Trauma and Intentional Injury Characteristics of Pediatric Forensic Cases Applying to Emergency Room

Kalkan, Esin Akgül; Yıldırım, Ahmet; Akdur, Okhan

doi:10.4328/jcam.4302

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…In many studies, head and neck traumas were seen to be the most frequent in pediatric trauma cases [22,23]. Cases may be ignored for the reasons that head/body ratios of the pediatric cases are high, that their bone structures have not been totally developed, that their symptoms show variations, and that especially little children cannot utter their complaints.…”

Section: Discussionmentioning

confidence: 99%

The evaluation of pediatric forensic cases presented to emergency department

Ökçesiz

Kozacı²,

Avcı³

et al. 2018

Disaster Emerg Med J

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InTroducTIon: Pediatric age group serves as a preparation stage for the rest of the life. This age group has specific psychological, physiological and social conditions. This present study examined pediatric forensic cases aged between 0-18. Obtained parameters determined characteristics of pediatric age group forensic cases. MeThods: 1624 pediatric forensic cases aged between 0-18 who were admitted to the emergency department at a tertiary healthcare service between the dates 31 October 2014 and 31 October 2016 were evaluated retrospectively. The cases were evaluated in terms of age, gender, nationality, admission time and season, reasons for presentation, radiological imaging techniques, consultation, intervention, treatment ward, clinical outcome and application of cardiopulmonary resuscitation. resulTs: Age average of the patients was 9,2 ± 6,2. Adolescent age group (49, 4%) was the most frequently admitted after traumatization. 61% of the patients constituted male patients. An association between age and gender was not detected. The most frequent reasons for admissions were assault (28,7%) and drug intoxication (22,4%). Assault, drug intoxication, traffic accidents, substance intake, penetrating stab wounds, falling down from the height and animal bites were frequently seen in adolescents whereas simple falling, corrosive substance ingestion and burn were highly seen in infants. Assault, penetrating stab wounds and gunshot injuries were detected to be frequent in males; drug and substance use was seen to be frequent in females. The patients (57%) were seen to be admitted to the emergency between the hours 16 00-24 00. 46.4% of the patients underwent radiological imaging. Trauma patients were seen to undergo radiological imaging more frequently. A consultation was required for 42.4% of the patients. The discharge rate of the patients from the emergency was 66.9%. Patients discharged from the emergency were seen to undergo radiography and computed tomography directly. This was found to be significantly high. conclusIons: Pediatric forensic cases are seen in adolescence and school-age children more frequently. The most frequent forensic cases were assaults and intoxications. Forensic cases are more frequently seen in males. Assaults are more frequent in males whereas intoxications are more frequent in females. Most of the forensic cases are discharged from the emergency department. Patients discharged from the emergency undergo radiological imaging at higher rates compared to the other patients.

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Section: Discussionmentioning

confidence: 99%