- Radiologic assessment of the optimal point for tube thoracostomy using the sternum as a landmark: a computed tomography‐based analysis
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Jaeik Jang, Jae-Hyug Woo, Mina Lee, Woo Sung Choi, Yong Su Lim, Jin Seong Cho, Jae Ho Jang, Jea Yeon Choi, Sung Youl Hyun
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J Trauma Inj. 2024;37(1):37-47. Published online February 23, 2024
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DOI: https://doi.org/10.20408/jti.2023.0058
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Abstract
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- Purpose
This study aimed at developing a novel tube thoracostomy technique using the sternum, a fixed anatomical structure, as an indicator to reduce the possibility of incorrect chest tube positioning and complications in patients with chest trauma.
Methods This retrospective study analyzed the data of 184 patients with chest trauma who were aged ≥18 years, visited a single regional trauma center in Korea between April and June 2022, and underwent chest computed tomography (CT) with their arms down. The conventional gold standard, 5th intercostal space (ICS) method, was compared to the lower 1/2, 1/3, and 1/4 of the sternum method by analyzing CT images.
Results When virtual tube thoracostomy routes were drawn at the mid-axillary line at the 5th ICS level, 150 patients (81.5%) on the right side and 179 patients (97.3%) on the left did not pass the diaphragm. However, at the lower 1/2 of the sternum level, 171 patients (92.9%, P<0.001) on the right and 182 patients (98.9%, P= 0.250) on the left did not pass the diaphragm. At the 5th ICS level, 129 patients (70.1%) on the right and 156 patients (84.8%) on the left were located in the safety zone and did not pass the diaphragm. Alternatively, at the lower 1/2, 1/3, and 1/4 of the sternum level, 139 (75.5%, P=0.185), 49 (26.6%, P<0.001), and 10 (5.4%, P<0.001), respectively, on the right, and 146 (79.3%, P=0.041), 69 (37.5%, P<0.001), and 16 (8.7%, P<0.001) on the left were located in the safety zone and did not pass the diaphragm. Compared to the conventional 5th ICS method, the sternum 1/2 method had a safety zone prediction sensitivity of 90.0% to 90.7%, and 97.3% to 100% sensitivity for not passing the diaphragm.
Conclusions Using the sternum length as a tube thoracostomy indicator might be feasible.
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Summary
- Changes in incidence and severity of commercial motorcycle accidents due to the use of delivery service platforms in Korea: a retrospective cohort study
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Dam Moon, Jae Ho Jang, Jin Seong Cho, Jae Yeon Choi, Jae-hyug Woo, Woo Sung Choi, Sung Yeol Hyun, Seung Hwan Lee
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J Trauma Inj. 2023;36(2):121-127. Published online September 19, 2022
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DOI: https://doi.org/10.20408/jti.2022.0031
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Abstract
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- Purpose
Recently, a sharp increase in the use of delivery services has led to an increase in motorcycle accidents. This study aimed to identify the characteristics of the commercial motorcycle injured patients and factors related to the severity during the past 10 years.
Methods Patients (15–64 years old) who visited the emergency department with commercial motorcycle accidents injury registered in the Korean Emergency Department-based Injury In-depth Surveillance (2011–2020) database, were included. All included cases were categorized into two groups according to the period: group 1 (2011–2015) and group 2 (2016–2020). General characteristics and the factors associated with severity were investigated.
Results Among 8,123 emergency department visits, patients in group 1 were 3,071, and patients in group 2 were 5,052. The odds for severity were affected by patients age (odds ratio [OR], 1.008; 95% confidence interval [CI], 1.004–1.013), and overnight/morning (00:00–12:00; OR, 1.243; 95% CI, 1.091–1.415). The odds for severity were higher in head and neck injury (OR, 8.357; 95% CI, 7.410–9.424) and torso injury (OR, 4.122; 95% CI, 3.610–4.708). The odds for the severity of accidents based on excess mortality ratio-adjusted Injury Severity Score (EMR-ISS) after 2015 were significant (OR, 1.491; 95% CI, 1.318–1.687). Hospitalization in the intensive care unit and death were associated with accidents after 2015 (OR, 2.593; 95% CI, 2.120–3.170).
Conclusions Commercial motorcycle accidents have increased significantly over the past decade. There were statistical differences in severity based on EMR-ISS and the hospitalization in intensive care unit and death.
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Summary
- Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018
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Juni Song, Yang Bin Jeon, Jae Ho Jang, Jin Seong Cho, Jae Yeon Choi, Woo Sung Choi
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J Trauma Inj. 2023;36(1):32-38. Published online May 25, 2022
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DOI: https://doi.org/10.20408/jti.2021.0057
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8,105
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2
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Abstract
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- Purpose
This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries.
