Barbieri Stefania, Feltracco Paolo, Omizzolo Luca, Snenghi Rossella, El Mazloum Rafi, Vettore Gianna, Bergamini Mauro, Stefanati Armando, Donato Daniele, Ferronato Cecilia, Avato Francesco Maria, Tredese Alberto, Gaudio Rosa Maria
Preventive Medicine and Risk Assessment, University of Ferrara, Ferrara, Italy.
Department of Urgent and Emergency Care, University of Padova, Padova, Italy.
Interact J Med Res. 2017 Mar 23;6(1):e4. doi: 10.2196/ijmr.6568.
The monitoring and management of risks regarding children and young people admitted to the emergency department as a result of dangerous behaviors distributed via the Internet should be based on clinical reasoning and knowledge about these social media-related phenomena. Here we examine 2 cases of teenagers who reported severe injuries while performing the "planking" craze, a challenge that consists in lying face-down stiffly like a board on any kind of surface.
Our objective is to examine and describe the Internet craze called planking, also known as the "lying-down game," through 2 case reports from our experience, enriching this study with information gained through discussions with secondary school teenagers.
Details of the 2 case reports were taken from electronic medical records giving information on care support processes, care management, and the costs of traumatic episodes. Demographic data, hemoglobin and serum lactate values, and Injury Severity Scores were evaluated. The study took place in secondary schools of our city from 2013 to 2014 during medical education courses, with the aim of analyzing the influence of social media on teenagers' activities and behaviors.
Both patients suffered multiple trauma injuries and needed high-level health assistance. The first patient underwent a splenectomy and the second one a nephrectomy; both of them required a long hospital stay (14 and 20 days, respectively), and the costs for their management have been estimated at US $27,000 and US $37,000, respectively. Their decision to perform the planking in dangerous locations was due to their ambition to gain peers' acclaim through shared videos and pictures.
Reporting and understanding these cases may potentially help prevent future events occurring in similar circumstances: the scientific community cannot leave this problem unaddressed. There is also a role of education resources for health care professionals; for this, we must identify and follow up strange or misleading information found on websites. A key element of this research study was to report physicians' misperceptions concerning planking and, with these cases used for teaching purposes, improve knowledge of the clinical and forensic aspects of this emerging problem.
对于因通过互联网传播的危险行为而被送往急诊科的儿童和青少年，其风险监测与管理应基于临床推理以及对这些与社交媒体相关现象的了解。在此，我们研究了2例青少年在参与“平板支撑”热潮时报告严重受伤的案例，“平板支撑”是一项挑战，要求像木板一样脸朝下僵硬地躺在任何表面上。
我们的目的是通过来自我们经验的2例病例报告，审视并描述被称为平板支撑（也称为“躺下游戏”）的网络热潮，并通过与中学生的讨论所获得的信息丰富本研究。
2例病例报告的细节取自电子病历，这些病历提供了有关护理支持过程、护理管理以及创伤事件费用的信息。评估了人口统计学数据、血红蛋白和血清乳酸值以及损伤严重程度评分。该研究于2013年至2014年在我市的中学医学教育课程期间进行，目的是分析社交媒体对青少年活动和行为的影响。
两名患者均遭受多处创伤，需要高水平的医疗救助。第一名患者接受了脾切除术，第二名患者接受了肾切除术；两人都需要长时间住院（分别为14天和20天），其治疗费用估计分别为27,000美元和37,000美元。他们在危险地点进行平板支撑的决定是出于渴望通过分享视频和图片获得同龄人赞誉的想法。
报告和了解这些案例可能有助于预防未来在类似情况下发生的事件：科学界不能忽视这个问题。医疗保健专业人员的教育资源也发挥着作用；为此，我们必须识别并跟进在网站上发现的奇怪或误导性信息。本研究的一个关键要素是报告医生对平板支撑的误解，并将这些案例用于教学目的，以提高对这一新兴问题的临床和法医方面的认识。
