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Blunt trauma

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is open and competent, that breathing is unlabored, and that circulation—i.e. pulses that can be felt—is present. This is sometimes described as the "A, B, C's"—Airway, Breathing, and Circulation—and is the first step in any resuscitation or triage. Then, the history of the accident or injury is amplified with any medical, dietary (timing of last oral intake) and history, from whatever sources that might be available such as family, friends, and previous treating physicians. This method is sometimes given the mnemonic "
427: 458: 202: 506: 581: 556:. The recovery of brain function following a traumatic injury is highly variable and depends upon the specific intracranial injuries that occur. However, there is a significant correlation between the severity of the initial insult as well as the level of neurologic function during the initial assessment and the level of lasting neurologic deficits. Initial treatment may be targeted at reducing the 935:
to acquire images, although this gets shorter with each generation of scanners, and the removal of the patient from the immediate view of the emergency or surgical staff. Many providers use the aid of an algorithm such as the ATLS guidelines to determine which images to obtain following the initial assessment. These algorithms take into account the mechanism of injury,
327:, due to the greater precision in identifying the mechanism of injury. The priority in assessing blunt trauma in sports injuries is separating contusions and musculo-tendinous injuries from injuries to solid organs and the gut. It is also crucial to recognize the potential for developing blood loss and to react accordingly. Blunt injuries to the 529:(TBI) is a significant cause of morbidity and mortality and is most commonly caused by falls, motor vehicle crashes, sports- and work-related injuries, and assaults. It is the most common cause of death in patients under the age of 25. TBI is graded from mild to severe, with greater severity correlating with increased morbidity and mortality. 1087:. If surgery is indicated, there are numerous options available. A comprehensive discussion between the patient and the surgeon will take place to carefully evaluate the best approach, tailored to the patient's specific condition and injury. Conservative measures such as maintaining a clear and open airway, oxygen support, 469:, or chest tube. This tube is typically installed because it helps restore a certain balance in pressures (usually due to misplaced air or surrounding blood) that are impeding the lungs' ability to inflate and thus exchange vital gases that allow the body to function. A less common procedure that may be employed is a 335: 1038:
The treatment of blunt cranial trauma is dependent on the extent of the injury. A discussion between the patient and healthcare professionals will take place in order to carefully assess the patient's condition and determine the best approach for treatment. When considering the management of cranial
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publishes the Advanced Trauma Life Support guidelines, which provide a step-by-step approach to the initial assessment, stabilization, diagnostic reasoning, and treatment of traumatic injuries that codifies this general principle. The assessment typically begins by ensuring that the subject's airway
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if required. If time and the patient's stability permit, a CT examination may be carried out if available. Its advantages include superior definition of the injury, leading to grading of the injury and sometimes the confidence to avoid or postpone surgery. Its disadvantages include the time taken
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are often given to manage blunt thoracic trauma. Oftentimes, pain control is the most basic and effective treatment approach because the presence of severe pain may lead to impairment of proper breathing, further exacerbating impaired lungs. Pain management in thoracic trauma patients improves the
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may be placed if there is suspicion of trauma to the neck. Evaluation of blunt trauma to the head continues with the secondary survey for evidence of cranial trauma, including bruises, contusions, lacerations, and abrasions. In addition to noting external injury, a comprehensive neurologic exam is
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or CT scan to detect fractures; however, if there is concern for life-threatening bleeding, patients should receive an X-ray of the pelvis. Following initial treatment of the patient, fractures may need to be treated surgically if significant, while some minor fractures may heal without requiring
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on patients to stabilize the patient's pelvis and prevent further damage to these structures while patients are transported to a hospital. During the evaluation of trauma patients in an emergency department, the stability of the pelvis is typically assessed by the healthcare provider to determine
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experienced by most patients. To evaluate the spectrum of cardiac injury, the American Association for the Surgery of Trauma (AAST) organ injury scale may be used to aid in determining the extent of the injury (see Evaluation and Diagnosis below). BCI may be broken down into
411:) which can reliably detect a significant amount of blood around the heart or in the lung by using a special machine that visualizes sound waves sent through the body. Only 10–15% of thoracic traumas require surgery, but they can have serious impacts on the 311:. Although these are rare examples, it has been suggested that they are caused by applying excessive pressure when performing these life-saving techniques. Finally, the occurrence of splenic rupture with mild blunt abdominal trauma in those recovering from 226:
pressure in the more serious, depending on the force applied. Initially, there may be few indications that serious internal abdominal injury has occurred, making assessment more challenging and requiring a high degree of clinical suspicion.
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Blunt abdominal trauma (BAT) represents 75% of all blunt trauma and is the most common example of this injury. Seventy-five percent of BAT occurs in motor vehicle crashes, in which rapid deceleration may propel the driver into the
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Blunt cardiac trauma, also known as Blunt Cardiac Injury (BCI), encompasses a spectrum of cardiac injuries resulting from blunt force trauma to the chest. While BCIs necessitate a substantial amount of force to occur because the
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injuries. The most common mechanism for solely upper extremity injuries is machine operation or tool use. Work-related accidents and vehicle crashes are also common causes. The injured extremity is examined for four major
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Brophy RH, Gamradt SC, Barnes RP, Powell JW, DelPizzo JJ, Rodeo SA, Warren RF (January 2008). "Kidney injuries in professional American football: implications for management of an athlete with 1 functioning kidney".
