Resuscitation 2002;54;3;245-253, Lecky FE, Woodford M, Yates DW European Journal of Trauma 2002;5: 304-309, Dark P, Woodford M, Vail A, Mackway-Jones K, Yates D, Lecky F Eur J Trauma 2006;32:538–47, C M Guly, H R Guly, O Bouamra, R H Gray and F E Lecky He loves discussing and writing about sports & exercise injuries, and has been featured in major media publications over 1,200 times throughout his career. Objectives Trauma contributes significantly to adolescent morbidity and mortality. Background Polytrauma patients nowadays tend to be older due to the growth of the elderly population and its improved mobility. We determined age, gender, mechanism of injury, Injury Severity Score, presenting Glasgow Coma Scale (GCS) and Mayo Score, and the association of outcome (Glasgow Outcome Scale (GOS)) with age and clinical presentation. Methods We assessed videos from 39 complete ACL tears recorded via prospective professional football injury surveillance between 2001 and 2011. Archives of Disease in Childhood 2004;89:860-865, Lecky FE, Woodford M, Bouamra O, Yates DW Falling from a height of under 2 m (low fall) is the most common mechanism of injury causing major trauma in Ireland. The Lancet 2005;366:1538-44, Jeffrey V Rosenfeld, D James Cooper This knowledge allows clinicians to formulate perioperative management plans that optimize safety for patients and to anticipate complications that may arise later from missed or occult injuries. The most recent TARN report on older persons’ trauma showed that we under triage both pre and in-hospital, do not place as many trauma team activations, have less senior reviews of older trauma patients and that the commonest mechanism for an ISS >15 was a fall from own height, with the head and thorax being the commonest body areas injured. Injury 2008; 39: 1013-1025, Ronan Lyons, Heather Ward, Huw Brunt, Steven Macey, Roselle Thoreau, Maralyn Woodford Background. Methods: Data from 24 218 paediatric trauma cases recorded by the Trauma Audit and Research Network (TARN) from 1990 to 2005 were analysed. Only a few publications discuss the mechanism of injury and morphology of the greater tuberosity fracture. Although impacts to the mandible occur, they are not the most common mechanism of injury for concussion. Older Major Trauma Patients (ISS>15): A fall of <2m is the commonest mechanism of injury; Triage/Recognition of ‘Silver Trauma’ is POOR Editorial Crit Care Med 2007;35,10:2432-3, Bahman S. Roudsari, Avery B. Nathens, Peter Cameron, Ian Civil, Russel L. Gruen, Thomas D. Koepsell, Fiona E. Lecky, Rolf L. Lefering, Moishe Liberman, Charles N. Mock, Hans-Jo¨rg Oestern, Thomas A. Schildhauer, Christian Waydhas, Frederick P. Rivara The database was interrogated for demographics, mechanism of injury, injury characteristics and patient outcomes. Mechanism of injury is a moving target, which varies from person to person. Design and patients The demographics, mechanisms of injury and outcomes were described for children with moderate and severe injuries admitted to the Major Trauma Network in England … Objectives: The aim of this study was to describe, using video analysis, the mechanisms of head injuries and of incidents with a high risk of head injury in elite football. In this Video we have discussed the different mechanisms of cell injury. a fall from standing (TARN 2017) • Poor pre-hospital or ED identification of injuries as major trauma = less specialist care • Higher mortality and morbidity than younger patients — search for more than one injury • Traumatic brain and chest injuries are the most common cause of death Injury 1994; 25:511-514, Yates DW, Woodford M, Hollis, S Four hundred and ninety‐seven patients in total did … Emergency Medical Journal 2002;19:0-3, Lecky FE It assists you in establishing both the safety of the scene and guides the remainder of the primary survey. Resuscitation 2011 82: 556–559, Arturo González-Izquierdo, Jenny Woodman, British Journal of Neurosurgery 2011, Vol. However, the precise hamstring injury mechanism (i.e., sprint-type) is still not well understood, and research is inconclusive as to which phase in the running cycle HSI risk is the gre … Different mechanisms underlie and co-exist in the chronic whiplash condition. Use your gut instinct if you are in a position to handle a likely emergency. Lynn Copley, To apply the selection criteria of a significant injury we consulted the TARN to select AIS2008 injury codes that were to be excluded if occurred in isolation (or with an accompanying skin injury). Methods Data from polytrauma (ISS≥16) patients between 2009 and 2014 were extracted from the Dutch … If the incident seems like it would be life-threatening, you're probably right. This video is from our video online range of first responder courses and first aid programs like FPOS and FROS. The Trauma Audit & Research Network (TARN) chest wall database is the largest dataset of rib