{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T09:33:12Z","timestamp":1759743192449},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T00:00:00Z","timestamp":1366848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Queensland Injury Prevention Council"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,6]]},"abstract":"Aim<\/jats:title>To explore clinical aspects of head injuries caused by ceiling fans in children.<\/jats:p><\/jats:sec>Methods<\/jats:title>Cases were identified using a sensitive search strategy of the T<\/jats:styled-content>ownsville E<\/jats:styled-content>mergency D<\/jats:styled-content>epartment information system from 1 D<\/jats:styled-content>ecember 2005 to 30 A<\/jats:styled-content>pril 2010, and a retrospective structured medical record review was undertaken.<\/jats:p><\/jats:sec>Results<\/jats:title>During the study period there were 136 presentations with relevant injuries, with a higher incidence in the warmer months. There were three common mechanisms; those related to ingress and egress from bunk beds, children lifted by an adult, and children jumping from a piece of furniture. Aside from lacerations, the majority of children had unremarkable history and examination findings. There were 29 C<\/jats:styled-content>omputed T<\/jats:styled-content>omography (CT<\/jats:styled-content>) scans of the head performed, four skull X<\/jats:styled-content>\u2010rays and no c\u2010spine imaging. Forty\u2010six children received sedation or anaesthesia as part of their management, 38 in the Emergency Department and eight in the operating theatre. Seven children sustained skull fractures and a total of 13 children were admitted to hospital for an average length of stay of 2.3 days.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Ceiling fans are a small but important source of paediatric head injury in tropical A<\/jats:styled-content>ustralia. Significant injuries are possible with 5% of patients having a positive finding on CT<\/jats:styled-content> scan. Most fractures are palpable, CT<\/jats:styled-content> is recommended if fracture cannot be confidently excluded clinically.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12213","type":"journal-article","created":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T08:46:43Z","timestamp":1366879603000},"page":"480-485","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Ceiling fan head injury to children in an A<\/scp>ustralian tropical location"],"prefix":"10.1111","volume":"49","author":[{"given":"Jeremy","family":"Furyk","sequence":"first","affiliation":[{"name":"Emergency Department The Townsville Hospital Australia"},{"name":"Anton Breinl Centre for Public Health and Tropical Medicine James Cook University Townsville Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard Charles","family":"Franklin","sequence":"additional","affiliation":[{"name":"Anton Breinl Centre for Public Health and Tropical Medicine James Cook University Townsville Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daren","family":"Costello","sequence":"additional","affiliation":[{"name":"Emergency Department The Townsville Hospital Australia"},{"name":"Caboolture Emergency Department Caboolture Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,4,25]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60335-3"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1999.tb127679.x"},{"key":"e_1_2_13_4_1","unstructured":"KrahnD BarkerR SpinksD PittR.Injuries under 12 months.Injury Bulletin No 98 October 2007. Queensland Injury Surveillance Unit Brisbane 2007."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.202820"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.083980"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.091421"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61558-0"},{"key":"e_1_2_13_9_1","unstructured":"Australian Bureau of Statistics.National Regional Profile: Townsville (C) (Local Government Area). Australian Bureau of Statistics Canberra 2010."},{"key":"e_1_2_13_10_1","unstructured":"Australian Government \u2013 Bureau of Meteorology.Climate averages for Australian Sites Averages for Townsville Hospital.What is the weather usually like. Bureau of Metrorology Canberra 2011."},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1673.2003.01206.x"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12213","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12213","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.12213","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T20:54:52Z","timestamp":1698699292000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.12213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,25]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1111\/jpc.12213"],"URL":"https:\/\/doi.org\/10.1111\/jpc.12213","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,25]]},"assertion":[{"value":"2012-11-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-04-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}