Livingston Ryan, Koval Lidia, Livingston Leah, Scholes Neil
Rockhampton General Hospital, Rockhampton QLD Australia.
Australas Med J. 2012;5(7):362-6. doi: 10.4066/AMJ.2012.1280. Epub 2012 Jul 31.
Bull riding is an increasingly popular and growing professional sport in Australia. This is the first national study that investigates bull riding-related injuries.
A six-year retrospective study of patients admitted to Rockhampton Base Hospital with acute injuries sustained whilst bull riding. Patients were identified from the Rockhampton Hospital international coding system and surgical audit excel databases. Supporting information was found from patient chart review.
Thirty-eight patients were admitted during the study. Injuries increased from 2008. The most common injuries were to limbs (52%), chest (15%) and brain (10%). Life- threatening injuries were all caused by a direct kick or trampling by the bull; 5% of patients needed air transfer to Brisbane, and 10% to Rockhampton for their acute care. The only complication was infection of open wounds. The average hospital stay was 2.2 (range= 1-5, SD= 1.1) days and 64% of patients required operative intervention.
Patients that had been kicked or trampled should be identified as having potentially life-threatening injuries, and transferred for review at an appropriate facility. Due to the high risk of infection all contaminated wounds should be washed out formally and receive antibiotics. Protective equipment should be encouraged among riders.
骑牛竞技在澳大利亚是一项越来越受欢迎且不断发展的职业运动。这是第一项调查与骑牛竞技相关损伤的全国性研究。
对因骑牛时遭受急性损伤而入住罗克汉普顿基地医院的患者进行为期六年的回顾性研究。通过罗克汉普顿医院国际编码系统和外科审计电子表格数据库确定患者。通过查阅患者病历获取支持性信息。
研究期间有38名患者入院。损伤数量自2008年起有所增加。最常见的损伤部位是四肢(52%)、胸部(15%)和脑部(10%)。危及生命的损伤均由公牛直接踢踹或踩踏所致;5%的患者需要空运至布里斯班,10%的患者需要转运至罗克汉普顿接受急性护理。唯一的并发症是开放性伤口感染。平均住院时间为2.2天(范围=1 - 5天,标准差=1.1),64%的患者需要手术干预。
被公牛踢踹或踩踏的患者应被认定为有潜在的危及生命的损伤,并转至合适的医疗机构进行检查。由于感染风险高,所有污染伤口都应进行正规冲洗并给予抗生素治疗。应鼓励骑手使用防护装备。