Scarf-related injuries at a major trauma center in northern India

作     者：Pritish Singh Ashok Kumar Vishal Shekhawat Singh Pritish;Kumar Ashok;Shekhawat Vishal

作者机构：Department of Orthopedics Lok Nayak Hospital & Maulana Azad Medical College Delhi India Department of Orthopedics Maharaja Agarsen Medical College Agroha India 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2017年第20卷第2期

页      面：90-93页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Scarf injuriesBelt driven machinesLacerationsMangled extremity fractures 

摘      要：Purpose： Scarf is a long loose piece of cloth worn around the neck and shoulder. Despite cultural asso- ciation of this apparel, it is part of numerous injury episodes of varying enormity. Entanglement of loose scarf in spoke wheels of bike, tricycle, belt driven machines like sugarcane juice machine, thresher, grinding machines, etc is observed both in social and industrial milieu. This study aims to investigate the scarf-related injuries at a major trauma center in northern India. Methods： From June 2013 to May 2015, a hospital-based prospective observational study was done in patients who presented to a level 1 trauma center in northern India with the mode of injury involving scarf around the neck. Demographic profile, mode of trauma, contributing factors, injury pattern, and the early management as well as early complications were recorded. Results： There were 76 injuries directly related from scarf with the mean age of patients being 32.4 years. The most common primary factor involved was rotating wheel of motorbike/tricycle （46.1%）, followed by belt driven machines （28.970）. The spectrum of injuries was diverse, including minor abrasions or lac- erations （53.9%）, large lacerations （15.8%）, fractures and spine trauma （18.4%）, mangled extremity and amputations （7.9%） and death （3.9%）. More severe injury patterns were noted with belt driven machines. Conclusion： Scarf-related injuries constitute a sizable proportion of trauma, with varying degrees of severity. Devastating consequences in significant proportion of cases dictate the call for a prevention plan comprising both educational and legislative measures. Urgent preventive measures targeting scarf- related injuries will help reduce mortality and morbidity.