Most RTCs, falls from height and horse-riding accidents cause blunt injuries.īlunt trauma results in fracture, tearing by shear forces, pressure causing “blowout” type injuries, and coup–contrecoup injuries.Īny mechanism whereby the body surface is breached by an object leaving a wound.Įxamples include stab wounds, gunshots, crossbow wounds, as well as patients being impaled on railings/objects. There may be overlying bruising, swelling or abrasions but damage to deeper structures may be less apparent, such as contusions, vascular damage, and fractures. “something hitting someone or someone hitting something”. Injuries that result from direct contact with a blunt object i.e. Patterns of injury can be considered in a number of ways: With advancing age, Falls become the most common mechanism of injury in major trauma (majority falls 15) by age group 1,2 It is important that the information we gather from these sources is carefully documented to help guide ongoing investigation and management for the patient journey. In the ED we have access to prehospital clinicians, and relatives which inpatient teams may not. It is crucial that we gather information here which will allow us to paint an accurate picture for our hospital colleagues, make decision about any necessary critical pre-hospital interventions, and guide speed of extrication (if applicable). One of the benefits of working in the prehospital environment is direct access to the scene. Understanding the mechanism of injury is crucial to our clinical decision making for trauma patients during the preparation for arrival and assessment upon arrival stage in Emergency Medicine (ED).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |