Shark Related Injuries: A Case Series of Emergency Department Patients
| Autor: | Gregory S. Weingart, Girlyn A. Cachaper, Ryan J. Tomberg |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Evening Adolescent Patient demographics 02 engineering and technology 03 medical and health sciences Young Adult 0302 clinical medicine Injury Severity Score Amputation Traumatic Chart review 0202 electrical engineering electronic engineering information engineering Medicine Animals Humans Bites and Stings Antibiotic use International Shark Attack File business.industry Virginia 030208 emergency & critical care medicine General Medicine Emergency department Middle Aged Emergency medicine Emergency Medicine Sharks 020201 artificial intelligence & image processing Female business Emergency Service Hospital Medical literature |
| Zdroj: | The American journal of emergency medicine. 36(9) |
| ISSN: | 1532-8171 |
| Popis: | Introduction Shark-related-injuries (SRIs) are not thoroughly evaluated in the medical literature given their rare occurrence. Previous studies involve the utilization of large-independent databases and have demonstrated that shark attacks appear to be increasing, even though mortality of SRIs has decreased from 51% in 1958 to 8.3% in 2001. Methods We performed a retrospective chart review on patients presenting to 10 emergency departments (ED) in southeastern Virginia from February 22, 2008 through December 31, 2016. We used a free-text search feature to identify patients documented to have the word “shark” in the record. We reported descriptive statistics for patient demographics, disposition, mortality, time of injury, body injury location, activity during injury, injury severity score (ISS), antibiotic use, and if the patient was in the International Shark Attack File(ISAF) or the Global Shark Attack File(GSAF). Results We identified 11 patients. Most patients were male (81.8%) and Caucasian (90.9%) with a mean age of 35 years old (SD = 13.4, range17–55). Most patients (72.7%) arrived to the ED by private vehicle. Seventy-eight percent of patients were safely discharged from the ED. There were no deaths. There was a bimodal distribution of the time of injury around noon and early evening. Only 1 of our patients was present in the GSAF and 4 were present in the ISAF. Conclusion Most SRIs can be safely evaluated, treated, and discharged from the ED. Utilization of large databases for shark related research may underestimate its prevalence in the US. Further research is needed into the care of SRIs in the ED. |
| Databáze: | OpenAIRE |
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