title: Trampoline trauma in children: is it preventable?
abstract: OBJECTIVE
  Trampoline injuries represent a preventable cause of injury in children. This study identified the characteristics of children injured while using trampolines who presented to a pediatric trauma center in Sydney, Australia.
  
  
  METHODS
  The Pediatric Trauma Database at our institution was reviewed to identify children with trampoline-related injuries between January 1999 and June 2008. Data collected included age, sex, Injury Severity Score, anatomical region injured, type of injury, mechanism of injury, site of injury and surface fallen onto, level of supervision, treatment, and hospital length of stay.
  
  
  RESULTS
  Over the 9.5-year review period, 383 children presented with trampoline-related injuries: 193 (50.4%) were female. Just over a quarter (n = 106, 27.7%) were treated and discharged the same day. The remaining patients accounted for 725 hospital bed days with a mean length of stay of 2.3 days. The most common area of the body injured was the upper limb (n = 246, 64.2%), with a fall from the trampoline to the ground being the most frequent mechanism of injury (n = 257, 67.1%). The majority (n = 345, 90.1%) of children were injured in their home or at the home of a friend or relative. Surgery was required in 236 (61.6%), with closed reduction of an upper limb fracture being the most common procedure (n = 107, 27.9%).
  
  
  CONCLUSIONS
  Trampoline-related injuries remain common in children. Implementation of current guidelines and the introduction of innovative trampoline designs should reduce the risk of this injury in children.
authors: Department of Paediatric Surgery and Centre for Trauma Care, Prevention, Education and Research, The Children's Hospital at Westmead, Sydney Medical School, The University of Sydney, New South Wales, Australia.
authors: Gideon
authors: G
authors: Sandler
authors: Linh
authors: L
authors: Nguyen
authors: Lawrence
authors: L
authors: Lam
authors: Maria P
authors: MP
authors: Manglick
authors: Soundappan S V
authors: SS
authors: Soundappan
authors: Andrew J A
authors: AJ
authors: Holland
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data; D000061:Accidents, Home / Q000517:prevention & control / Q000706:statistics & numerical data; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007223:Infant; D020300:Intracranial Hemorrhages / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009517:New South Wales / Q000453:epidemiology; D010988:Play and Playthings / Q000293:injuries*; D012189:Retrospective Studies; D014187:Transportation of Patients / Q000706:statistics & numerical data; D014193:Trauma Centers / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology