Injury in Ireland

Injury mortality is the fourth commonest cause of death in Ireland. The treatment of injuries has a major impact on our hospitals and on our budget for health. Long term disability following accidents is a serious problem. The aim of this report is to examine the impact of accidents and injuries on the Irish population by analysing routine mortality and morbidity data, and to identify in turn those areas where preventive measures could have an impact. In Section One the literature review details the advantages and disadvantages of each type of routine data source used in this report. The interpretation of data should take account of the constraints of the available data collected. The usefulness of routine data collection is highlighted, while identifying areas for improvement. In Section Two the methodology employed in the study is detailed. In Section Three data on hospital admissions over a five-year period 1993-1997 are presented. An overview of injury admissions is presented, followed by further analysis of injury data by both cause and by age group. In Section Four data on all accident-related deaths over a 17-year period, 1980-1996, are presented, with overall mortality data and mortality data by age group and by major causes of injury death detailed. In Section Five comparisons are made between the eight health board regions for rates of admissions and deaths due to injury. In presenting the data we use a matrix format devised and recommended by the International Collaborative Effort on Injury Statistics to display injury simultaneously by cause and intent. The use of a common format will also facilitate regional and international comparisons. In Section Six the priority recommendations for injury prevention are outlined. The key findings are then discussed and further recommendations are presented with the aim of injury prevention, reduction of disability and improvement in injury surveillance

Eyelid Avulsion Following Animal Bite: a Case Report

AbstractAnimal bite is a relatively frequent health problem with the main cause being domesticated dogs responsible for around 90 % of cases. Other common aggressors include cats, cows, camels, donkeys and horses. Here we report a case of total lid avulsion by a pet dog in a middle-aged man. This report represents the medical and surgical approaches used and the result of the lid injury treatment.Keywords: Bites and stings; Eyelid; Evulsion

Envenoming: Neglected Issues in Health

Envenomings are diseases that result from bites by rabid mammals or bites and stings by venomous animals, especially snakes and scorpions etc. In all cases, appropriate early treatment, including therapeutic antisera, can prevent life-threatening conditions and even spread of the virus or venom toxins in the body. This will reduce a lot of deaths occurring especially in areas where health care is at a distance or is unavailable

Wilderness Environ Med

ObjectiveInjuries resulting from contact with animals and insects are a significant public health concern. This study quantifies nonfatal bite and sting injuries by noncanine sources using data from the National Electronic Injury Surveillance System\ue2\u20ac\u201cAll Injury Program (NEISS-AIP).MethodsThe NEISS-AIP is an ongoing nationally representative surveillance system used to monitor all types and causes of injuries treated in US hospital emergency departments (EDs). Cases were coded by trained hospital coders using information from medical records on animal and insect sources of bite and sting injuries being treated. Data were weighted to produce national annualized estimates, percentages, and rates based on the US population.ResultsFrom 2001 to 2010 an estimated 10.1 million people visited EDs for noncanine bite and sting injuries, based on an unweighted case count of 169,010. This translates to a rate of 340.1 per 100,000 people (95% CI, 232.9\ue2\u20ac\u201c447.3). Insects accounted for 67.5% (95% CI, 45.8\ue2\u20ac\u201c89.2) of bite and sting injuries, followed by arachnids 20.8% (95% CI, 13.8\ue2\u20ac\u201c27.9). The estimated number of ED visits for bedbug bite injuries increased more than 7-fold\ue2\u20ac\u201dfrom 2156 visits in 2007 to 15,945 visits in 2010.ConclusionsThis study provides an update of national estimates of noncanine bite and sting injuries and describes the diversity of animal exposures based on a national sample of EDs. Treatment of nonfatal bite and sting injuries are costly to society. Direct medical and work time lost translates to an estimated $7.5 billion annually.CC999999/Intramural CDC HHS/United States2015-10-16T00:00:00Z24433776PMC460867

A case report: a very rarely occurring snakebite

Snake bite is one of the most neglected public health issues in poor rural communities living in the tropics. The venomous bites and stings during pregnancy are very rare and it cause significant adverse effects on fetus and mother. Multiple snake bites to two different individuals by a same snake at the same time are rarely reported in literatures. In present case report, husband and wife with two and half month of pregnancy were bitten with multiple bites by same snake at the same time. This unusual and interesting case occurred in a rural area of Ahmedabad, Gujarat. It is also believed that snake discharges maximum of venom on first bite, which may be fatal compared to subsequent bites. The uniqueness of this case lies in the fact that second bite was more serious than the first bite. Woman with two and half month of pregnancy who was bitten first and hade minor effect, and no negative effects on fetus. Man bitten latter with multiple bites and was affected seriously. Both the patients were successfully treated at our hospital.

A study of refrigeration and constricting band for early treatment of pip viper snakebite

Refrigeration and constricting band for early treatment of pit viper snakebit

Proposed framework for presenting injury data using ICD-10-CM external cause of injury codes

External cause of injury frameworks based on the International Classification of Diseases (ICD) have served the injury field in providing standards for presenting and analyzing state, national and international injury mortality and morbidity data. The external cause of injury framework, commonly called the external cause matrix, categorizes ICD codes into major mechanism (e.g., motor vehicle- traffic, cut/pierce, drowning, fall, firearm, fire/burn, natural/environmental, poisoning) by intent of injury (i.e., unintentional, self-harm, assault, legal intervention/war, undetermined) categories.In the United States, morbidity coding is currently based on ICD-9-CM, and is proposed to transition to ICD-10-CM on October 1, 2014. In preparation for the use of ICD-10-CM-coded morbidity datafor injury surveillance and analytic research, the National Center for Injury Prevention and Control and the National Center for Health Statistics at the Centers for Disease Control and Prevention (CDC) have proposed an ICD-10-CM External Cause of Injury Framework or Matrix. This report provides background information on ICD-10-CM, a comparison between ICD-9-CM and ICD-10-CM external cause code sets, an overview of the proposed framework and the guiding principles used to construct it, and a list of major issues and recommended resolutions based on feedback from CDC\u2019s health information specialists and subject matter experts in injury data and surveillance systems.Proposed Framework for Presenting Injury Data using ICD-10-CM External Cause of Injury Codes is a publication of The National Center for Injury Prevention and Control and the National Center for Health Statistics within the Centers for Disease Control and Prevention.Suggested citation: Annest, J., Hedegaard, H., Chen, L., Warner, M., and Small, E. (2014). Proposed Framework for Presenting Injury Data using ICD-10-CM External Cause of Injury Codes. Atlanta, GA: National Center for Injury Prevention and Control, National Center for Health Statistics, Centers for Disease Control and Prevention.CS245207-ACDC-INFO Pub ID 2216892216892014718