Introduction: TV trolley tip over incidences are common and can cause significant morbidity and
mortality in children. This study was aimed at analyzing the pattern and outcomes of head injury
resulting from TV trolley tipover
Methods: This was a medical chart review of children with TV trolley tipover head injury from January
2009 to October 2015.We collected data on demographics, mechanism of injury, clinical and radiological
features of injury and its outcomes. Outcomes of head injury were measured through Glasgow Outcome
Scale (GOS) at 6 months. A descriptive analysis was carried out using SPSS v 19 (IBM, Chicago IL)
Results: Twenty one children were included in the study. Fifteen children were male with a mean age of
29.6 months. Most of the children (n=16) were aged between 12 to 35 months. The median GCS score
on admission was 15. The median Rotterdam score for the patients was 2.0. The common symptoms on
admission were vomiting, irritability, scalp laceration and bruises. The median length of stay was 3 days.
Skull bone fractures were present in 11 children. Other CT findingsincluded contusions, extradural and
subdural hematomas, intraventricular hemorrhage and pneumocranium.Surgical intervention was
required in 4 cases. Although most of the patients made good recovery (GOS=5), 1 patient had develop
mild disability and another died in hospital
Conclusions: TV trolley tipover is mostly common in toddlers, and can lead to significant head injury and
mortality. This can be avoided by parental supervision and adjustments in the household.
Patient Care: After this type of studies one can set proper parental guidelines for injury prevention and adaptation of measures to reduce the risk for such type of injury.
Learning Objectives: Buy a stand designed specifically for your TV by the manufacturer
All furniture should be stable on its own prior to being used as a support device
Secure the TV to the stand and the stand to the wall or floor
Televisions should be as low to the floor as possible
Push the TV as far back on the stand as possible
Do not put a TV on furniture on drawers that can be pulled out by children and used to climb
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