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In most settings, the initial evaluation and stabilization of traumatic injury follows the same general principles of identifying and treating immediately life-threatening injuries. In the US, the
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that is often performed following traumatic injuries. Should a patient appear hemodynamically unstable in the absence of obvious blood on the FAST scan, there may be concern for bleeding into the
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typically performed to assess for damage to the brain. Depending on the mechanism of injury and examination, a CT scan of the skull and brain may be ordered. This is typically done to assess for
238:. The former occurs from a direct blow, such as a punch, or compression against a non-yielding object such as a seat belt or steering column. This force may deform a hollow organ, increasing its 748:
and multiple-story falls, and thus pelvic injuries are commonly associated with additional traumatic injuries in other locations. In the pelvis specifically, the structures at risk include the
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When blunt trauma is significant enough to require evaluation by a healthcare provider, treatment is typically aimed at treating life-threatening injuries, such as maintaining the patient's
355:. Broadly, this also includes damage caused by direct blunt force (such as a fist or a bat in an assault), acceleration or deceleration (such as that from a rear-end automotive crash), 946:
In 2011, criteria were defined that might allow patients with blunt abdominal trauma to be discharged safely without further evaluation. The characteristics of such patients include:
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may prove useful in such instances. Those experiencing more obvious complications from a blunt chest injury will likely undergo a focused assessment with sonography for trauma (
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may be indicated. Mechanical ventilation will add oxygen and remove carbon dioxide in the blood. It is also critically important to avoid low blood pressure in the setting of
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greater than or equal to 120mmHg. Lastly, healthcare professionals should conduct consecutive neurological examinations to allow for early identification of elevated
987:. The management of patients with blunt force trauma necessitates the collaboration of an interpersonal healthcare team, which may include but is not limited to; a 876:, the majority of patients are asymptomatic. Clinical presentations may range from minor, clinically insignificant changes to heartbeat or may progress to severe 473:, which, by removing blood surrounding the heart, permits the heart to regain some ability to appropriately pump blood. In certain dire circumstances an emergent 1282:
Bansal V, Conroy C, Tominaga GT, Coimbra R (December 2009). "The utility of seat belt signs to predict intra-abdominal injury following motor vehicle crashes".
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at the time the trauma initially occurs or even until hours after. A high degree of clinical suspicion may sometimes be required to identify such injuries, a
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The supervised environment in which most sports injuries occur allows for mild deviations from the traditional trauma treatment algorithms, such as
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in the pelvis. The majority of bleeding due to pelvic trauma is due to injury to the veins. Fluid (often blood) may be detected in the pelvis via
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de Mestral C, Sharma S, Haas B, Gomez D, Nathens AB (February 2013). "A contemporary analysis of the management of the mangled lower extremity".
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from helmets, shoulder pads, and knees are described in American football, association football, martial arts, and all-terrain vehicle crashes.
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The primary clinical concern with blunt trauma to the head is damage to the brain, although other structures, including the skull, face,
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Worldwide, a significant cause of disability and death in people under the age of 35 is trauma, of which most are due to blunt trauma.
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Geeraerts, Thomas; Chhor, Vibol; Cheisson, Gaëlle; Martin, Laurent; Bessoud, Bertrand; Ozanne, Augustin; Duranteau, Jacques (2007).
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organs may have been affected. Blunt thoracic trauma is not always visible from the outside and such internal injuries may not show
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trauma, it is crucial to ensure that the patient can breathe effectively. Effective breathing can be monitored using the patient's
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Mack L, Forbes TL, Harris KA (January 2002). "Acute aortic thrombosis following incorrect application of the Heimlich maneuver".
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or computed tomography if deformity (misshapen), bruising, or joint laxity (looser or more flexible than usual) are observed.
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Marco GG, Diego S, Giulio A, Luca S (October 2005). "Screening US and CT for blunt abdominal trauma: a retrospective study".
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ability to breathe properly on their own, encourages the excretion of pulmonary secretions, and decreases the aggravation of
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and subsequent implementation of interventions to improve blood flow and reduce stress to the body. Of note, patients taking
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The Ankle-Brachial Index is depicted here. Note: ultrasound enhancement of pulses is not required but may be helpful.
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Most patients with more severe traumatic brain injury have a combination of intracranial injuries, which can include
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Morley, Eric J.; English, Bryan; Cohen, David B.; Paolo, William F.; Nusbaum, Jeffrey; Gupta, Nachi (2019-03-01).
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Fitzgerald JE, Larvin M (2009). "Chapter 15: Management of Abdominal Trauma". In Baker Q, Aldoori M (eds.).
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is a serious concern due to its tremendous infectious potential. In these cases, it is essential to perform
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Platz JJ, Fabricant L, Norotsky M (August 2017). "Thoracic Trauma: Injuries, Evaluation, and Treatment".
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therapy during the time of blunt cranial trauma should undergo rapid reversal of anticoagulating agents.
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or 'mono' (also known as 'glandular fever' in non-U.S. countries, specifically the UK) is well reported.
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There are two basic physical mechanisms at play with the potential of injury to intra-abdominal organs:
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This table depicts mechanisms of blunt thoracic trauma and the most common injuries from each mechanism
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if there is concern for swelling or bleeding within this skull. This may require surgery, such as a
3519: 3056: 3048: 2232:"Clinical review: Initial management of blunt pelvic trauma patients with haemodynamic instability" 1023: 848: 693: 312: 3287: 3282: 2832: 1508:"Return to contact sports following infectious mononucleosis: the role of serial ultrasonography" 745: 541: 270: 3483: 3292: 3129: 3124: 1056: 1052: 526: 517:, a variety of intracranial bleeding commonly associated with blunt trauma to the temple region 254: 130: 798:, which itself is associated with a myriad of complications including bleeding, damage to the 3524: 3471: 3257: 3217: 3061: 3031: 2802: 2359: 1064: 1019:
to assess the internal damage, drain infected fluid in the abdomen, and clean the wound with
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whether a fracture may have occurred. Providers may then decide to order imaging such as an
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Dogrul, Bekir Nihat; Kiliccalan, Ibrahim; Asci, Ekrem Samet; Peker, Selim Can (June 2020).
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in the blood. If the patient cannot maintain appropriate blood oxygen levels on their own,
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and may require immediate medical attention. Blunt trauma to the head and/or severe
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Nine out of ten patients with thoracic trauma can be treated effectively without a
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to determine whether patients should have imaging or proceed directly to surgery.
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In rare cases, this injury has been attributed to medical techniques such as the
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Bosch X, Poch E, Grau JM (July 2009). "Rhabdomyolysis and acute kidney injury".
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are often necessary. In the case of multiple holes or significant damage to the
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Bhargava M, Wazni OM, Saliba WI (March 2016). "Interventional Pericardiology".
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Kendall JL, Kestler AM, Whitaker KT, Adkisson MM, Haukoos JS (November 2011).
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To be considered low-risk, patients would need to meet all low-risk criteria.
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that travel within the mesentery. Classic examples of these mechanisms are a
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The injuries may necessitate a procedure, most commonly the insertion of an
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in less serious cases, or rupture of internal organs from briefly increased
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Kennedy RH (September 1932). "Emergency Treatment of Extremity Fractures".
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In cases of blunt abdominal injury, the most frequent damage occurs in the
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are the most likely causes of death due to blunt force traumatic injury.
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of some sort). Common signs and symptoms include something as simple as
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A fracture, an injury to the skeletal component of the upper extremity.
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When blunt abdominal trauma is complicated by 'internal injury,' the
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of the affected individual. In some cases, blunt force trauma can be
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The most immediate life-threatening injuries that may occur include
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Isenhour JL, Marx J (August 2007). "Advances in abdominal trauma".
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criteria have shown improved outcomes when they are cared for in a
