Özet:

Objective: We aimed to evaluate the accident mechanism and related disabilities and trauma cases who presented due to falls in the pediatric emergency service. Material-Method: The study was conducted with a prospective method between 01.06.2009 - 01.02.2010 in Gazi University Medical Faculty Pediatric Emergency Service. Results: A total of 210 cases, 126 (60%) of whom were men, were included in the study. The average age was 44.5 ± 45.01 (minimum: 1 month; maximum: 17 years) months. One hundred and fifty-seven patients (75%) were under the age of five. 149 (73.4%) of them fell inside the house; 90 cm below 91 (44.2%) of the cases falling inside the house; It was observed that 16 (7.6%) fell from a height above 90 cm. When the most injured body area was evaluated, it was seen that 142 (72.4%) patients had head-neck injuries. Of these cases, 76 (38.8%) had soft tissue trauma, 36 (18.4%) had laceration-incision. It was observed that direct radiography was performed in 141 (67.1%) patients, and cranial computed tomography (CT) was performed in 53 (25.2%) patients. Seventy-five patients (40.1%) were followed up in the emergency observation unit due to their current clinical condition. 54 (72%) of these cases were cases with head trauma. Sutures were performed in 30 (16%) of the cases due to the incision-laceration on the head and face. All evaluated patients were discharged after examination, treatment and / or observation without any mortality or morbidity. Conclusion: Traumas caused by falls often occur at home. And the most common injuries are seen in the head and neck region. Families have many duties in preventing emergency room admissions due to fall-related traumas and children, whose living and playgrounds are houses, especially in the preschool period. Physicians should explain to families how to create a safe home environment and the measures to be taken.

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