This study aims at evaluation of patients with traffic accident treated at Health Center Duc Pho - Quang Nam province. The number of patients with traffic accident increases yearly. 2041 patients with traffic accident had first aid and examined at Health Center Duc Pho - Quang Nam from 1996-2000, but 1554 patients treated. Male is more frequent than females (65.12% and 24.88%). The most patients are at the age of working (61.74%). The frequent time of traffic accident is on rush hour. The main causes of traffic accident are people who ride machine transports, especially the motor bike.
Accidents, Traffic ; Therapeutics ; Off-Road Motor Vehicles

PURPOSE: As the usage rate of all-terrain vehicles (ATV) the number of injuries caused by ATVs is also surging. This has led to an increase in social attention to the safety of ATVs and the law for ATV safety standards was revised in 2009 and 2011. The purpose of this study was to evaluate the characteristics of ATV injury compared with motorbike injury after implementation of the ATV safety policy. METHODS: A retrospective cross-sectional observation study was conducted using emergent department (ED)-based indepth injury surveillance system data from 2011 January to 2014 December. Demographics, injury-related characteristics, injury severity, and outcomes of patients related to ATV and motorbike injury visiting our ED were analyzed. Multivariate logistic regression was used for major adverse event (MAE), which was defined as any intensive care, emergent operation, or death between ATV and motorbike related injury adjusted for covariates. RESULTS: During the study period, there were 101 ATV- and 584 motorbike-related injuries. Females had more ATV-related injuries (63.4% vs 32.9%, p<0.001) during leisure activities (93.1%) with higher helmet usage (73.3% vs 62.0%, p=0.01) and lower usage in terms of emergency medical service (23.8% vs 46.4%, p<0.001), automobile insurance (10.9% vs 54.1%, p<0.001) compared with motorbike-related injuries. MAE in ATV-related injuries was less likely in a univariate logistic model (unadjusted odd ratios [ORs] 0.489, 95% confidential intervals [Cis] 0.282 to 0.848), but the multivariate logistic model showed no significant difference (adjusted ORs 1.018, 95% CIs 0.376 to 1.414). CONCLUSION: Results of this study showed no significant difference in occurrence of clinical major adverse events between motorbikes and ATVs-related injury on Jeju Island. However, considering the high injury prevalence in young age, female, and passengers during leisure activities, development of an education and injury prevention program will be needed for this vulnerable population.
Automobiles ; Demography ; Education ; Emergency Medical Services ; Female ; Head Protective Devices ; Humans ; Insurance ; Critical Care ; Jurisprudence ; Leisure Activities ; Logistic Models ; Motorcycles ; Off-Road Motor Vehicles* ; Prevalence ; Retrospective Studies ; Vulnerable Populations ; Wounds and Injuries

Observe clinical fractures and management of 108 cases treated of maxcillary fractures at the institutes of Odontostomatology in Hanoi during 2 years (2000-2001), we reported as follow: 1. The main cause of maxillary fractures was traffic accident (92.66%). Of which motorbikes were attributed the highest percentage (64.44%) of total cases. 2. Clinical features: Age also influenced the incidence of maxillary fractures, of which the age group 18-39 toped the rank 75%. The age average 29.52+/- 10.38 years. - Male predominated over female with the ratio of 6/1.- The main object maxillary fractures is farm rice. Regarding the classification of maxillary fractures: complete bilateral maxillary fractures Le Fort II ranked the first with 9.25%. The compounds maxillary fractures with other bones and organs are the highest percentage. 3. Methods: there are 3 ways were applied for maxillary fractures. At the present time often use osteosynthesis with wires and miniplate, fixed stable maxillary follow Miton Adam. 4. The result of treatment: 100% of good results after 1 week. 93.66% of good result after 6 week. 92.21% of good result after 3 months
Mandibular Fractures ; Off-Road Motor Vehicles ; diagnosis ; therapeutics ; Fractures, Bone

