Purpose

　　The frequency of injuries sustained while playing on Holiday inflatable airblown price such as bouncy castles have rapidly increased. These supposedly safe structures are likely unsafe. The objective of this review was to investigate the risk that these attractions represent and the necessary measures to minimize risk of accidents.

　　Methods

　　We conducted a prospective study of 114 patients over a period of one year . Demographic data collected included: age, gender, anatomical location and side of involvement as well as supervision of the child whilst on the bouncy castle. The extracted data include mechanism of injury and risk factors, i.e. lack of supervision of the child, amounts of users jumping at the same time.

　　Results

　　The injuries were slightly more frequent in male than female children; 2:1 up to six years of age. From the age of ten to 14 years the ration evened to 1:1, the higher incidence in female children was between the ages of six to eight years.

　　The most common injuries were to the humerus, followed by the distal radius. Only 28% of the parents said they were supervising while the child was jumping.

　　Only paediatric patients aged 0 to 14 years, who had experienced trauma in an inflatable play structure, were chosen for the study.

　　The patients’ parents were informed at arrival to the ED about the study, and they consented to and signed the protocol for data collection.

　　Demographic data gathered included: age; gender; mechanism of injury (fall inside the inflatable play structure, fall outside the bounce house, collision with another participant, castle displacement); risk factors (lack of responsible supervision, users of different ages); type of injury; medical attention required; and complementary tests.

　　Adult supervision is defined as the need for vigilance at all times. There must be at least two people supervising the attraction.

　　The shifts should be respected, either by age, or by height, so that children of different constitution do not use attraction at the same time. The simultaneous use by a large number of people at the same time should be avoided, because it increases the danger of falls and injuries, especially if children of different age ranges and weight are mixed.

　　Conclusion

　　Injuries associated with inflatable bouncers have increased over time. The main risk factors: were lack of effective adult supervision and the shared use by an excessive number of participants of different ages and weights.

　　These considerations lead to the conclusion that there is a necessity to enhance child health surveillance and to consider limiting bouncer usage to children over the age of six years, to prevent and control injuries and to minimize their consequences.

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