Incidence and Outcomes of Tree Stand Injuries in Rural Pennsylvania.

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.