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J Korean Soc Emerg Med > Volume 28(1); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(1): 47-53.
자살 목적으로 다리에서 뛰어내린 익수자와 관련된 외상에 한 연구
김형수, 박정호, 최승필, 위정희
가톨릭대학교 의과대학 여의도성모병원 응급의학과
Drowning-Related Injuries: Fallen from the Bridge for the Purpose of Suicide
Hyung Soo Kim, Jeong Ho Park, Seung Pill Choi, Jung Hee Wee
Department of Emergency Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence  Jeong Ho Park ,Tel: 02-3779-1188, Fax: 02-780-9114, Email: jhpark1977@catholic.ac.kr ,
Received: July 7, 2016; Revised: July 8, 2016   Accepted: October 24, 2016.  Published online: February 28, 2017.
ABSTRACT
Purpose:
Jumping off a bridge is one method of suicide. In a recent report, out of the 37 patients with cardiac arrest after drowning, 5 (36%) patients suffered severe traumatic injuries. The objective of this study was to report these injuries, without cardiac arrest, in patients after jumping off a bridge with the purpose of suicide.
Method:
We retrospectively reviewed the charts of all patients admitted to the emergency department in a tertiary care hospital after drowning in the Han River between 1997 and 2012. We analyzed the results of imaging studies. Each injury was described as one of the six body regions, similar to the method of the Injury Severity Score.
Results:
A total of 469 patients were admitted to the emergency department from drowning. Sixty-six patients had jumped off a bridge with the purpose of suicide. Forty patients experienced cardiac arrest. In cardiac arrest patients, 25 patients (62.5%) underwent radiologic examinations. Only 2 patients (5.0%) received damage on the cervical spine and face. All non-cardiac arrest patients underwent imaging studies. Nine patients (34.6%) showed evidence of injuries. Most injuries occurred in the chest; four patients suffered the following injuries: rib fracture, pneumothorax, pneumomedistinum, and thoracic spine fracture. One patient had abdominal damage, an intra-abdominal hematoma. Last one patient suffered an injury to the chest and abdomen.
Conclusion:
In drowning patients with the purpose of suicide, variable damage could not be ruled out. It is especially not confined to a specific area, and damage to various parts of the body should be considered.
Key words: Drowning, Suicide, Multiple trauma
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