high head accelerations experienced on the roller coasters, which are more detrimental to children due to immature cervical spine development and muscle strength. Early diagnosis of dissection and stroke results in a favorable prognosis. Providers and parents should be aware of the potential risk of roller coasters and act quickly on neurologic changes in children that have recently been to an amusement park.

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“…42 Another common venue for heat syncope that is not related to exercise is amusement parks, water parks, and similar outdoor events. 43 In these situations, individuals spend periods of time in direct sunlight while waiting in a queue. Blood volume diminishes as the person sweats, resulting in progressive dehydration.…”

Section: Heat Syncopementioning

confidence: 99%

Exertional Heat Illness: Emerging Concepts and Advances in Prehospital Care

Pryor

Roth

Suyama

et al. 2015

Prehosp. Disaster med.

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Exertional heat illness is a classification of disease with clinical presentations that are not always diagnosed easily. Exertional heat stroke is a significant cause of death in competitive sports, and the increasing popularity of marathons races and ultra-endurance competitions will make treating many heat illnesses more common for Emergency Medical Services (EMS) providers. Although evidence is available primarily from case series and healthy volunteer studies, the consensus for treating exertional heat illness, coupled with altered mental status, is whole body rapid cooling. Cold or ice water immersion remains the most effective treatment to achieve this goal. External thermometry is unreliable in the context of heat stress and direct internal temperature measurement by rectal or esophageal probes must be used when diagnosing heat illness and during cooling. With rapid recognition and implementation of effective cooling, most patients suffering from exertional heat stroke will recover quickly and can be discharged home with instructions to rest and to avoid heat stress and exercise for a minimum of 48 hours; although, further research pertaining to return to activity is warranted.

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Emergency Department Visits from a Local Amusement Park

Cited by 8 publications

References 22 publications

US Pediatric Injuries Involving Amusement Rides, 1990-2010

US Pediatric Injuries Involving Amusement Rides, 1990-2010

Middle Cerebral Artery Stroke as Amusement Park Injury: Case Report and Review of the Literature

Exertional Heat Illness: Emerging Concepts and Advances in Prehospital Care

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