accidental fall

From Aaushi
Jump to navigation Jump to search

Epidemiology

  • a new 30-ft border wall along the San Diego-Mexican border was supposed to be unclimbable; however, a level 1 trauma center saw significant increases in number & severity of border wall fall injuries starting in 2019, as new wall construction concluded (5-fold increase)
  • hospitalized patients presenting with traumatic brain injury (TBI) after falls at the U.S.-Mexico border wall had more severe injuries & were less likely to receive follow-up care than other patients with TBI from high falls ( >= 15 ft)
    • border wall falls were associated with more diffuse axonal injury (37% vs 8%), progression of TBI on repeat imaging (69% vs 44%), & neurological deficits at discharge (21% vs 3%)[2]
    • border wall falls associated with longer times from injury to admission (245 vs 51 minutes)[2]

More general terms

More specific terms

References

  1. Liepert AE, Berndtson AE, Hill LL et al Association of 30-ft US-Mexico Border Wall in San Diego With Increased Migrant Deaths, Trauma Center Admissions, and Injury Severity. JAMA Surg. Published online April 29, 2022 https://jamanetwork.com/journals/jamasurgery/fullarticle/2791900
  2. 2.0 2.1 2.2 George J Brain Injury More Severe From Falls at U.S.-Mexico Border Wall. People with border wall falls were less likely to receive follow-up care. MedPage Today April 10, 2024 https://www.medpagetoday.com/neurology/headtrauma/109606
    Tenorio A, Brandel MG, McCann CP et al Traumatic Brain Injuries After Falls From Height vs Falls at the US-Mexico Border Wall. JAMA Surg. 2024 Apr 10:e240008 PMID: https://www.ncbi.nlm.nih.gov/pubmed/38598245 https://jamanetwork.com/journals/jamasurgery/fullarticle/2817240