Katiyar Anand, Sibi Eranki, Kumar Anil, Solanki Nimit, Dabas Ajay K, Bharathi Ramanathan Saranga
Surgical Division, Command Hospital (Northern Command), Udhampur, India.
Department of Radiology, Surgical Division, Command Hospital (Northern Command), Udhampur, Jammu and Kashmir, India.
Indian J Occup Environ Med. 2024 Apr-Jun;28(2):115-119. doi: 10.4103/ijoem.ijoem_103_23. Epub 2024 Jun 28.
Accidental injuries sustained during helocasting remain unexamined.
Conditions prevalent during a helocasting exercise performed at a still water body and the resulting casualties were analyzed.
Despatch from greater-than-ideal height (>7 m) and speed (>5 knots) causes a high-velocity impact of the body with water in a non-aerodynamic configuration, exposing maximal body area at penetration. The brunt is borne by the torso/back, specifically, the lungs, ribs, and posterior aspect of the spine. The injuries result from direct trauma, sudden deceleration, barotrauma, and hyperflexion. Computerized tomography (CT) is the imaging of choice in the assessment of these injuries. Prompt evacuation to an equipped center, whilst stabilizing the spine in the suspected, proves pivotal to the outcome.
Adverse slamming dynamics cause accidental injuries in helocasting. Thorax and spine are predominantly traumatized, both directly and indirectly, and are assessed best using CT. Timely spine stabilization and evacuation prove vital. Accurate assessment of height/speed and adherence to their ideal limits, at despatch, may avert such injuries.
抛投救生过程中遭受的意外伤害情况尚未得到研究。
对在静水水域进行抛投救生演练期间普遍存在的状况以及由此导致的伤亡情况进行了分析。
从大于理想高度（>7米）和速度（>5节）进行抛投会导致身体以非空气动力学形态高速撞击水面，入水时身体暴露面积最大。冲击力主要作用于躯干/背部，尤其是肺部、肋骨和脊柱后侧。损伤是由直接创伤、突然减速、气压伤和过度屈曲造成的。计算机断层扫描（CT）是评估这些损伤的首选成像方式。在疑似脊柱损伤时，迅速送往有救治设备的中心并同时稳定脊柱，对治疗结果至关重要。
抛投时不利的撞击动力学导致意外伤害。胸部和脊柱主要受到直接和间接创伤，最好使用CT进行评估。及时稳定脊柱并进行疏散至关重要。准确评估高度/速度并在抛投时遵守理想限制，可能避免此类损伤。