PURPOSE: All-terrain vehicle (ATV)-related injuries have increased since the introduction of ATVs to Korea. The purpose of this study is to compare patients with ATV-related injuries (PATV) to patients with motorcycle (MC)-related injuries (PMC). METHODS: We retrospectively analyzed the clinical records of PATV and PMC who visited an emergency center in 2008. The cases of PMC were 164, and those of PATV were 52. RESULTS: While PMC are seen evenly in the first half year and the second half year, PATV are seen mainly the first half year (from March to June: 73%). For PMC the most frequent injury mechanism was collision with another vehicle, while for PATV, it was side overturn/roll over. The injury severity score (ISS), the revised trauma score (RTS), the trauma score and the injury severity score (TRISS) were 5.6+/-5.6, 7.7+/-0.7, 5.0+/-2.1 for PMC and 7.1+/-7.5, 7.7+/-1.1, 5.5+/-1.5 for PATV, respectively. The most common injury sites were the lower extremities for PMC and the face for PATV. The rates of admission, surgery and the length of hospital stay were similar between PMC and PATV. CONCLUSION: This study shows that the risk of ATV accidents is similar to that of MC accidents. We recommend that the same safety standards and regulations that are applied to MCs should be used for ATVs. Safe and enjoyable paths have to be sought for drivers of ATVs.
Emergencies ; Humans ; Injury Severity Score ; Korea ; Length of Stay ; Lower Extremity ; Motorcycles ; Off-Road Motor Vehicles ; Retrospective Studies ; Social Control, Formal

No abstract available.
Motor Vehicles*

Sternal fractures, once thought of as an uncommon phenomenon, have occurred with an increasing frequency, paralleling the incidence of motor vehicle accidents. The tremendous force necessary to cause sternal fracture and this bone's prominent position overlying major intrathoracic and mediastinal structures, have important implications in the assessment and treatment of patients. This evaluation is based on the review of 72 patients of traumatic sternal fracture treated at the Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital during the last 4 years from March 1993 to February 1997. The frequency was 12.2% of nonpenetrating chest trauma and average age was 43.2 years old. Automobile accidents (84%) and sternal body fractures (95.8%) with anterior displacements (19.4%) was the most common cause and fracture site. Increase of cardiac isoenzymes was more frequent and higher in sternal fracture than chest contusion but there was no relationship between the time to take normalization of them and the mode of trauma.
Automobiles ; Contusions ; Humans ; Incidence ; Isoenzymes ; Motor Vehicles ; Seoul ; Thorax

PURPOSE: To evaluate the results of surgical and conservative treatment for coronal fracture of the distal femoral condyle. MATERIALS AND METHODS: The authors reviewed 19 cases from January 1993 to June 1999. Medial condyle (11 cases) was more common than lateral condyle (8 cases) and the causes of injuries included 10 cases of motor vehicle accident, 4 cases of motorcycle accident, 3 cases of falling down and 2 cases of slipping down. We divided the cases into an operation group (15 cases) and a non-operation group (4 cases) and evaluated results as good, fair and poor according to Letenneur's functional assessment. RESULTS: Anatomical reduction was obtained in all cases. The mean period of bone-union was 13.3 weeks in 12 cases of the operation group and 16.0 weeks in 2 cases of the non-operation group. The results at the last follow-up in the operation group were better than in the non-operation group. Letenneur's type III fracture had better results in both groups. CONCLUSION: In the case of coronal fractures of the femoral condyle, open reduction and internal fixation could allow earlier knee ROM exercise and procedure better results when it was indicated.
Follow-Up Studies ; Knee ; Motor Vehicles ; Motorcycles

Carotid artery dissection and rupture is rare fatal complication of blunt head and neck trauma. The authors report on a case in which a fatal delayed rupture of the carotid artery developed in a 53-yearold man after motorcycle accident resulting in fracture of right leg but no apparent head and neck injuries. The patient initially did well. 7 days after the motor vehicle accident, he suffered rapid swelling of the neck, dyspnea, and fall into loss of consciousness. The patient died and autopsy revealed dissection and rupture of the common carotid artery.
Automobiles* ; Autopsy* ; Carotid Arteries* ; Carotid Artery, Common ; Dyspnea ; Head ; Humans ; Leg ; Motor Vehicles ; Motorcycles ; Neck ; Neck Injuries ; Rupture* ; Unconsciousness

