POLITRAUMATISMO POR PRECIPITACIÓN, REPORTE DE UN CASO

Alex Chen Tejada

Submitted October 27, 2024

Published 2026-02-02

Artículos de Investigación

Vol. 32 (2019): Revista Médico Científica

FREE FALL POLYTRAUMA, CASE REPORT

Alex Chen Tejada⁺⁻

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Published: 2026-02-02

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Chen Tejada A. FREE FALL POLYTRAUMA, CASE REPORT. rmc [Internet]. 2026 Feb. 2 [cited 2026 Oct. 18];32:27-36. Available from: https://revistas.up.ac.pa/index.php/revistamedicocientifica/article/view/6101

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Abstract

Falls are the second most common cause of mortality after traffic accidents. Trauma by free fall is defined as an injury to a person that occurs after landing on the ground after falling from a higher place, such as a ladder, scaffold, building, roof, or other elevated place. Most patients that suffers injuries from non-intentional free fall are men. The majority of reported cases of unintentional free falls correspond to the productive age group (age range: 15 years -44 years) and work in construction. Below, we present a case of a 16-year-old man who accidentally fell from a three-story (14-meter) scaffold.

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References

Velmahos GC, Demetriades D, Theodorou D, Cornwell EE, Belzberg H, Asensio J, et al. Patterns of injury in victims of urban free-falls. World J Surg. 1997 Oct;21(8):816-20; discussion 820-1.
Auñón-Martín I, Doussoux PC, Baltasar JL, Polentinos-Castro E, Mazzini JP, Erasun CR. Correlation between pattern and mechanism of injury of free fall. Strategies Trauma Limb Reconstr. 2012 Nov;7(3):141-5. Liu CC, Wang CY, Shih HC, Wen YS, Wu JJ, Huang CI, et al. Prognostic factors for mortality following falls from height. Injury. 2009 Jun;40(6):595-7.
Liu CC, Wang CY, Shih HC, Wen YS, Wu JJ, Huang CI, et al. Prognostic factors for mortality following falls from height. Injury. 2009 Jun;40(6):595-7.
Fayyaz J, Wadhwaniya S, Shahzad H, Feroze A, Zia N, Mir M, et al. Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study. BMC Emerg Med. 2015;15 Suppl 2:S3.
Turgut K, Sarihan ME, Colak C, Güven T, Gür A, Gürbüz S. Falls from height: A retrospective analysis. World J Emerg Med. 2018;9(1):46-50.
Nadhim EA, Hon C, Xia B, Stewart I, Fang D. Falls from Height in the Construction Industry: A Critical Review of the Scientific Literature. Int J Environ Res Public Health. 2016 06 28;13(7):E638.
Kepler CK, Nho SJ, Miller AN, Barie PS, Lyden JP. Orthopaedic injuries associated with fall from floor forty-seven. J Orthop Trauma. 2009 Feb;23(2):154-8.
Zemaitis MR, Planas JH, Shah N, et al. Trauma Secondary Survey. [Updated 2019 Jun 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
Planas JH, Waseem M. Trauma Primary Survey. [Updated 2019 Feb 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, Matthews J, et al. Schwartz's principles of surgery. 10th ed. New York: McGraw-hill; 2014, 161-175.
Roth FS, Koshy JC, Goldberg JS, Soparkar CN. Pearls of orbital trauma management. Semin Plast Surg. 2010 Nov;24(4):398-410.
Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, et al. Surgical management of acute epidural hematomas. Neurosurgery. 2006 Mar;58(3 Suppl):S7-15; discussion Si-iv.
Ganie FA, Lone H, Lone GN, Wani ML, Singh S, Dar AM, et al. Lung Contusion: A Clinico-Pathological Entity with Unpredictable Clinical Course. Bull Emerg Trauma. 2013 Jan;1(1):7-16.
Weckbach S, Flierl MA, Blei M, Burlew CC, Moore EE, Stahel PF. Survival following a vertical free fall from 300 feet: the crucial role of body position to impact surface. Scand J Trauma Resusc Emerg Med. 2011 Oct 25;19:63.
Ehrnthaller C, Gebhard F. 35 m Vertical Free Fall: How Impact Surface Influences Survival. Case Rep Orthop. 2014;2014:805213.
Dickinson A, Roberts M, Kumar A, Weaver A, Lockey DJ. Falls from height: injury and mortality. J R Army Med Corps. 2012 Jun;158(2):123-7.

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[1] Velmahos GC, Demetriades D, Theodorou D, Cornwell EE, Belzberg H, Asensio J, et al. Patterns of injury in victims of urban free-falls. World J Surg. 1997 Oct;21(8):816-20; discussion 820-1.

[2] Auñón-Martín I, Doussoux PC, Baltasar JL, Polentinos-Castro E, Mazzini JP, Erasun CR. Correlation between pattern and mechanism of injury of free fall. Strategies Trauma Limb Reconstr. 2012 Nov;7(3):141-5. Liu CC, Wang CY, Shih HC, Wen YS, Wu JJ, Huang CI, et al. Prognostic factors for mortality following falls from height. Injury. 2009 Jun;40(6):595-7.

[3] Liu CC, Wang CY, Shih HC, Wen YS, Wu JJ, Huang CI, et al. Prognostic factors for mortality following falls from height. Injury. 2009 Jun;40(6):595-7.

[4] Fayyaz J, Wadhwaniya S, Shahzad H, Feroze A, Zia N, Mir M, et al. Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study. BMC Emerg Med. 2015;15 Suppl 2:S3.

[5] Turgut K, Sarihan ME, Colak C, Güven T, Gür A, Gürbüz S. Falls from height: A retrospective analysis. World J Emerg Med. 2018;9(1):46-50.

[6] Nadhim EA, Hon C, Xia B, Stewart I, Fang D. Falls from Height in the Construction Industry: A Critical Review of the Scientific Literature. Int J Environ Res Public Health. 2016 06 28;13(7):E638.

[7] Kepler CK, Nho SJ, Miller AN, Barie PS, Lyden JP. Orthopaedic injuries associated with fall from floor forty-seven. J Orthop Trauma. 2009 Feb;23(2):154-8.

[8] Zemaitis MR, Planas JH, Shah N, et al. Trauma Secondary Survey. [Updated 2019 Jun 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.

[9] Planas JH, Waseem M. Trauma Primary Survey. [Updated 2019 Feb 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.

[10] Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, Matthews J, et al. Schwartz's principles of surgery. 10th ed. New York: McGraw-hill; 2014, 161-175.

[11] Roth FS, Koshy JC, Goldberg JS, Soparkar CN. Pearls of orbital trauma management. Semin Plast Surg. 2010 Nov;24(4):398-410.

[12] Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, et al. Surgical management of acute epidural hematomas. Neurosurgery. 2006 Mar;58(3 Suppl):S7-15; discussion Si-iv.

[13] Ganie FA, Lone H, Lone GN, Wani ML, Singh S, Dar AM, et al. Lung Contusion: A Clinico-Pathological Entity with Unpredictable Clinical Course. Bull Emerg Trauma. 2013 Jan;1(1):7-16.

[14] Weckbach S, Flierl MA, Blei M, Burlew CC, Moore EE, Stahel PF. Survival following a vertical free fall from 300 feet: the crucial role of body position to impact surface. Scand J Trauma Resusc Emerg Med. 2011 Oct 25;19:63.

[15] Ehrnthaller C, Gebhard F. 35 m Vertical Free Fall: How Impact Surface Influences Survival. Case Rep Orthop. 2014;2014:805213.

[16] Dickinson A, Roberts M, Kumar A, Weaver A, Lockey DJ. Falls from height: injury and mortality. J R Army Med Corps. 2012 Jun;158(2):123-7.

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