1. Trampoline Trauma

2. Why Audit trampoline injuries ?
AirHop Bristol, the “World’s biggest trampoline park”
extra workload on emergency and trauma services
financial implications - approx 11,000 trampoline injuries each year in UK
nature of injuries and mechanisms
prevention + safety recommendations

3. 60,000 square feet
177 interconnected Trampolines
activities including slack lines, battle beams, dodge ball courts, Total Wipeout Zone, foam pits and a basketball slam dunk lane
90 new part and full time jobs for court monitors and party hosts to Bristol

4. now this…
“Flip Out Trampoline Arena is Australia’s first & largest trampoline playground and is now arriving in the UK! First opened in Sydney, most regions or suburbs in the country now have a Flip Out centre”

5. And this…

6. EXISTING DATA Bristol 2013 - 15,500 - ED
2.5% (387) - garden trampoline
most common presentation - fracture
*Figures from Avonsafe Bristol, University Hospitals Bristol and local charity Lifeskills.

7. SOUTHMEAD DATA OCTOBER - DECEMBER 2015 53 PRESENTATIONS TO ED
12 PATIENTS REQUIRING SPECIALIST INPUT AND/OR SURGERY

8. BRHC DATA DECEMBER 2015 - FEBRUARY 2016 24 NEW PATIENTS ATTENDANCES
9 PATIENTS REQUIRING SURGERY

9. BURDEN OF INJURIES 65 fracture clinic attendances 106 xray exposures
3 CT scans
3 MRI scans
3 x intra-operative fluoroscopy
7 in-patient overnight stays
1 USS
1 conscious sedation in ED

10. ANKLE TRIPLANE FRACTURE
14 X-ray exposures
1 CT
1 fluoroscopy episode
3 nights as IP
5 fracture clinic follow-ups

11. ELBOW FRACTURE DISLOCATION
Reduced in ED with conscious sedation
4 X-ray exposures
1 fracture clinic follow up

12. supracondylar fracture
6 Xray exposures
1 fluoroscopy episode
4 fracture clinic follow-ups
1 night in-patient stay

13. bimalleolar ankle fracture
1 night inpatient stay
2 Xrays
1 episode of fluoroscopy
follow up undertaken at another hospital

14. COSTS AMBULANCE ED ATTENDANCE 24 x £132 = £3168 XRAY 106 x £30 = £3180
MRI CT
FRACTURE CLINIC 65 x £150 = £9750
INPATIENT BED FOR ONE NIGHT 4 x £1565 = £ x £303 = £606
SURGERY variable
other costs - plaster techs, physiotherapy (average cost £42 per appointment), admin, injuries other than orthopaedics (plastic, dental etc), impact on ED waiting times

15. ROSPA ADVICE 75% injuries >1person bouncing <6y more vulnerable
parent supervision of no benefit
equipment upkeep
<90 seconds without a break

16. Limitations of research
robust system e.g. medway
data sharing
other specialities e.g. plastics

17. AIR HOP DATA since opening 26th September 2015… 262,551 bouncers
accident rate 0.49%
fractures / dislocations = 0.013% (35)

18. IATP grading system 0 - pre-existing
1 - minor (first aider but still bounce)
2 - moderate (prevents continuation)
3 - major (professional medical intervention > RICE)
4 - critical (life changing)
follow up mechanisms
equipment standards etc… / AirHop 4x15 mins

19. RECOMMENDATIONS co-ordinate regional data collection
regional collaborative audit of injuries
mechanism
age association
improved first aid
data sharing with AirHop + others
NHS involvement

20. conclusions
Trampoline parks with proper procedures are statically safer than home / garden trampolines
Risk vs Benefit
Healthcare services to take active role