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MDCT evaluation of injuries after tram accidents in pedestrians

Abstract

Multidetector computed tomography (MDCT) is especially suited for emergency diagnostics in multiple trauma patients. The objectives of this study were to investigate the types and frequencies of injuries associated with tram accidents in pedestrians. Eighteen consecutive pedestrian patients with multiple traumas after tram accidents were evaluated with MDCT in our Level I Trauma Center. The mean age in our patient cohort was 36.9 years with a range from 14–92 years. There was a trend for accident events occurring more commonly during the winter months in middle-aged men, often under the influence of alcohol. Patients were divided into two groups with unilateral or complex injury patterns. In both groups, leading diagnoses were head (83.3%) and thorax injuries (66.6%). Abdominal injuries (44.4%) were less common and mainly found in the complex injuries group. The most serious injuries occurred in the complex injuries group when the victim was caught under or between tramcars. A wide range of injuries is associated with tram accidents in pedestrians, which can be classified into two main injury patterns, unilateral and complex. The life-limiting injuries in this setting involved the head with a mortality rate of 22.2% (four patients) in our cohort.

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References

  1. Hedelin A, Björnstig U, Brismar B (1996) Trams- a risk factor for pedestrians. Accid Anal Prev 28:733–738

    Article  CAS  PubMed  Google Scholar 

  2. Gralla J, Spycher F, Pignolet C, Ozdoba C, Vock P, Hoppe H (2005) Evaluation of a 16-MDCT scanner in an emergency department: initial clinical experience and workflow analysis. AJR Am J Roentgenol 185:232–238

    PubMed  Google Scholar 

  3. Geijer M, El-Khoury GY (2006) MDCT in the evaluation of skeletal trauma: principles, protocols and clinical applications. Emerg Radiol 13:7–18

    Article  PubMed  Google Scholar 

  4. Prokop A, Hötte H, Krüger K, Rehm KE, Isenberg J, Schiffer G (2006) Multislice CT in diagnostic work-up of polytrauma. Unfallchirurg 109:545–550

    Article  CAS  PubMed  Google Scholar 

  5. Heyer CM, Rduch GJ, Wick M, Bauer TT, Muhr G, Nicolas V (2005) Evaluation of multiple trauma victims with 16-row multidetector CT (MDCT): a time analysis. RoFo 177:1677–1682

    CAS  PubMed  Google Scholar 

  6. Cameron IC, Harris NJ, Kehoe NJS (2001) Tram-related injuries in Sheffield. Injury 32:275–277

    Article  CAS  PubMed  Google Scholar 

  7. Williams JS, Graff JA, Uku JM (1995) Pedestrian intoxication and fatal traffic accident injury patterns. Prehosp Disaster Med 10:30–35

    CAS  PubMed  Google Scholar 

  8. Kuroda N, Pounder DJ (1994) Suicide on the roads. J Traffic Med 23:67–70

    Google Scholar 

  9. Unger R, Eder C, Mayr JM, Wernig J (2002) Child pedestrian injuries at tram and bus Stops. Injury 33:485–488

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Andre W. Demant.

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Demant, A.W., Bangard, C., Bovenschulte, H. et al. MDCT evaluation of injuries after tram accidents in pedestrians. Emerg Radiol 17, 103–108 (2010). https://doi.org/10.1007/s10140-009-0844-4

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  • DOI: https://doi.org/10.1007/s10140-009-0844-4

Keywords

  • MDCT
  • Trauma
  • Tram accident