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or impactful force to a body part. Such incidents often occur with
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Woods SD (February 1995). "Assessment of blunt abdominal trauma".
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treatment may be necessary, but many are managed nonoperatively.
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of the impact, the area of the body affected, and the underlying
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Johansen K, Daines M, Howey T, Helfet D, Hansen ST (May 1990).
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and vessels in the same compartment). Bones are evaluated with
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evaluation involves testing the major nerve functions of the
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A depiction of flail chest, a very serious blunt chest injury
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Egan AF, Cahill KC (November 2017). "Compartment Syndrome".
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Simon, Leslie V.; Lopez, Richard A.; King, Kevin C. (2020).
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Blunt trauma can lead to a wide range of injuries including
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O'Connor TE, Skinner LJ, Kiely P, Fenton JE (August 2011).
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no evidence of lowered blood pressure or raised pulse rate
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may be used to help guide whether further evaluation with
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Deceleration, on the other hand, causes stretching and
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or internal pressure and possibly leading to rupture.
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The term blunt thoracic trauma, or, more informally,
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Maisch B, Ristić AD, Seferović PM, Tsang TS (2011).
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or surgery, depending on the location and severity.
592:(like arms, legs, hands, feet) is extremely common. 1738: 318: 2364:The American Association for the Surgery of Trauma 1431:Advanced Trauma Life Support Student Course Manual 1411: 1347: 1189: 744:The most common causes of blunt pelvic trauma are 363:(such as a heavy object falling on a person), and 359:(a combination of acceleration and deceleration), 27:Trauma to the body without penetration of the skin 3501: 2492: 2287: 2285: 1462: 1324: 998: 292:) are most frequently involved, followed by the 2675: 1112:, or regional pain management methods, such as 521: 2595: 2593: 2591: 2589: 2587: 2326:. American College of Surgeons. Archived from 1368: 1187: 1153: 575: 257:, are anchored. 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Perforation of the small or 823:A life-threatening concern is 664:(a rapid breakdown of injured 600:, making up as much as 30% of 381:ventilation-perfusion mismatch 87:ventilation-perfusion mismatch 81:, occasionally complicated as 13: 1: 1700:Interventional Pericardiology 1127: 999:Treatment of abdominal trauma 672:) or may potentially develop 3120:Advanced trauma life support 3088:Diagnostic peritoneal lavage 2560:10.5811/westjem.2010.11.2016 1655:10.1007/978-1-4471-2259-3_10 966: 924:diagnostic peritoneal lavage 915:American College of Surgeons 522:Traumatic brain injury (TBI) 139:elderly who experience falls 7: 2618:10.1016/j.cjtee.2020.04.003 2511:10.1136/bmj.39534.686192.80 2472:10.1016/j.ejrad.2005.02.001 2390:Emergency Medicine Practice 2191:10.1056/NEJM193209012070903 1910:10.1097/TA.0b013e31827a05e3 893:injury, valvular injuries, 787:in a patient with previous 633:are examined for expanding 576:Blunt trauma to extremities 554:intraparenchymal hemorrhage 500:fracture of the skull bones 10: 3541: 2991: 2808:Retroperitoneal hemorrhage 1741:Current Cardiology Reports 1525:10.1177/014556131109000819 783:showing a fracture of the 461:An example of a chest tube 452:airway obstruction/rupture 29: 3415: 3390: 3354: 3303: 3180: 3173: 3161:Resuscitative thoracotomy 3153: 3112: 3105: 3080: 3049:Clinical prediction rules 3047: 3040: 2999: 2928: 2851: 2818: 2759: 2711: 2688: 1796:10.1016/j.suc.2017.03.004 1753:10.1007/s11886-016-0698-9 1708:10.1007/978-3-642-11335-2 1645:Falter F, Nair S (2012). 