fracture patients in the United Kingdom and enabled analysis of almost 18,000 patients. Journal of Neurosurgical Anesthesiology 2011 23(3):198-205, Fuller G, Bouamra O, Woodford M, Jenks T, Patel H, Coats TJ, Oakley P, Introduction Types of jointsFibrous Cartilaginous Synovialjoints joints joints The mechanisms of injury causing major trauma in the TARN database also changed throughout the study period, tracking the changes in age groups. Contributing hospitals’ submissions were classified into accidental injury (AI), suspected child abuse (SCA) or alleged assault (AA) to enable demographic and injury comparisons. Even when considering such a key issue as the need to distinguish between contact and non-contact mechanisms for ACL injuries, there is no universally accepted definition for these terms. Spinal cord hyperexcitability in patients with chronic pain after whiplash injury can cause exaggerated pain following low intensity nociceptive or innocuous peripheral stimulation. Methods: Videotapes and injury information were collected prospectively for 313 of the 409 matches played in the Norwegian (2000 season) and Icelandic (1999 and 2000 season) professional leagues. Some sports and activities have a higher injury risk, and may involve more severe injuries. The mechanism of injury describes how, with what force, and on which part of the body the patient was injured. Injury 2005;36:1034-1038, M Woodford, O Bouamra, A Wrotchford, DW Yates, FE Lecky Emerg Med J 2011 28: 851-855, Rebecca M. Hasler, Eveline Nuesch, Peter Juni, Omar Bouamra, Aristomenis K. Exadaktylos, Fiona Lecky endstream endobj 172 0 obj <> endobj 173 0 obj <> endobj 174 0 obj <>stream Ann R Coll Surg Engl 2014; 97: 125–130, The Glasgow Coma Scale at 40 years: standing the test of time, Mehdi Lesko, Omar Bouamra, Sarah o'Brien, Fiona Lecky Preliminary Objective To describe the demographics, mechanisms, presentation, injury patterns and outcomes for children with traumatic injuries. Purpose: To investigate the hamstring injury mechanism by conducting a systematic review. Anaesthesia 2008; 63: 499–508 Research concerning the pathophysiological process and related mechanisms after nerve injury is important for preventing and treating neurological injury-related diseases and pathological changes. 32 In this study, the inter- and intraobserver reliabilities for the Schatzker classification and TCC were similar to those of previous studies. Methods Data from polytrauma (ISS≥16) patients between 2009 and 2014 were extracted from the Dutch … Design and patients The demographics, mechanisms of injury and outcomes were described for children with moderate and severe injuries admitted to the Major Trauma Network in England … Isolated injury to the long head of biceps femoris is the most common type of acute hamstring strain injury (HSI). British Journal of Surgery 2000;87: 472-476, McMahon G, Yates DW, Campbell F, Hollis S, Woodford M TARN will offer a full support service on the following dates: 21st, 22nd and 23rd December. While the ball-carrying player can suffer an injury landing on the outstretched arm with the ball, more commonly in this study, the injury occurred in the tackler. Oxidative stress has been an important area of research for many years, as it is of vital importance to physiology, pathophysiology, and clinical aspects. 3: 414–421. Emerg. Marian Brandon, Deborah Hodes, Fiona Lecky, Ruth Gilbert BMJ 1996;313:1239-1241, FE Lecky, DW Yates, RA Little Med. Mechanisms of indirect acute lung injury: a novel role for the coinhibitory receptor, programmed death-1. Determining population-based rates for major injury poses methodological challenges. for Fellowship of the Faculty of Accident and Emergency Medicine. Study design: A systematic review following the PRISMA statement. Annals of the Royal College of Surgeons of England 1993;75:321-324, Yates DW, Woodford M, Hollis, S endstream endobj startxref Blunt trauma accounted for 28 cases (78%) with 8 cases (22%) being caused by a penetrating mechanism of injury. • The most common mechanism of injury was a low-energy transfer fall from less than two metres (41.5%). British Journal of Surgery 2010; 97:109-117, Mehdi Moazzez Lesko, Maralyn Woodford, Laura White, Sarah J O’Brien, Charmaine Childs, Fiona Lecky Clinical topic review for the Speciality examination J Trauma 2008;65: 1494-1501, AD Mendelow, J Timothy, AJW Steers, F Lecky, D Yates, O Bouamra, M Woodford,PJ Hutchinson Jan van der Meulen, Mechanism of injury with possible variations in the type of force exerted on the upper abdomen and the associated affected anatomic structure (3-5) Mechanism of injury Location of force Anatomic structures exerted affected Seat Belt Injury 1. 