PURPOSE: Recently, all-terrain vehicle (ATV)-related injuries have increased. The purpose of this study was to evaluate and analyze the ATV injuries in Korea. METHODS: We analyzed the patients who visited Chuncheon Sacred Heart Hospital emergency center with ATVrelated injuries, from 2004 January to 2008 December. The injury severity was evaluated according to the injury severity score (ISS), the revised trauma score (RTS), and the yrauma score and the injury severity score (TRISS). RESULTS: From 2004 to 2008, a total of 78 cases, 28 male and 50 female, of ATV-related injuries were reviewed. The annual incidence had increased 22.5-fold from 2004(2 cases) to 2008(45 cases). The age ranged from 8 to 68 years (median, 24 years). The most frequently injured site was the lower extremity(48.7%). The primary mechanism of injury was roll-over(35.9%), the next was falling down (33.3%). Eighty-two percent(82%) of accidents occurred on paved roads when ATVs are legislated for off-road use only. The average ISS was 6.8. In cases including both the driver and the passenger, the ISS of passengers was higher than that of drivers(7.4 vs. 4.7). Fifty percent (50%) of patients required an operation. The rate of admission was 62.8%. The average length of hospital stay was 25 days. Eighty-one percent (81%) of patients had no previous experience of operating an ATV. Sixty-seven percent (67%) of patients did not receive any formal training before operating an ATVs. CONCLUSION: Both the incidence and severity of ATV-related injuries are increasing in Korea. There is a lack of regulation enforcement and public awareness of the dangers of ATV use. The wearing of appropriate safety equipment and sufficient education about driving skills can reduce the ATVrelated injuries.
Emergencies ; Female ; Heart ; Hospitals, General ; Humans ; Incidence ; Injury Severity Score ; Korea ; Length of Stay ; Male ; Off-Road Motor Vehicles

Rapid industrialization in this country has brought about many serious socioeconomic problems, one of which is presented by the sharp increase in motor vehicle accidents. It has become one of the leading causes of death in children and adults. A few epidemiological studies have been made concerning traffic accidents, but most of them have not payed special attention to the traffic injuries of children. It is for this reason the study was undertaken by the authors. The authors selected, as materials for the observation, 340 patients below 20 years of age with injuries sustained from motor vehicle accidents. They were treated at the emergency room of Busan National University Hospital during the period from the beginning of 1974 to the end of 1978. The cases were analyzed statistically from an epidemiological point of view and the following results were obtained. 1. The motor vehicle accidents were more frequent in male children than in female, the ratio of male to female being approximately 2:1. 2. Although the monthly frequencies of motor vehicle accidents were almost uniform in distribution, seasonally there seemed to be a significant variation, indicating low frequencies in winter and high in spring. 3. The frequencies of motor vehicle accidents were greater on Monday, Tuesday and Saturday. 4. The median of the times at which motor vehicle accidents occured during the day was about 3 P.M. in the age group below 11 years, about 4 P.M in the age group ranging from 12 to 17 years and about 7 P.M. in the age group ranging from 18 to 20 years. 5. among the major injuries sustained from motor vehicle accidents, the head injuries (injuries within the cranium and fractures of the cranial bones) were the most frequent, occupying more than 50%; a feature characteristic of traffic injuries in children.6. The younger the children, the more serious the injury sustained, and therefore the higher mortality rate observed. 7. In general motor vehicles of large size such as bus and truck tended to cause more serious injuries than those of small size such as sedan, automobile with three wheels and motorcycles. 8. The motor vehicle accidents ocurring in major roads were apt to cause more serious injuries than those in minor.
Accidents, Traffic ; Adult ; Automobiles ; Busan ; Cause of Death ; Child* ; Craniocerebral Trauma ; Emergency Service, Hospital ; Epidemiologic Studies ; Female ; Humans ; Male ; Mortality ; Motor Vehicles* ; Motorcycles ; Seasons ; Skull