1477:10.1007/s10016-001-0147-z 1296:10.1080/15389580903191450 1284:Traffic Injury Prevention 1235:10.1016/j.emc.2007.06.002 1162:. StatPearls Publishing. 868:is well-protected by the 853:endovascular intervention 72: 64: 55: 47: 42: 3057:Abbreviated Injury Scale 1872:"Traumatic Brain Injury" 1570:10.1177/0363546507308940 1057:traumatic brain injuries 1024:Prophylactic antibiotics 909:Evaluation and diagnosis 849:retroperitoneal hematoma 313:infectious mononucleosis 3288:Penetrating head injury 3283:Intracranial hemorrhage 1939:Søreide K (July 2009). 1061:systolic blood pressure 975:and preventing ongoing 950:absence of intoxication 668:that can overwhelm the 542:subarachnoid hemorrhage 218:, or seatbelt, causing 131:road traffic collisions 3484:Subcutaneous emphysema 3443:Volkmann's contracture 3293:Traumatic brain injury 3130:Early appropriate care 3125:Damage control surgery 2425:ANZ Journal of Surgery 2360:"Blunt Cardiac Injury" 2121:10.1056/NEJMicm1701729 1053:mechanical ventilation 959:no blood in the urine. 791: 585: 572: 527:Traumatic brain injury 518: 496:blood within the skull 462: 431: 339: 206: 197:Blunt abdominal trauma 121:, and creates an open 111:non-penetrating trauma 3258:Thoracic aorta injury 3218:Diaphragmatic rupture 3062:Injury Severity Score 3032:Trauma triad of death 2915:Occupational injuries 2298:Life in the Fast Lane 2156:10.1056/NEJMra0801327 1994:The Journal of Trauma 1876:Life in the Fast Lane 1065:intracranial pressure 930:before proceeding to 845:retroperitoneal space 831:, iliac arteries, or 778: 746:motor vehicle crashes 611:functional components 583: 570: 558:intracranial pressure 534:diffuse axonal injury 508: 460: 438:, open pneumothorax, 429: 343:Blunt thoracic trauma 337: 204: 3433:Compartment syndrome 3072:Revised Trauma Score 2920:Traumatic amputation 1702:. Berlin: Springer. 1333:. pp. 192–204. 1261:bestpractice.bmj.com 1156:"Blunt Force Trauma" 1093:volume resuscitation 937:physical examination 903:myocardial contusion 859:Blunt cardiac trauma 674:compartment syndrome 651:ankle-brachial index 596:are the most common 481:Blunt cranial trauma 436:tension pneumothorax 290:blunt splenic trauma 273:and injuries to the 3515:Medical emergencies 3268:Blunt kidney trauma 3238:Pulmonary contusion 1838:"Blunt Head Trauma" 1444:on 21 December 2018 1387:10.5001/omj.2009.52 1017:exploratory surgery 766:reproductive organs 740:Blunt pelvic trauma 682:muscle compartments 655:computed tomography 538:cerebral contusions 391:due to the way the 3382:Spinal cord injury 3341:Penetrating trauma 3208:Soft tissue injury 2883:Penetrating trauma 2803:Grey Turner's sign 2793:Subungual hematoma 1229:(3): 713–733, ix. 1196:login.medscape.com 1085:surgical operation 792: 586: 573: 519: 471:pericardiocentesis 463: 432: 349:blunt chest injury 340: 207: 115:penetrating trauma 107:blunt force trauma 32:Blunt Force Trauma 18:Blunt-force trauma 3497: 3496: 3411: 3410: 3253:Internal bleeding 3248:Cardiac tamponade 3203:Joint dislocation 3169: 3168: 3101: 3100: 2959: 2958: 2505:(7650): 938–942. 2064:Annals of Surgery 1717:978-3-642-11334-5 1616:10.1136/bmj.g1137 1512:Ear Nose Throat J 1340:978-1-4441-0962-7 1102:low oxygen levels 1089:tube thoracostomy 1049:oxygen saturation 550:epidural hematoma 546:subdural hematoma 515:epidural hematoma 477:may be employed. 467:intercostal drain 448:cardiac tamponade 301:Heimlich maneuver 100: 99: 37:Medical condition 16:(Redirected from 3532: 3403:Pediatric trauma 3398:Geriatric trauma 3362:Abdominal trauma 3178: 3177: 3110: 3109: 3045: 3044: 2986: 2979: 2972: 2963: 2962: 2951:Abdominal trauma 2859:Ballistic trauma 2746:Friction blister 2741:Fracture blister 2670: 2663: 2656: 2647: 2646: 2640: 2639: 2629: 2597: 2582: 2581: 2571: 2548:West J Emerg Med 2539: 2533: 2532: 2522: 2490: 2484: 2483: 2455: 2449: 2448: 2420: 2414: 2413: 2396:(Suppl 3): 1–2. 2381: 2375: 2374: 2372: 2371: 2356: 2339: 2338: 2336: 2335: 2315: 2309: 2308: 2306: 2304: 2292:Nickson, Chris. 2289: 2280: 2279: 2269: 2251: 2227: 2218: 2217: 2214:www.uptodate.com 2206: 2195: 2194: 2174: 2168: 2167: 2139: 2133: 2132: 2104: 2098: 2097: 2087: 2055: 2049: 2048: 2046: 2045: 2036:. Archived from 2026: 2020: 2019: 2009: 1985: 1979: 1978: 1960: 1958:10.1002/bjs.6643 1936: 1930: 1929: 1893: 1887: 1886: 1884: 1882: 1870:Nickson, Chris. 