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At least 37 records · Page 2Linked to original sources
PubMed1992

Snowmobile-related deaths in Ontario: a 5-year review.

OBJECTIVES: To investigate the demographic characteristics and circumstances surrounding fatal snowmobile accidents in Ontario, to examine the risk factors and to observe any fatality trends over the study period. DESIGN: Case series. PATIENTS: All 131 people who died accidentally while operating a snowmobile in Ontario from 1985-86 to 1989-90. Records were obtained from the chief coroner's office; registration data were obtained from the Ministry of Transportation. RESULTS: Although the absolute number of deaths increased each year, owing to a rapid increase in the number of registered snowmobiles, the risk of death from snowmobile accidents remained relatively constant. Deaths occurred most frequently in northeastern Ontario. Youths and men predominated among the victims. Fatal accidents occurred more often on lakes (in 66% of the cases in which this information was known) than on roads (in 26%) or trails (in 8%). Weekend fatalities predominated, and deaths occurred most often during times of suboptimal lighting (from 4 pm to 8 am). The driver was killed in 84% of the cases in which the person's role was known. Alcohol use before death was implicated in 69% of the cases, the level exceeding the Ontario legal limit in 59%. CONCLUSION: Snowmobile-related deaths result from factors that are generally avoidable. Strategies need to be instituted to reduce the rate of these events.

Accidents↗
PubMed1991

Snowmobile trauma: an eleven-year experience.

Records of 88 patients with snowmobile injuries from 1977 to 1987 were reviewed to identify the types of trauma. Data collected included age, sex, method and degree of injury, use of safety attire, and risk factors. There were 77 males and 11 females. Seventeen (19.3%) were children under the age of 16. Poor driving judgment involved in the hitting of obstacles led to the majority of injuries. There were 106 fractures in 71 patients. Eighteen patients (25%) had more than one fracture. Eleven patients had loss of consciousness. Eighty-eight other injuries resulted for a total of 205 injuries. There were three fatalities. Results indicate that inexperience, prior use of alcohol, driver carelessness, excessive speed, and poor adherence to manufacturer recommendations were the leading contributors to the accidents.

Adolescent↗
PubMed1990

Fracture of the occipital condyle: case report and review of the literature.

Fracture of the occipital condyle is a rare injury. We report a patient with an occipital condyle fracture who presented with negative plain films and a cranial nerve palsy. Diagnosis was established with high-resolution computed tomography. This fracture should be considered in a trauma patient with neck pain, negative plain cervical spine radiographs, and a cranial nerve palsy.

Accidents↗
PubMed1990

[The snowmobile--only for fun? Registration of snowmobile accidents in Western Finnmark 1988-89].

Driving a snowmobile seems to be associated with a high rate of injury and serious injuries. During the winter season 1988-89, every snowmobile-related injury that had required medical care was registered prospectively in a population of 47,500. 62 persons were injured, mostly men. The majority were young people, and most injuries occurred when the snowmobiles were used for recreation, and at the weekend. 11% of the drivers appeared drunk. 26% were hospitalized. Fractures were the most frequently registered injury, and 16 persons suffered head injuries. A number of other serious injuries were also registered. The rate of injury per registered snowmobile was high compared with the rate of road traffic injuries during the same period.

Accidents↗
PubMedDate not supplied

Rupture of the lateral head of the gastrocnemius muscle at the musculotendinous junction mimicking a compartment syndrome.

This case report documents an acute rupture of the lateral head of the gastrocnemius muscle at the myotendinous junction and a lateral dislocation of the tibialis anterior tendon with a clinical presentation consistent with a compartment syndrome, despite the intraoperative finding of a rupture of the posterior and lateral compartments. Extensive hematoma formation led to marked edema, paresthesias, muscle weakness, and severe pain in the involved leg. Surgical repair of the torn muscle and dislocated tendon and evacuation of the dissecting hematoma resulted in a well-functioning extremity. The authors emphasize the importance of prompt diagnosis of soft tissue injuries, which may place a patient at risk for a compartment syndrome. A compartment syndrome may lead to severe ischemia and irreversible tissue necrosis if intracompartmental hemorrhage of a torn muscle persists, and may require a surgical decompression. The clinical presentation, as well as adjunctive techniques in the diagnosis of a patient with a partial rupture of the gastrocnemius muscle, and a compartment syndrome, were presented.

Adolescent↗
PubMed1995

Injuries associated with self-unloading forage wagons--New York, 1991-1994.

In New York, an estimated 3600 injuries occur each year to farmers operating farm machines (1). In October 1993, the Occupational Health Nurses in Agricultural Communities (OHNAC) program in the New York State Department of Health received a report of a man who sustained severe injuries when he became entangled in the power take-off (PTO) driveline to a self-unloading forage wagon. Subsequent investigation by OHNAC identified four additional similar incidents in New York that occurred during September 1991-October 1994, including one fatality and one injury to a 9-year-old girl working on a family farm. This report summarizes the results of the investigation of these forage-wagon-related injuries and presents recommendations to reduce the risk for such injuries.

Accidents, Occupational↗
PubMed1994

Vibration exposure and symptoms in postal carriers using motorbikes.

An investigation was made on vibration exposure among postal carriers using motorbikes (mainly letter carriers) and vibration symptom manifestations as a means to obtain information on hand-arm vibration exposure limits. The first report deals with the correlation of vibration and cold exposure with white finger symptoms. The group in which daily vibration exposure was greatest, for which the 4-hour equivalent value of the frequency weighted vibration acceleration was estimated to be above 2 m/s2, showed a greater incidence of white finger than other groups, and the changes synchronized with the timing of motorbike antivibration measures. This group, however, also displayed evidence of varying degrees of cold-exposure white finger. The vibration exposure limit was considered to be over 2 m/s2 as the 4-hour equivalent value of the frequency weighted vibration acceleration.

Humans↗