Methods Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who were registered in the Korean Emergency Department-based Injury In-Depth Surveillance (2011–2018) database, were included. Patients’ demographic characteristics, injury-related factors, and Injury Severity Scores were collected. All included cases were categorized into two groups according to the tool that caused the injury: grinder versus nongrinder. The characteristics of the two groups were compared, and the factors associated with the severity of injuries were investigated.
Results Among 8,697 ED visits, 4,603 patients had been using a grinder and 4,094 had been using a nongrinder tool. The most frequently injured body part while using a grinder was the hand (46.4%), followed by the head (23.0%). While using a nongrinder tool, the most frequently injured body part was also the hand (64.0%), followed by the lower leg (11.4%). The odds of a severe injury were affected by patient age (odds ratio [OR], 1.024; 95% confidence interval [CI], 1.020–1.028) and using a grinder (OR, 2.073; 95% CI, 1.877–2.290). The odds of a severe injury using a grinder were higher in arm injuries (OR, 1.60; 95% CI, 1.40–1.83) and multiple-part injuries (OR, 1.998; 95% CI, 1.639–2.437). The odds of a severe injury using a grinder were lower for head injuries (OR, 0.481; 95% CI, 0.297–0.781).
Conclusions Injuries from grinders were more likely to affect the head and neck than nongrinder injuries, despite the lower severity. The current lack of regulations on grinders in occupational safety and health standards warrants relevant legislation and the development of applicable safety equipment.
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Summary
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Citations
Citations to this article as recorded by 
- Clinical patterns and outcomes of hospitalized patients with grinder-related neurovascular injuries: A decade of experience from a Level I Trauma center
Hassan Al-Thani, Ayman El-Menyar, Mohammad Asim, Ibrahim Afifi Injury.2025; 56(1): 111914. CrossRef - Analysis of needlestick and sharps injuries (NSSI) in a tertiary level hospital: A 6-year review study
Nazife Öztürk Frontiers in Life Sciences and Related Technologie.2024; 5(3): 167. CrossRef
- Comparison of Penetrating and Blunt Traumatic Diaphragmatic Injuries
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Sang Su Lee, Sung Youl Hyun, Hyuk Jun Yang, Yong Su Lim, Jin Seong Cho, Jae Hyug Woo
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J Trauma Inj. 2019;32(4):210-219. Published online December 30, 2019
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DOI: https://doi.org/10.20408/jti.2019.034
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5,105
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111
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2
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Abstract
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Purpose
Traumatic diaphragmatic injury (TDI) is no longer considered to be a rare condition in Korea. This study investigated differences in the prevalence of accompanying injuries and the prognosis in patients with traumatic diaphragmatic damage according to the mechanism of injury.
Methods
We retrospectively reviewed the medical records of patients with TDI who were seen at a regional emergency medical center from January 2000 to December 2018. Among severe trauma patients with traumatic diaphragmatic damage, adults older than 18 years of age with a known mechanism of injury were included in this study. Surgery performed within 6 hours after the injury was sustained was defined as emergency surgery. We assessed the survival rate and likelihood of respiratory compromise according to the mechanism of injury.
Results
In total, 103 patients were analyzed. The patients were categorized according to whether they had experienced a penetrating injury or a blunt injury. Thirty-five patients had sustained a penetrating injury, and traffic accidents were the most common cause of blunt injuries. The location of the injury did not show a statistically significant difference between these groups. Severity of TDI was more common in the blunt injury group than in the penetrating injury group, and was also more likely in patients with respiratory compromise. However, sex, the extent of damage, and the initial Glasgow coma scale score had no significant relationship with severity.
Conclusions
Based on the findings of this study, TDI should be recognized and managed proactively in patients with blunt injury and/or respiratory compromise. Early recognition and implementation of an appropriate management strategy would improve patients’ prognosis. Multi-center, prospective studies are needed in the future.
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Summary
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Citations
Citations to this article as recorded by 
- An audit of traumatic haemothoraces in a regional hospital in KwaZulu-Natal, South Africa
CM Kithuka, VC Ntola, W Sibanda South African Journal of Surgery.2023; 61(3): 12. CrossRef - Factors Associated with Successful Video-Assisted Thoracoscopic Surgery and Thoracotomy in the Management of Traumatic Hemothorax
Heather M. Grant, Alexander Knee, Michael V. Tirabassi Journal of Surgical Research.2022; 269: 83. CrossRef
- The New Recreational Transportation on the Street: Personal Mobility, Is It Safe?
