Penetrating head & neck trauma - Epidemiology and injury characteristics in terror-related violence, interpersonal violence and deliberate self-harm at a level 1 trauma centre

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
James OldingKathleen Fan

Abstract

Penetrating trauma to the head and neck presents specific clinical challenges. Aetiologies include interpersonal violence, deliberate self-harm and terror-related violence. King's College Hospital is a Major Trauma Centre serving inner-city London boroughs with a high incidence of knife and gun crime. It also received victims of the terrorist attack at London Bridge in June 2017. Data was collected prospectively on all patients presenting with penetrating trauma to the head and neck over a one-year period (August 2016-July 2017). Overall figures for penetrating trauma are the highest since comparable records began with 478 cases (2016/17) compared with 172 (2010/11). Most patients had injuries resulting from interpersonal violence (83%); a group consisting mostly in males (88%) under the age of 30 (69%). The sole fatality among all patients was a result of repeat deliberate self-harm. Terror-related violence victims were equally gender split and older; all patients in this group required surgical intervention and had longer lengths of stay (16.3 days) compared with interpersonal violence (6.3 days) and deliberate self-harm (3 days). Violent crime is increasing. Overall penetrating injury has more than doubled in 6 years. The in...Continue Reading

Citations

Jun 21, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Daniele BorsettoPaul Pracy
Apr 28, 2019·British Dental Journal
Apr 3, 2019·BMJ : British Medical Journal·Jacqui Thornton
Nov 20, 2020·The British Journal of Oral & Maxillofacial Surgery·E YeungK F M Fan
Aug 23, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·James OldingKathleen Fan
Jan 12, 2021·The American Journal of Emergency Medicine·Milton SteinmanNelson Wolosker
Jun 22, 2021·Oral and Maxillofacial Surgery·Ben J SteelLouis T Wheeler
Jul 30, 2021·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Benjamin ZakariaNeil Sharma

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