1867: 1861: 1860: 1858: 1856: 1833: 1808: 1807: 1779: 1773: 1772: 1736: 1730: 1729: 1695: 1689: 1688: 1682: 1678: 1676: 1668: 1642: 1636: 1635: 1599: 1590: 1589: 1552: 1546: 1545: 1527: 1503: 1497: 1496: 1460: 1454: 1453: 1451: 1449: 1443: 1436: 1426: 1409: 1408: 1398: 1366: 1345: 1344: 1322: 1316: 1315: 1279: 1273: 1272: 1270: 1268: 1263:. 14 August 2018 1253: 1247: 1246: 1218: 1212: 1211: 1209: 1207: 1193: 1185: 1179: 1178: 1176: 1174: 1151: 1114:local anesthetic 1013:large intestines 1005:small intestines 993:anesthesiologist 939:, and patient's 789:hip replacements 690:plain film X-ray 271:ligamentum teres 182:life-threatening 105:, also known as 60: 40: 39: 21: 3540: 3539: 3535: 3534: 3533: 3531: 3530: 3529: 3520:Causes of death 3500: 3499: 3498: 3493: 3407: 3386: 3350: 3299: 3174:Pathophysiology 3165: 3149: 3097: 3076: 3036: 2995: 2990: 2960: 2955: 2924: 2847: 2814: 2755: 2751:Sucking blister 2731:Delayed blister 2707: 2684: 2674: 2644: 2643: 2598: 2585: 2540: 2536: 2491: 2487: 2456: 2452: 2421: 2417: 2382: 2378: 2369: 2367: 2358: 2357: 2342: 2333: 2331: 2318:Croce, Martin. 2316: 2312: 2302: 2300: 2294:"Pelvic Trauma" 2290: 2283: 2228: 2221: 2208: 2207: 2198: 2175: 2171: 2140: 2136: 2105: 2101: 2056: 2052: 2043: 2041: 2028: 2027: 2023: 1986: 1982: 1937: 1933: 1894: 1890: 1880: 1878: 1868: 1864: 1854: 1852: 1834: 1811: 1780: 1776: 1737: 1733: 1718: 1696: 1692: 1680: 1679: 1670: 1669: 1665: 1643: 1639: 1600: 1593: 1553: 1549: 1504: 1500: 1461: 1457: 1447: 1445: 1441: 1434: 1428: 1427: 1412: 1367: 1348: 1341: 1323: 1319: 1280: 1276: 1266: 1264: 1255: 1254: 1250: 1219: 1215: 1205: 1203: 1186: 1182: 1172: 1170: 1152: 1135: 1130: 1122: 1081: 1036: 1001: 969: 911: 899:cardiac chamber 895:coronary artery 878:cardiac failure 861: 796:pelvic fracture 742: 730:lower extremity 712:as well as the 710:upper extremity 606:lower extremity 578: 562:hemicraniectomy 524: 491:cervical collar 483: 345: 321: 294:small intestine 269:tear along the 199: 194: 127:physical trauma 65:A woman with a 38: 35: 28: 23: 22: 15: 12: 11: 5: 3538: 3528: 3527: 3522: 3517: 3512: 3495: 3494: 3492: 3491: 3486: 3481: 3476: 3475: 3474: 3469: 3459: 3458: 3457: 3455:Rhabdomyolysis 3450:Crush syndrome 3447: 3446: 3445: 3435: 3430: 3425: 3419: 3417: 3413: 3412: 3409: 3408: 3406: 3405: 3400: 3394: 3392: 3388: 3387: 3385: 3384: 3379: 3374: 3369: 3364: 3358: 3356: 3352: 3351: 3349: 3348: 3343: 3338: 3333: 3328: 3323: 3318: 3313: 3307: 3305: 3301: 3300: 3298: 3297: 3296: 3295: 3290: 3285: 3277: 3276: 3275: 3273:Splenic injury 3270: 3262: 3261: 3260: 3255: 3250: 3242: 3241: 3240: 3235: 3230: 3225: 3220: 3212: 3211: 3210: 3205: 3200: 3195: 3186: 3184: 3175: 3171: 3170: 3167: 3166: 3164: 3163: 3157: 3155: 3151: 3150: 3148: 3147: 3142: 3140:Trauma surgery 3137: 3132: 3127: 3122: 3116: 3114: 3107: 3103: 3102: 3099: 3098: 3096: 3095: 3090: 3084: 3082: 3081:Investigations 3078: 3077: 3075: 3074: 3069: 3064: 3059: 3053: 3051: 3042: 3038: 3037: 3035: 3034: 3029: 3024: 3019: 3014: 3009: 3003: 3001: 2997: 2996: 2989: 2988: 2981: 2974: 2966: 2957: 2956: 2954: 2953: 2948: 2943: 2938: 2932: 2930: 2926: 2925: 2923: 2922: 2917: 2912: 2907: 2894: 2889: 2880: 2871: 2866: 2861: 2855: 2853: 2849: 2848: 2846: 2845: 2840: 2835: 2830: 2824: 2822: 2816: 2815: 2813: 2812: 2811: 2810: 2805: 2800: 2795: 2790: 2785: 2780: 2765: 2763: 2757: 2756: 2754: 2753: 2748: 2743: 2738: 2733: 2728: 2723: 2717: 2715: 2709: 2708: 2706: 2705: 2704: 2703: 2692: 2690: 2686: 2685: 2673: 2672: 2665: 2658: 2650: 2642: 2641: 2612:(3): 125–138. 2583: 2554:(4): 496–504. 2534: 2485: 2450: 2415: 2376: 2340: 2310: 2281: 2249:10.1186/cc5157 2219: 2196: 2185:(9): 393–395. 2169: 2134: 2099: 2070:(6): 737–741. 2050: 2021: 1980: 1951:(7): 697–698. 1931: 1904:(2): 597–603. 1888: 1862: 1809: 1790:(4): 783–799. 1774: 1731: 1716: 1690: 1663: 1637: 1591: 1547: 1498: 1471:(1): 130–133. 1455: 1410: 1381:(4): 256–259. 1346: 1339: 1317: 1290:(6): 567–572. 1274: 1248: 1213: 1180: 1132: 1131: 1129: 1126: 1121: 1118: 1104:in the blood. 