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accidental fall
Epidemiology:
- a new 30-ft border wall along the San Diego-Mexican border was supposed to be unclimbable; however, a level 1 trauma center saw significant increases in number & severity of border wall fall injuries starting in 2019, as new wall construction concluded (5-fold increase)
- hospitalized patients presenting with traumatic brain injury (TBI) after falls at the U.S.-Mexico border wall had more severe injuries & were less likely to receive follow-up care than other patients with TBI from high falls ( >= 15 ft)
- border wall falls were associated with more diffuse axonal injury (37% vs 8%), progression of TBI on repeat imaging (69% vs 44%), & neurological deficits at discharge (21% vs 3%) [2]
- border wall falls associated with longer times from injury to admission (245 vs 51 minutes) [2]
Specific
accidental fall from animal
accidental fall from baby stroller
accidental fall from boat or other water craft
accidental fall from building
accidental fall from cliff
accidental fall from collision
accidental fall from commode or toilet
accidental fall from different level
accidental fall from furniture
accidental fall from grocery cart
accidental fall from ice skates
accidental fall from ladder
accidental fall from moving vehicle
accidental fall from playground equipment
accidental fall from roller skates
accidental fall from same level
accidental fall from scaffolding
accidental fall from scooter
accidental fall from skateboard
accidental fall from skis
accidental fall from sled
accidental fall from snowboard
accidental fall from tree
accidental fall from wheelchair
accidental fall in moving vehicle
accidental fall in shower or bathtub
accidental fall into hole or other opening in surface
accidental fall on boat or other water craft
accidental fall on or from pedestrian conveyance
accidental fall on or from ramp or incline
accidental fall on or from sidewalk curb
accidental fall on or from stairs or steps
accidental fall striking sharp object
accidental fall while being carried or supported
falls in the elderly
General
trauma
References
- Liepert AE, Berndtson AE, Hill LL et al
Association of 30-ft US-Mexico Border Wall in San Diego With Increased
Migrant Deaths, Trauma Center Admissions, and Injury Severity.
JAMA Surg. Published online April 29, 2022
https://jamanetwork.com/journals/jamasurgery/fullarticle/2791900
- George J
Brain Injury More Severe From Falls at U.S.-Mexico Border Wall.
People with border wall falls were less likely to receive follow-up care.
MedPage Today April 10, 2024
https://www.medpagetoday.com/neurology/headtrauma/109606
- Tenorio A, Brandel MG, McCann CP et al
Traumatic Brain Injuries After Falls From Height vs Falls at the US-Mexico
Border Wall.
JAMA Surg. 2024 Apr 10:e240008
PMID: 38598245
https://jamanetwork.com/journals/jamasurgery/fullarticle/2817240