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Injuries from the 2002 North Carolina ice storm, and strategies for prevention.

Publication ,  Journal Article
Broder, J; Mehrotra, A; Tintinalli, J
Published in: Injury
January 2005

CONTEXT: In 2002, an ice storm interrupted power to 1.3 million households in North Carolina, USA. Previous reports described storm injuries in regions with frequent winter weather. [Blindauer KM, Rubin C, Morse DL, McGeehin M. The 1996 New York blizzard: impact on noninjury visits. Am J Emerg Med 1999;17(1):23-7; Centers for Disease Control and Prevention. Community needs assessment and morbidity surveillance following an ice storm--Maine, January 1998. MMRW 1998;47(17):351-5; Daley WR, Smith A, Paz-Argandona E, Malilay J, McGeehin M. An outbreak of carbon monoxide poisoning after a major ice storm in Maine. J Emerg Med 2000;18(1):87-93; Hamilton J. Quebec's ice storm'98: "all cards wild, all rules broken" in Quebec's shell-shocked hospitals. Can Med Assoc J 1998;158(4):520-4; Hartling L, Brison RJ, Pickett W. Cluster of unintentional carbon monoxide poisonings presenting to the emergency departments in Kingston, Ontario during 'Ice Storm 98'. Can J Public Health 1998;89(6):388-90; Hartling L, Pickett W, Brison RJ. The injury experience observed in two emergency departments in Kingston, Ontario during 'ice storm 98'. Can J Public Health 1999;90(2):95-8; Houck, PM, Hampson NB. Epidemic carbon monoxide poisoning following a winter storm. J Emerg Med 1997;15(4):469-73; Lewis LM, Lasater LC. Frequency, distribution, and management of injuries due to an ice storm in a large metropolitan area. South Med J 1994;87(2):174-8; Smith RW, Nelson DR. Fractures and other injuries from falls after an ice storm. Am J Emerg Med 1998;16(1):52-5]. We postulated that injuries might differ in a region where ice storms are less common. OBJECTIVE: Identify storm-related injuries. DESIGN: Emergency department (ED) charts from the storm period (defined as onset of precipitation until 99% power restoration) were retrospectively reviewed. Included injuries were: falls on ice; injuries due to darkness; cold exposure; injuries from storm-related damage; burns; or carbon monoxide/smoke exposure. SETTING: Tertiary care ED, central North Carolina. PATIENTS: All ED patients. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Mechanism of injury. RESULTS: One hundred thirty incidents occurred, most resulting from storm damage and carbon monoxide. Seven were life threatening: four spinal fractures and two intracranial hemorrhages from falling tree limbs and one hypothermia. Carbon monoxide poisoning affected one pregnant woman and all children in our series. Twenty three percent of patients were Hispanic, although Hispanics comprise only 11% of the study ED population. CONCLUSIONS: Injuries from storm-related damage and carbon monoxide exposure predominated. Available hyperbaric chambers were quickly filled to capacity. Hispanics experienced a disproportionate number of injuries.

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Published In

Injury

DOI

ISSN

0020-1383

Publication Date

January 2005

Volume

36

Issue

1

Start / End Page

21 / 26

Location

Netherlands

Related Subject Headings

  • Wounds and Injuries
  • Spinal Injuries
  • Orthopedics
  • North Carolina
  • Male
  • Ice
  • Humans
  • Hispanic or Latino
  • Female
  • Emergencies
 

Citation

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Broder, J., Mehrotra, A., & Tintinalli, J. (2005). Injuries from the 2002 North Carolina ice storm, and strategies for prevention. Injury, 36(1), 21–26. https://doi.org/10.1016/j.injury.2004.08.007
Broder, Joshua, Abhishek Mehrotra, and Judith Tintinalli. “Injuries from the 2002 North Carolina ice storm, and strategies for prevention.Injury 36, no. 1 (January 2005): 21–26. https://doi.org/10.1016/j.injury.2004.08.007.
Broder J, Mehrotra A, Tintinalli J. Injuries from the 2002 North Carolina ice storm, and strategies for prevention. Injury. 2005 Jan;36(1):21–6.
Broder, Joshua, et al. “Injuries from the 2002 North Carolina ice storm, and strategies for prevention.Injury, vol. 36, no. 1, Jan. 2005, pp. 21–26. Pubmed, doi:10.1016/j.injury.2004.08.007.
Broder J, Mehrotra A, Tintinalli J. Injuries from the 2002 North Carolina ice storm, and strategies for prevention. Injury. 2005 Jan;36(1):21–26.
Journal cover image

Published In

Injury

DOI

ISSN

0020-1383

Publication Date

January 2005

Volume

36

Issue

1

Start / End Page

21 / 26

Location

Netherlands

Related Subject Headings

  • Wounds and Injuries
  • Spinal Injuries
  • Orthopedics
  • North Carolina
  • Male
  • Ice
  • Humans
  • Hispanic or Latino
  • Female
  • Emergencies