1080: 1077: 1045:pulse oximeter 1043:content via a 1035: 1032: 1000: 997: 989:trauma surgeon 968: 965: 961: 960: 957: 954: 951: 910: 907: 860: 857: 758:iliac arteries 754:proximal femur 741: 738: 728:nerves in the 708:nerves in the 662:rhabdomyolysis 613:which include 577: 574: 523: 520: 482: 479: 389:cardiac output 387:, and reduced 344: 341: 320: 317: 303:, attempts at 275:renal arteries 212:steering wheel 198: 195: 193: 192:Classification 190: 170:bone fractures 98: 97: 95:cardiac output 76: 70: 69: 62: 61: 53: 52: 49: 45: 44: 36: 26: 9: 6: 4: 3: 2: 3537: 3526: 3523: 3521: 3518: 3516: 3513: 3511: 3508: 3507: 3505: 3490: 3489:Wound healing 3487: 3485: 3482: 3480: 3477: 3473: 3470: 3468: 3465: 3464: 3463: 3460: 3456: 3453: 3452: 3451: 3448: 3444: 3441: 3440: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3420: 3418: 3416:Complications 3414: 3404: 3401: 3399: 3396: 3395: 3393: 3389: 3383: 3380: 3378: 3375: 3373: 3372:Facial trauma 3370: 3368: 3365: 3363: 3360: 3359: 3357: 3353: 3347: 3344: 3342: 3339: 3337: 3336:Gunshot wound 3334: 3332: 3331:Electrocution 3329: 3327: 3324: 3322: 3319: 3317: 3314: 3312: 3309: 3308: 3306: 3302: 3294: 3291: 3289: 3286: 3284: 3281: 3280: 3278: 3274: 3271: 3269: 3266: 3265: 3263: 3259: 3256: 3254: 3251: 3249: 3246: 3245: 3243: 3239: 3236: 3234: 3231: 3229: 3226: 3224: 3221: 3219: 3216: 3215: 3213: 3209: 3206: 3204: 3201: 3199: 3196: 3194: 3193:Bone fracture 3191: 3190: 3188: 3187: 3185: 3183: 3179: 3176: 3172: 3162: 3159: 3158: 3156: 3152: 3146: 3143: 3141: 3138: 3136: 3135:Trauma center 3133: 3131: 3128: 3126: 3123: 3121: 3118: 3117: 3115: 3111: 3108: 3104: 3094: 3091: 3089: 3086: 3085: 3083: 3079: 3073: 3070: 3068: 3065: 3063: 3060: 3058: 3055: 3054: 3052: 3050: 3046: 3043: 3039: 3033: 3030: 3028: 3027:Resuscitation 3025: 3023: 3020: 3018: 3015: 3013: 3010: 3008: 3005: 3004: 3002: 2998: 2994: 2987: 2982: 2980: 2975: 2973: 2968: 2967: 2964: 2952: 2949: 2947: 2944: 2942: 2939: 2937: 2934: 2933: 2931: 2927: 2921: 2918: 2916: 2913: 2911: 2908: 2906: 2905:Chemical burn 2902: 2898: 2895: 2893: 2890: 2888: 2884: 2881: 2879: 2876:/superficial/ 2875: 2872: 2870: 2867: 2865: 2862: 2860: 2857: 2856: 2854: 2850: 2844: 2841: 2839: 2836: 2834: 2831: 2829: 2826: 2825: 2823: 2821: 2817: 2809: 2806: 2804: 2801: 2799: 2798:Cullen's sign 2796: 2794: 2791: 2789: 2786: 2784: 2781: 2779: 2778:Battle's sign 2776: 2775: 2774: 2770: 2767: 2766: 2764: 2762: 2758: 2752: 2749: 2747: 2744: 2742: 2739: 2737: 2736:Edema blister 2734: 2732: 2729: 2727: 2724: 2722: 2721:Blood blister 2719: 2718: 2716: 2714: 2710: 2702: 2699: 2698: 2697: 2694: 2693: 2691: 2687: 2683: 2679: 2671: 2666: 2664: 2659: 2657: 2652: 2651: 2648: 2637: 2633: 2628: 2623: 2619: 2615: 2611: 2607: 2603: 2596: 2594: 2592: 2590: 2588: 2579: 2575: 2570: 2565: 2561: 2557: 2553: 2549: 2545: 2538: 2530: 2526: 2521: 2516: 2512: 2508: 2504: 2500: 2496: 2489: 2481: 2477: 2473: 2469: 2466:(1): 97–101. 2465: 2461: 2454: 2446: 2442: 2438: 2434: 2430: 2426: 2419: 2411: 2407: 2403: 2399: 2395: 2391: 2387: 2380: 2365: 2361: 2355: 2353: 2351: 2349: 2347: 2345: 2330:on 2015-04-21 2329: 2325: 2321: 2314: 2299: 2295: 2288: 2286: 2277: 2273: 2268: 2263: 2259: 2255: 2250: 2245: 2241: 2237: 2236:Critical Care 2233: 2226: 2224: 2215: 2211: 2205: 2203: 2201: 2192: 2188: 2184: 2180: 2173: 2165: 2161: 2157: 2153: 2149: 2145: 2138: 2130: 2126: 2122: 2118: 2114: 2110: 2103: 2095: 2091: 2086: 2081: 2077: 2073: 2069: 2065: 2061: 2054: 2040:on 2015-04-23 2039: 2035: 2031: 2025: 2017: 2013: 2008: 2003: 1999: 1995: 1991: 1984: 1976: 1972: 1968: 1964: 1959: 1954: 1950: 1946: 1942: 1935: 1927: 1923: 1919: 1915: 1911: 1907: 1903: 1899: 1892: 1877: 1873: 1866: 1851: 1847: 1843: 1839: 1832: 1830: 1828: 1826: 1824: 1822: 1820: 1818: 1816: 1814: 1805: 1801: 1797: 1793: 1789: 1785: 1778: 1770: 1766: 1762: 1758: 1754: 1750: 1746: 1742: 1735: 1727: 1723: 1719: 1713: 1709: 1705: 1701: 1694: 1686: 1674: 1666: 1664:9781447122586 1660: 1656: 1652: 1648: 1641: 1633: 1629: 1625: 1621: 1617: 1613: 1609: 1605: 1598: 1596: 1587: 1583: 1579: 1575: 1571: 1567: 1563: 1559: 1551: 1543: 1539: 1535: 1531: 1526: 1521: 1518:(8): E21–24. 1517: 1513: 1509: 1502: 1494: 1490: 1486: 1482: 1478: 1474: 1470: 1466: 1465:Ann Vasc Surg 1459: 1440: 1433: 1432: 1425: 1423: 1421: 1419: 1417: 1415: 1406: 1402: 1397: 1392: 1388: 1384: 1380: 1376: 1372: 1365: 1363: 1361: 1359: 1357: 1355: 1353: 1351: 1342: 1336: 1332: 1328: 1321: 1313: 1309: 1305: 1301: 1297: 1293: 1289: 1285: 1278: 1262: 1258: 1252: 1244: 1240: 1236: 1232: 1228: 1224: 1217: 1201: 1197: 1192: 1184: 1169: 1165: 1161: 1157: 1150: 1148: 1146: 1144: 1142: 1140: 1138: 1133: 1125: 1117: 1115: 1111: 1107: 1103: 1099: 1094: 1090: 1086: 1076: 1074: 1070: 1069:anticoagulant 1066: 1062: 1058: 1054: 1050: 1046: 1042: 1031: 1029: 1025: 1022: 1018: 1014: 1010: 1006: 996: 994: 990: 986: 985:trauma center 982: 978: 974: 964: 958: 955: 952: 949: 948: 947: 944: 942: 938: 933: 929: 925: 921: 916: 906: 904: 901:rupture, and 900: 896: 