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Young Woo Kim, Won Bin Park, Jin Seong Cho, Sung Youl Hyun, Geun Lee
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J Trauma Inj. 2018;31(3):125-134. Published online December 31, 2018
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DOI: https://doi.org/10.20408/jti.2018.040
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16,476
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90
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13
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Abstract
PDF
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Purpose
The interest in the personal mobility started to grow and as the interest increases, there are growing concerns about the safety of it. The purpose of the study is to look at the types and dynamics of patients injured by the personal mobilities.
Methods
This was a retrospective 2-year observational study, from January 2016 to December 2017, on the patients who visited the emergency center and the trauma center, with an injury related to driving the personal mobility. Cases of the personal mobility-related accident were collected based on electronic medical records and hospital emergency department-based injury in-depth surveillance data.
Results
A total of 65 patients visited the emergency center and the trauma center, during this study period. Six patients of 50 adults admitted the alcohol consumption (12%) and two adult patients wore the helmet as the protection gear (3.1%). The number of the patients in 2017 rises three times more than the number of patients in 2016 (51 vs. 14). Injuries to the head and neck region (67.7%) was the most common, followed by the upper extremity (46.2%). Eleven patients (16.9%) were admitted to the hospital, of whom three were admitted to the intensive care unit due to intracranial hemorrhage. Nine patients underwent surgery.
Conclusions
The use of the personal mobility will continue to grow and the accidents, caused by the vehicle, will increase along with it. The study showed the damage is worse than expected. Personal mobility currently has a limited safety laws and the riders are not yet fully aware of its danger. The improvement of the regulation of the personal mobility, safety education is needed.
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Summary
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Citations
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- Critical risk factors associated with fatal/severe crash outcomes in personal mobility device rider at-fault crashes: A two-step inter-cluster rule mining technique
Reuben Tamakloe, Kaihan Zhang, Ahmed Hossain, Inhi Kim, Shin Hyoung Park Accident Analysis & Prevention.2024; 199: 107527. CrossRef - The epidemiology and outcomes of severe road traffic injury by road user type in Korea: A nationwide retrospective observational study
Gyeongmin Lee, Jeong Ho Park, Seung Chul Lee, Sanghun Lee, Kyoung Jun Song, Sang Do Shin Injury.2024; 55(10): 111732. CrossRef - Typological index of alleyways: mapping the pattern of a forgotten urban form element
Khaled Alawadi, Asim Khanal, Rawan Sohdy Abdelfattah Journal of Urban Design.2023; 28(2): 199. CrossRef - Electric personal mobility device driver behaviors, their antecedents and consequences: A narrative review
Clément Laverdet, Pascal Malola, Thierry Meyer, Patricia Delhomme Journal of Safety Research.2023; 86: 274. CrossRef - Characteristics of injuries associated with electric personal mobility devices: a nationwide cross-sectional study in South Korea
Maro Kim, Dongbum Suh, Jin Hee Lee, Hyuksool Kwon, Yujin Choi, Joo Jeong, Sola Kim, Soyun Hwang, Joong Wan Park, You Hwan Jo Journal of Trauma and Injury.2022; 35(1): 3. CrossRef - Types of injuries caused by isolated electric scooter accidents
Kyongwon Yoo, Hyung Il Kim Journal of Trauma and Injury.2022; 35(4): 232. CrossRef - Revisiting transit-oriented development: Alleys as critical walking infrastructure
Khaled Alawadi, Asim Khanal, Azhar Doudin, Rahma Abdelghani Transport Policy.2021; 100: 187. CrossRef - Epidemiological trends of personal mobility devices and power-assisted bicycles-related fires and injuries in Singapore
Jason Qi Wei Kwek, Qin Xiang Ng, Amelia Justina Lim, Li Feng Ang, Shalini Arulanandam Burns.2021; 47(4): 983. CrossRef - Where to Ride? An Explorative Study to Investigate Potential Risk Factors of Personal Mobility Accidents
Jihun Oh, Jeongseob Kim International Journal of Environmental Research an.2021; 18(3): 965. CrossRef - Contextual risk factors in the use of electric kick scooters: An episode sampling inquiry
Kyung-Jun Lee, Chan Hyeok Yun, Myung Hwan Yun Safety Science.2021; 139: 105233. CrossRef - Survey on e-Powered Micro Personal Mobility Vehicles: Exploring Current Issues towards Future Developments
Stefania Boglietti, Benedetto Barabino, Giulio Maternini Sustainability.2021; 13(7): 3692. CrossRef - Identifying the Risk Factors in the Context-of-Use of Electric Kick Scooters Based on a Latent Dirichlet Allocation
Kyung-Jun Lee, Chan Hyeok Yun, Ilsun Rhiu, Myung Hwan Yun Applied Sciences.2020; 10(23): 8447. CrossRef - Challenges Caused by Increased Use of E-Powered Personal Mobility Vehicles in European Cities
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