Un plastron en plus?

Plastron:  pièce d'armure qui protège la poitrine.  Comme en moto-cross.

Riding a bicycle: Do we need more than a helmet?

Abstract

Background:  To assess pediatric bicycle-related traumatization in view of types of injuries, incidence and modes of prevention.

Methods:  Retrospective study of pediatric cases admitted to the pediatric intensive care unit of a university-affiliated level II trauma hospital in Israel over 12 consecutive years.

Results:  Forty-six patients (three girls, 43 boys) with bicycle-related injuries formed 1% of the total pediatric intensive care unit admissions during the study period. The number of patients with bicycle-related injuries increased significantly during recent years (1996–2001 vs 2002–07: P= 0.003). Most of the cases presented abdominal injuries (54.4%) followed by head (32.6%) and chest (13%) injuries. The median age of patients with abdominal trauma was significantly lower in comparison to patients with other types of injuries (P= 0.002). Abdominal cases required longer hospitalization compared with other patients (P= 0.003). Falling from a bicycle was the main mechanism of injury in abdominal cases (88%) (P= 0.003). Motor vehicle impacts were the main mechanism of injury in patients with head (60%) and chest (66.6%) trauma.

Conclusion:  The incidence of severe bicycle-related injuries requiring intensive care hospitalization is increasing and abdominal trauma forms the main portion of those injuries. We suggest introducing a trunk-protective measure for young bicyclists. Exact information on the mechanism of the injury is important for evaluating the injured patient more accurately.

Je suis pour le port du plastron.  Mon film favori est Mad Max, the Road Warrior . . . 

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