Evidence map›Paper›PMID 34417908›Full record

ArticleSports medicine - open2021

Vital and Clinical Signs Gathered Within the First Minutes After a Motorcycle Accident on a Racetrack: an Observational Study.

Karin Hugelius, Jerry Lidberg, Linda Ekh, Per Örtenwall

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Article in Sports medicine - open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Karin HugeliusFaculty of Medicine and Health, Örebro University, 70182, Örebro, SE, Sweden. karin.hugelius@oru.se.ORCID http://orcid.org/0000-0003-0534-4593
Jerry LidbergRegion Örebro County, Karlskoga Hospital, 691 44, Karlskoga, Sweden.
Linda EkhTM: s ambulance, 652 26, Karlstad, Sweden.
Per ÖrtenwallSahlgrenska Academy, Gothenburg University, 405 30, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about vital signs during the very first minutes after an accident. This study aimed to describe the vital signs of motorcycle riders shortly after racetrack crashes and examine the clinical value of these data for the prehospital clinical assessments.

methodsA retrospective observational cohort based on data from medical records on 104 motorcycle accidents at a racetrack in Sweden, covering the season of 2019 (May 01 until September 17), was conducted. Both race and practice runs were included. In addition, data from the Swedish Trauma Registry were used for patients referred to the hospital. Kruskal-Wallis test and linear regression were calculated in addition to descriptive statistics.

resultsIn all, 30 riders (29%) were considered injured. Sixteen riders (15%) were referred to the hospital, and of these, five patients (5% of all riders) had suffered serious injuries. Aside from a decreased level of consciousness, no single vital sign or kinematic component observed within the early minutes after a crash was a strong clinical indicator of the occurrence of injuries. However, weak links were found between highsider or collision crashes and the occurrence of injuries.

conclusionExcept for a decreased level of consciousness, this study indicates that the clinical value of early measured vital signs might be limited for the pre-hospital clinical assessment in the motorsport environment. Also, an adjustment of general trauma triage protocols might be considered for settings such as racetracks. Using the context with medical professionals at the victim's side within a few minutes after an accident, that is common in motorsport, offers unique possibilities to increase our understanding of clinical signs and trauma in the early state after an accident.

Indexed as

AmbulanceMotorcycle accidentsPrehospital careTraumaTrauma triageVital signs

Identifiers

PMID34417908
PMCPMC8380220

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