BACKGROUND CONTEXT: @entity3510 are common sequelae of falls from hunting tree stands. Significant @entity16 is not uncommon and can result in significant morbidity as well as enormous expenditure of health care dollars. Recent literature on the subject is limited. PURPOSE: The purpose of this study was to identify precipitating causes, characterize the spectrum of @entity3510 , and determine potential interventional safety and prevention recommendations. STUDY DESIGN: A retrospective study. METHODS: Medical record review of 22 @entity1 admitted either directly or via referral to a level I @entity1566 referral center over a 10-year period (1995-2005) after a fall from a hunting tree stand. RESULTS: All @entity1 were @entity1 with a mean age of 46 years (range, 27-80 years). Initial acute care hospitalization averaged 10 days (range, 2-28 days). The average height of fall was 18 feet (range, 10-30 feet). Four of 19 falls (21%) occurred during the morning hours, 2 of 19 falls occurred during the afternoon, and 13 of 19 falls (68%) occurred during the evening hours. Time lapse from injury to presentation to an emergency department ranged from 30 minutes to 14 hours. @entity167 use was a factor in 2 of 20 falls (10%). @entity2332 complicated 3 of 21 cases (14%). @entity1317 were present in 12 of 21 @entity1 (57%) and included @entity174 to the axial and appendicular skeleton, pneumothoraces, a retroperitoneal bleed, and a @entity5300 . Eight of 22 @entity1 (37%) sustained @entity130 . Five of these 8 @entity1 (63%) had neurological deficits (3 complete and 2 incomplete @entity1566 ). Thirteen of 22 (59%) @entity1 sustained @entity764 . Ten of these 13 (77%) had @entity51 (3 complete and 7 incomplete). Nine of 22 (41%) @entity1 were treated nonoperatively; the remaining 13 (59%) underwent operative intervention. CONCLUSIONS: Falls from hunting tree stands remain a significant cause of @entity3510 and subsequent disability. The best intervention for these injuries is prevention. There is a continued need for hunter safety education to reduce the incidence of these injuries with emphasis on safety harness usage, proper installation and annual inspection of tree stands, hunting in groups with periodic contact, the use of communication devices, and abstinence from @entity167 consumption while hunting.

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@entity3510 :: ('MESH:D013124', 'Disease') :: ['spinal injury', 'Spinal injuries'] @entity1 :: ('9606', 'Species') :: ['patients', 'men'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol', 'Alcohol'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['Associated injuries'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological injury'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injury to the cervical spine'] @entity5300 :: ('MESH:D020516', 'Disease') :: ['brachial plexopathy'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurologic deficits'] @entity764 :: ('MESH:D013898', 'Disease') :: ['injury to the thoracic or lumbar spine'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injuries', 'spinal cord injury'] @entity2332 :: ('MESH:D007035', 'Disease') :: ['Hypothermia']
@entity3510 :: (MESH:D013124,Disease) :: ['Spinal injuries']
