Evidence map›Paper›PMID 40746794›Full record

ArticleCureus2025

Severe Pediatric Polytrauma Complicated by Stroke After Fall From Swamp Buggy.

Morgan C Uebelacker, Avram Rago, Joseph Fahmy, Alexandria Farish

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Morgan C UebelackerEmergency Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
Avram RagoPediatrics, University of South Florida Morsani College of Medicine, Tampa, USA.
Joseph FahmyEmergency Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
Alexandria FarishPediatric Emergency Medicine, Tampa General Hospital, Tampa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blunt cerebrovascular injuries (BCVIs) are rare but potentially severe complications of blunt trauma and can lead to acute ischemic stroke. Diagnosis requires imaging but necessitates more cautious consideration in pediatrics due to radiation concerns. Management options span observation, anticoagulation, and various endovascular interventions, but decisions are complicated by limited literature and the presence of other traumatic injuries. Further collaborative research is needed to provide clarity when caring for pediatric patients with BCVI to guide diagnosis and management. A four-year-old male with no significant past medical history presented to the emergency department as a trauma activation secondary to injuries sustained after falling from a moving "swamp buggy" recreational vehicle. He was found to have severe craniofacial and cervical spine injuries including open bilateral mandibular fractures, C2-C3 distraction injury with associated spinal cord injury, and blunt left common carotid injury subsequently complicated by a left hemispheric stroke with right hemiplegia. Management challenges arose due to the complexity of injuries, with decisions regarding management of initial injuries and subsequent stroke treatment being particularly intricate. The patient underwent various interventions, including closed reduction of spinal fractures, halo vest placement, mandibular fracture repair and ultimately open internal fixation of spinal fractures via spinal fusion. Despite the severity of injuries, the patient had a positive outcome, underscoring the importance of multidisciplinary collaboration in trauma care. This is an uncommon injury presentation in a pediatric patient and this case was highlighted to demonstrate the diagnostic and treatment challenges regarding blunt cerebrovascular injuries in pediatric patients. Further research is needed to guide physicians caring for pediatric patients with blunt cerebrovascular injuries and the sequela of such injuries.

Indexed as

blunt cerebrovascular injuryemergency medicinepediatric emergency medicinepediatric strokepediatric traumaswamp buggy accidenttraumatic carotid dissectiontraumatic cervical spine injury

Identifiers

PMID40746794
PMCPMC12310410

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.