PubMed · 10947795
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D Panagiotakopoulos, J M Cupitt. 2000. Beau's lines.. https://doi.org/10.1046/j.1365-2044.2000.01664-39.x
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BACKGROUND: Owing to several recent bus-related accidents in Denmark, we wished to investigate injuries sustained by passengers. MATERIALS AND METHODS: From our ongoing registration of patients treated in the casualty department at Odense University Hospital, we identified all residents of Odense Municipality who had sustained injuries as bus passengers from 1996 to 1999. Market analysis and demographic information were used to calculate the incidence and risk. RESULTS: Over this four-year period, 327 consecutive injuries had been sustained by 246 bus passengers, 72 men and 174 women, mean ages 44 and 53 years. The incidence rate was 3.3 injured per 10,000 inhabitants per year, with no increasing tendency during the study period. The risk was 2.2 injured per 1,000,000 bus passengers per year, highest in women and increasing with age. Injuries most frequently occurred when the bus stopped (31%), as passengers were boarding or alighting (23%), or during collision with another vehicle (20%). Most commonly injured areas were the lower (30%) and upper (28%) extremities and the head or neck (27%). Contusions and sprains were the most common injuries (59%). The most common fractures were those of the humerus and hip region. CONCLUSION: Bus passenger injuries are not a growing problem. The incidence increases with age.
Cardiac rupture following blunt trauma is usually fatal. Patients arriving alive at the hospital may be saved with prompt diagnosis and treatment. We report a case where a haemopericardium was diagnosed by ultrasonography in a 28-year-old man involved in a motor vehicle accident. A tear in the right atrial appendage was successfully repaired in the operating room at the Emergency Department without the use of a cardiopulmonary bypass.
Two sewing needles were found in a woman's cranial cavity by X-ray examination after she had sustained traffic injury. After investigation and analysis, it has been confirmed that the sewing needles were inserted by others when she was an infant, and not by the traffic injury.