Incidence and Outcomes of Tree Stand Injuries in Rural Pennsylvania.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Wilderness & Environmental Medicine Pub Date : 2025-06-01 Epub Date: 2025-02-13 DOI:10.1177/10806032251316793
Andrew Lachance, Michael Oravic, Roman Steika, Colt Crymes, Stephan Aynaszyan, Alexia Gagliardi, Joseph Choi
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Abstract

IntroductionIn the United States, more than 11.5 million people participate in hunting. Deer hunters commonly use tree stands as tall as 8 m. Falls from tree stands can cause injury and even death. Previous studies have investigated the types of injuries sustained from tree stand falls, but few have investigated patient outcomes. This study investigated patient outcomes related to tree stand falls and analyzed injury types resulting from tree stand falls, and this paper discusses factors that may lead to tree stand falls.MethodsThis study used a retrospective chart review of patients at the same institution between January 1, 2012, and August 31, 2022. Patient information, injury type, fall height, and interventions were collected.ResultsA total of 38 patients were included in the study, 36 males (94.70%) and 2 females (5.30%). The average fall height from a tree stand was 4.22±1.62 m (13.86±5.30 ft). Of the 38 patients, 19 had sustained orthopedic injuries to their upper extremity, lower extremity, spine/pelvis, or multiple areas; the average fall height of this subgroup was 4.51±1.76 m (14.79±5.76 ft). Nonoperative management was the highest used intervention because 12 patients did not require surgery. Orthopedic surgery was used to treat 6 patients, and 1 patient had nonorthopedic surgery.ConclusionsAlthough tree stand falls are rare, the injuries they cause can be fatal. Injury severity and outcome are determined by a multitude of factors. This study highlights the significance of these injuries and the importance of practicing safe guidelines while hunting.

宾夕法尼亚州农村林分伤害的发生率和结果。
在美国,有超过1150万人参加狩猎活动。猎鹿人通常使用8米高的树桩。从树桩上摔下来会造成伤害甚至死亡。以前的研究已经调查了从树上跌落造成的伤害类型,但很少调查患者的结果。本研究调查了与林木倒下相关的患者预后,分析了林木倒下造成的损伤类型,并探讨了可能导致林木倒下的因素。方法:本研究采用回顾性图表,回顾2012年1月1日至2022年8月31日在同一机构就诊的患者。收集患者信息、损伤类型、坠落高度和干预措施。结果:共纳入38例患者,其中男性36例(94.70%),女性2例(5.30%)。平均落点高度为4.22±1.62米(13.86±5.30英尺)。在38例患者中,19例患者的上肢、下肢、脊柱/骨盆或多个部位有骨科损伤;该亚组的平均坠落高度为4.51±1.76 m(14.79±5.76 ft)。非手术治疗是使用最多的干预措施,因为12例患者不需要手术。6例采用骨科手术,1例采用非骨科手术。结论:虽然树木倒下是罕见的,但它们造成的伤害可能是致命的。损伤的严重程度和结果是由多种因素决定的。这项研究强调了这些伤害的重要性,以及在狩猎时实施安全指南的重要性。
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来源期刊
Wilderness & Environmental Medicine
Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
7.10%
发文量
96
审稿时长
>12 weeks
期刊介绍: Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.
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