Injury season begins in Russia with the onset of winter – RealnoeVremya.com
“There is no place for children because of the epidemiological situation, hence the injuries”
The number of injuries among children in 2020-2021 has increased – children are on their own as all organized sites are closed due to the coronavirus pandemic and restrictions. It is ironic, but due to these restrictions, the seasonal rate of injury among adult citizens of Tatarstan has finally declined. Leading traumatologists Ruslan Khasanov of the Republican Children’s Clinical Hospital and Albert Galimov of the Kazan City Polyclinic No. 7 told us about the most dangerous entertainment. They also explained why spinal compression fracture may be ‘missed’ in child patients as it becomes more dangerous for older people year after year due to the ‘mute osteoporosis epidemic’.
According to Albert Galimov, the number of visits to hospitals with injury complaints increases every year with the first icy roads. Ruslan Khasanov said that today – with the onset of seasonal injuries – up to 200 child injury admissions are recorded per day, 30-40% of patients are referred for hospital treatment.
Doctors have recorded an increase in injuries to children in the past two years alone, with the coronavirus pandemic to blame.
“Parents can be compassionate, children have a lot of energy. There is no place for children because of the epidemiological situation, hence the injuries.
On the other hand, as paradoxical as it may seem, the rate of seasonal injuries in adults has fallen because of the same coronavirus or, more precisely, because of quarantines and other restrictive measures. According to Albert Galimov, this year his injury department recorded fewer injury complaints for this reason. Nevertheless, the problem remains quite serious. People end up in hospitals with sprains or fractures, the ratio is three to one. The precisely elderly inhabitants of Tatarstan suffer seasonal injuries. In addition, their injuries are more serious than those of young people: broken arm bones, hip fractures, which require surgery and long-term recovery.
“The elderly receive care for a long time and bear these injuries badly. These cases mainly represent 10 to 15%. Young people suffer serious injuries less often, mainly bruises and strains, ”Galimov noted.
According to the Kazan traumatologist, to avoid serious consequences, you must first choose a good pair of non-slip shoes or different devices such as ice clitoris. Secondly, during such a season, you have to walk very carefully, avoid icy areas, better “on snow”.
“Better to take small steps, bend your legs, not rush,” advised the head of the injury unit of urban polyclinic No. 7.
“The season has started very intensely”: ski resorts, inflatable toboggan rides are the most dangerous forms of entertainment
In addition, it is a problem that the “ice age” begins in the fall. This year it is relatively warm, which is why many still wear hard-soled fall-winter shoes. At the same time, it turned out that the ski resorts of Tatarstan have become “one of the main suppliers of patients for traumatologists”, children with hip fractures have already begun to be accommodated by specialists .
“The season has started very intensely. Since adults usually run from place to place, they don’t care about children, they pay less attention to children. Children today do not even learn how to walk properly and where. This moment is missed. Children learned this in kindergartens and primary schools in the USSR, ”the children’s traumatologist noted with sadness.
Unlike the elderly, children mainly have fractures of the hip, knee, ankle, and sometimes vertebrae. Favorite winter fun – making inflatable sleds – is one of the reasons kids end up in clinical hospitals with injuries.
“The child is not tied up, the position favors a neck, pelvic injuries. There were also deaths. Sleighs are a more manoeuvrable type, you have time to turn to one side, to stop with your legs. You can only ride on inflatable sleds if the site is well organized – there are people watching the rides. Something similar was organized near the Mega shopping center two years ago, I don’t remember anything else, ”admitted Ruslan Khasanov.
Albert Galimov, himself a skier, advises to be careful in downhill skiing, using different skiing techniques depending on the snow, whether it is hard or swollen. Also, he urges adults and children to “avoid tricks”, to skate in a circle, while respecting safety rules. Given the season just started, three sprain patients and one hip fracture patient sought advice last week. This week, two children were admitted to hospital from the rinks
One of the main disorders in childhood trauma is “child patients” who never complain to their parents about any pain after falling and standing. However, if the pain does not go away within a few hours and a bruise appears, you should definitely go to the treatment unit. Better safe than sorry, advise traumatologists, take a look at children after walks, even being careful of bruises. If the child behaves strangely, there is dizziness, for example, here they should rush to see a neurosurgeon. Maybe it’s a head injury. The patience of the children and the neglect of the parents sometimes lead to a situation where a lot of time passes until a doctor sees the children.
Recall that today Kazan has eight care units for adults and two for children. A children’s unit of the clinical hospital works around the clock and admits Tatarstan citizens from all districts of Tatarstan.
“Osteoporosis is our ‘mute’ epidemic, which is why the risk of fractures is too high today”
Finally, there is another problem that affects all ages: spinal fracture. Although it sounds terrifying, it doesn’t sound like what people usually think. However, the consequences of such a fracture can be serious in the end. For example, if at the same stations a skier can have a serious hip injury in rare cases where particles damage the blood vessels, in town children quite often have vertebral fractures.
A person may not even feel the spinal compression fracture, notes traumatologist Khasanov. Pain in children can go away within a day and reappear suddenly within a few weeks when parents stop associating this pain with the recent injury. Traumatologists advise to pay attention to any complaints after a fall, in particular apnea (Editor’s note: one of the key symptoms of such a fracture). In the hospital, specialists will do a test and find out if there is a dislocation of the vertebra. Albert Galimov says that the reaction to spinal fracture depends on a person’s pain threshold and patience:
Traumatologists sometimes detect such fractures within two weeks as well. While the dislocation of one or two vertebrae is observed in a month. This leads to long-term wearing of bandage, the need for long-term massage and treatment. To prevent the consequences from lasting for years, timely diagnosis is necessary, which means seeing a doctor in a timely manner.