2006;23;915-917, H R Guly, G Leighton, M Woodford, O Bouamra, F Lecky Many patterns appear regarding the mortality of patients by mechanism; however, no single mechanism of injury has a statistically significant difference in mortality when comparing the three groups. • Journal of Trauma 2006; 61: 701-710, B Dillon, W Wang, O Bouamra Analysis of the TARN database underpins several key elements influencing contemporary UK trauma care. These findings are summarised in Table 1. 207 0 obj <>stream Shoulder dislocation was common during a try attempt. No data exist about injury patterns within paediatric trauma in the UK. You are here: Home / Research / Publications, Helen E Campbell, Elizabeth A Stokes, Danielle N Bargo, Nicola Curry, Fiona E Lecky, Antoinette Edwards, Maralyn Woodford, Frances Seeney, Simon Eaglestone, Karim Brohi, Alastair M Gray, Simon J Stanworth The TARN data presented in this paper builds a more complete overview of the burden of cycling collisions in Ireland. Emerg. Significant mechanisms of injury include: ejection from vehicle, vehicle versus pedestrian or cyclist, high speed incidents, LONG and EXTREME falls, large machinery accidents, and many other forces, including intentional ones. Particular points of focus are that serious cycling injuries occur in a predominantly male population, and that only around 30% of cases are recorded as involving a motor vehicle, with the majority having an unknown mechanism of injury. Background Current knowledge on anterior cruciate ligament (ACL) injury mechanisms in male football players is limited. Resuscitation 2008; 76: 57—62, Bernard Foëx, Tony Gleeson, Fiona Lecky The Lancet 2008, Vol 372; 9639: 685-687, Michael Christensen, Saxon Ridley, Fiona Lecky, Vicky Munro, Stephen Morris BMC Emergency Medicine 2009, 9:15, Jane Bayreuther, Silke Wagener, Maralyn Woodford, Antoinette Edwards, Fiona Lecky, Omar Bouamra, Evelyn Dykes Adolescents were defined as 10–24 completed years. Lancet 2000;355:1771-75, Henderson K, Coats TJ, Hassan TB, Brohi K We investigated the activity, the injury mechanism, and the dynamic knee alignment at the time of the injury in 1,718 patients diagnosed as having the ACL injuries. The height of fall was estimated using the minimum rise height of an individual stair (0.15 m) and a full flight of stairs was calculated as 4.14 m [ 11 , 14 ]. Hutchinson PJ, Lecky F ography, mechanism of injury, arrival mode, to charac-terise transfers and direct admissions to neurosurgical units, length of stay, self-reported complications and ... TARN registry, a prospective, observational registry of hospitalised major trauma patients in England and Wales. Injury Mechanism Number (%) Analysis of injury mechanism data shows a preponderance of road traffic collisions and falls of less than 2 metres. %PDF-1.5 %���� A password reset only service will be offered on the 24th, 29th, 30th and 31st December. Road Traffic Collision 284 (38.5%) Fall < 2m 164 (22.3%) Fall > 2m 110 (14.9%) Head injury is a common cause for hospital admission and additionally 250,000 UK inpatients fall during hospital admissions annually. Driscoll, R.A.C. Journal of Trauma 2007; 63:875-883, The EuroTARN Writing Committee on behalf of the EuroTARN Group* ** Online First - European Journal of Trauma and Emergency Surgery 2011, Nick Parsons, Michelle Odumenya, Antoinette Edwards, Fiona Lecky, Giles Pattison However, sporting and physical activity also involve an inherent injury risk. DOI 10.1258/jrsm.2009.090110, Lauri Handolin, Ari Leppäniemi, Fiona Lecky, Omar Bouamra, Piia Hienonen, Satu Tirkkonen, Karin Pihlström, David Yates, Eero Hirvensalo doi: 10.1016/j.injury.2015.08.026 - Epub ahead of print Implementing Major Trauma Audit in Ireland Conor Deasy, Marina Cronin, Fiona Cahill, U Geary, P Houlihan, Maralyn Woodford, Fiona Lecky, K Mealy, P Crowley, Major Trauma Audit Governance Committee, National Office of Clinical Audit, Ireland. Arch Dis Child 2010;95:918-925, H R Guly, O Bouamra, R Little, P Dark, T Coats, P Driscoll, FE Lecky �N�ef��1�$a�G>၄1 \y0�DH�(�"HNcD��`�p�&�p�q���a��0܁��( “��˼��^\ԁ�����~~�7��%71w�4�iYX�L��M�{.�f�;��. Relevant data are collected nationally from trauma units by the Trauma Audit and Research Network (TARN) to help planning and configuration. 25, No. Resuscitation 2011 82(9):1202-7, Fuller G, Bouamra O, Woodford M, Jenks T, Patel H, Coats TJ, Oakley P, Mendelow D, Pigott T, This study aims to elucidate common mechanisms of injury and identify the patterns of injury they produce. J Trauma 2010 69;2:405-410, Cameron Willis, Johannes Stoelwinder, Fiona Lecky, Maralyn Woodford, Tom Jenks, Omar Bouamra, Peter Cameron Journal européen des urgences 1994; 7(2):88-93, D.W.Yates, J. Bancewicz, M.Woodford, P.A. Results 4413 patients were admitted with trauma meeting TARN criteria: 1389 were ≥65 years and 45% (624) had TBI. TARN is a collaboration of hospitals from all over England, Wales, Ireland and other parts of Europe which supports a group of staff on a non-profit making basis; based at the University of Manchester, Hope Hospital, Salford. 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