Clinical features of 27 shark attack cases on La Réunion Island

@article{Ballas2017ClinicalFO,
  title={Clinical features of 27 shark attack cases on La R{\'e}union Island},
  author={Richard Ballas and Ghislain Saetta and Charline Peuchot and Philippe Elkienbaum and Emmanuelle Poinsot},
  journal={Journal of Trauma and Acute Care Surgery},
  year={2017},
  volume={82},
  pages={952–955}
}
BACKGROUND Between January 2000 and September 2016, there have been 27 documented shark attacks on La Réunion Island. [] Key Method All bone and vascular injuries were documented in the 21 remaining cases. Prehospital tourniquet use was specifically recorded. RESULTS Among the 21 victims, eight died (38%) despite rapid use of resuscitation techniques in five cases when it was feasible; these techniques were not needed in the survivors. Thirteen patients were immediately treated in the operating room…
Shark-related injuries in Hawai’i treated at a level 1 trauma center
TLDR
For cases treated at the level 1 trauma center, nerve injuries were common and should be suspected even in the absence of major vascular injury, andrelating shark behavior with observed injury patterns may help improve public awareness and ocean safety.
Keeping abreast of shark bite reconstruction: a case report and brief literature review
TLDR
This patient was a 39-year-old woman who experienced massive bilateral breast tissue loss from a shark attack and underwent completion mastectomy with bilateral deep inferior epigastric perforator flap breast reconstruction.
Shark-Related Injuries in the United States: A National Trauma Data Bank Analysis
TLDR
Although an exceedingly rare source of trauma, SRIs are frequently associated with devastating injuries, these patients warrant referral to a trauma center capable of providing comprehensive care.
Prehospital Tourniquets in Civilians: A Systematic Review
TLDR
Despite relatively low evidence, the studies consistently suggested that the use of commercial tourniquets in a civilian setting to control life-threatening extremity hemorrhage seemed to be associated with improved survival, reduced need for blood transfusion, and few and transient adverse effects.
[Prehospital application of tourniquets for life-threatening extremity hemorrhage : Systematic review of literature].
TLDR
The 50 original articles included in this qualitative, systematic review revealed that the recommendations "Tourniquet" of the DGAI published in 2016 are mostly still up to date despite an inhomogeneous study situation.
On the complexity of shark bite wounds: From associated bacteria to trauma management and wound repair
  • E. Isci, E. Ritter
  • Environmental Science
    The journal of trauma and acute care surgery
  • 2018
TLDR
Infections originating from shark oral bacterial flora, which originate from the microbiome of its prey, as well as from the surroundings where an incident takes place, are reviewed.
Effectiveness of novel fabrics to resist punctures and lacerations from white shark (Carcharodon carcharias): Implications to reduce injuries from shark bites
TLDR
It is found that SharkStop and ActionTX fabric variants were more resistant to puncture, laceration, and bites from C. carcharias, and showed that UHMWPE fibre increased the resistance of neoprene to shark bites.
Response of blacktip reef sharks Carcharhinus melanopterus to shark bite mitigation products
TLDR
The Ocean Guardian Scuba7 and Kevlar material reduced the impact of blacktip reef shark bites and may help consumers make informed decisions when purchasing shark deterring and protective products.
Environmental and anthropogenic factors affecting the increasing occurrence of shark-human interactions around a fast-developing Indian Ocean island
TLDR
Seasonal patterns of increasing SBIR followed similar fluctuations of large coastal shark occurrences (particularly the bull shark Carcharhinus leucas), consistent with the hypothesis that higher shark presence may result in an increasing likelihood of shark bite events.
Dynamics of marine predators off an oceanic island and implications for management of a preventative shark fishing program
TLDR
Investigation of the dynamics of elasmobranch and teleost predators in coastal waters off Reunion Island, Indian Ocean, using fisheries-independent data from a preventative shark fishing program suggests juvenile tiger sharks might be replacing bull sharks in nearshore habitats, and the consequences for mitigation of shark bite hazard are discussed.
...
1
2
...

References

SHOWING 1-10 OF 24 REFERENCES
Pathologic features of fatal shark attacks.
TLDR
In both cases, death resulted from exsanguination following a similar pattern of soft tissue and vascular damage to a leg and arm, in keeping with predator attack from underneath or behind, with the most severe injuries involving one leg.
Shark attack: review of 86 consecutive cases.
TLDR
In more serious cases, particularly if associated with a major vascular injury, hemorrhage control and early resuscitation are of utmost importance during the initial management if these patients are to survive.
Shark attack-related injuries: Epidemiology and implications for plastic surgeons.
Mortality and Management of 96 Shark Attacks and Development of a Shark Bite Severity Scoring System
TLDR
It is predicted that most shark attacks are nonfatal but require skilled, timely medical intervention and the development of a shark bite severity scoring scale will assist communication and understanding of such an injury.
A multi-institutional study of hemostatic gauze and tourniquets in rural civilian trauma
TLDR
QuikClot combat gauze and CAT are safe and effective adjuncts for hemorrhage control in the rural civilian trauma across a wide range of injury patterns and are associated with minimal morbidity beyond that of the original injury.
Characteristic features of injuries due to shark attacks: a review of 12 cases.
Recovery of human remains after shark attack.
TLDR
The cases of fatal shark attack indicate that the only tissue to escape being consumed or lost in fatal shark attacks, where there is a significant attack with dismemberment and disruption of the integrity of the body, may be lung.
A multi-institutional analysis of prehospital tourniquet use
TLDR
This study is the largest evaluation of prehospital tourniquet use in a civilian population to date and found that tournique was applied safely and effectively in the civilian population.
Shark attact in Natal
Shark attack in Natal.
TLDR
Modern trends in the training of surf life-guards, the provision of basic equipment for primary resuscitation of casualties on the beaches, and the policy of general and local care of these patients in Natal are discussed.
...
1
2
3
...