892: 887: 883: 879: 875: 871: 867: 856: 854: 850: 846: 842: 838: 834: 830: 826: 821: 818: 813: 812:pelvic binder 809: 805: 801: 797: 790: 786: 782: 777: 773: 771: 767: 763: 762:urinary tract 759: 755: 751: 747: 737: 735: 731: 727: 723: 722:deep peroneal 719: 715: 711: 707: 703: 699: 695: 691: 687: 683: 680:builds up in 679: 675: 671: 667: 663: 659: 658:arteriography 656: 652: 648: 644: 640: 636: 632: 628: 624: 620: 616: 612: 607: 603: 599: 595: 591: 582: 569: 565: 563: 559: 555: 551: 547: 543: 539: 535: 530: 528: 516: 512: 507: 503: 501: 497: 492: 488: 478: 476: 472: 468: 459: 455: 453: 449: 445: 441: 437: 428: 424: 422: 421:great vessels 418: 414: 410: 406: 402: 398: 394: 390: 386: 382: 378: 374: 370: 366: 362: 358: 354: 350: 336: 332: 330: 326: 316: 314: 310: 306: 302: 297: 295: 291: 287: 283: 278: 276: 272: 268: 264: 263:blood vessels 260: 256: 252: 248: 243: 241: 237: 233: 228: 225: 221: 217: 213: 203: 189: 187: 183: 179: 178:comorbidities 175: 171: 167: 163: 159: 155: 151: 147: 142: 140: 136: 132: 128: 124: 120: 116: 112: 108: 104: 96: 92: 88: 84: 80: 77: 75: 71: 68: 63: 59: 54: 50: 46: 41: 33: 19: 3525:Trauma types 3367:Chest injury 3326:Crush injury 3316:Blunt trauma 3315: 3311:Blast injury 3233:Pneumothorax 3017:Traumatology 3012:Major trauma 2946:Chest trauma 2892:Aerosol burn 2874:Blunt trauma 2873: 2783:Raccoon eyes 2726:Coma blister 2609: 2605: 2551: 2547: 2537: 2502: 2498: 2488: 2463: 2460:Eur J Radiol 2459: 2453: 2431:(2): 75–76. 2428: 2424: 2418: 2393: 2389: 2379: 2368:. Retrieved 2366:. 2013-01-14 2363: 2332:. Retrieved 2328:the original 2323: 2313: 2301:. Retrieved 2297: 2239: 2235: 2213: 2182: 2178: 2172: 2150:(1): 62–72. 2147: 2143: 2137: 2115:(19): 1877. 2112: 2108: 2102: 2067: 2063: 2053: 2042:. Retrieved 2038:the original 2034:www.facs.org 2033: 2024: 1997: 1993: 1983: 1948: 1944: 1934: 1901: 1897: 1891: 1879:. Retrieved 1875: 1865: 1853:. Retrieved 1841: 1787: 1783: 1777: 1744: 1740: 1734: 1699: 1693: 1646: 1640: 1607: 1603: 1564:(1): 85–90. 1561: 1557: 1550: 1515: 1511: 1501: 1468: 1464: 1458: 1446:. Retrieved 1439:the original 1430: 1378: 1374: 1326: 1320: 1287: 1283: 1277: 1265:. Retrieved 1260: 1251: 1226: 1222: 1216: 1204:. Retrieved 1198:. Medscape. 1195: 1183: 1171:. Retrieved 1159: 1123: 1120:Epidemiology 1098:inflammation 1082: 1073:antiplatelet 1041:blood oxygen 1037: 1002: 970: 962: 945: 912: 862: 822: 808:nerve damage 793: 750:pelvic bones 743: 684:damages the 615:soft tissues 587: 531: 525: 484: 464: 433: 367:(such as an 348: 346: 322: 298: 279: 244: 240:intraluminal 236:deceleration 229: 224:intraluminal 208: 164:or external 143: 110: 106: 103:Blunt trauma 102: 101: 43:Blunt trauma 3438:Contracture 3391:Demographic 3377:Head injury 3223:Flail chest 3145:Trauma team 2941:Head injury 2936:Hand injury 2303:20 December 1881:13 December 1855:11 December 1681:|work= 1448:17 December 1009:perforation 941:vital signs 891:pericardial 847:, known as 839:during the 604:and 60% of 590:extremities 513:showing an 475:thoracotomy 444:flail chest 385:hypovolemia 361:compression 357:shear force 253:, like the 232:compression 166:hemorrhages 158:lacerations 150:concussions 91:hypovolemia 48:Other names 3504:Categories 3346:Stab wound 3228:Hemothorax 3154:Procedures 3113:Principles 3106:Management 3067:NACA score 3041:Assessment 3007:Polytrauma 3000:Principles 2864:Stab wound 2773:Ecchymosis 2370:2023-09-22 2334:2018-12-20 2242:(1): 204. 2210:"UpToDate" 2044:2018-12-16 1842:StatPearls 1726:1036224056 1375:Oman Med J 1160:StatPearls 1128:References 977:blood loss 932:laparotomy 926:(DPL), or 897:injuries, 886:chest pain 837:ultrasound 825:hemorrhage 768:, and the 694:Neurologic 588:Injury to 440:hemothorax 220:contusions 186:blood loss 146:contusions 93:, reduced 3304:Mechanism 3198:Degloving 2929:By region 2910:Frostbite 2901:Corrosion 2788:Black eye 2689:Abrasions 2402:1559-3908 2258:1364-8535 1747:(3): 31. 1683:ignored ( 1673:cite book 1610:: g1137. 1331:CRC Press 1267:1 January 1206:1 January 1173:1 January 967:Treatment 841:FAST scan 820:surgery. 369:explosion 259:mesentery 216:dashboard 154:abrasions 67:black eye 3510:Injuries 3462:Embolism 2869:Splinter 2769:Hematoma 2713:Blisters 2701:Avulsion 2696:Abrasion 2682:injuries 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Index

Blunt-force trauma
Blunt Force Trauma

black eye
Symptoms
bruising
hypoxia
ventilation-perfusion mismatch
hypovolemia
cardiac output
penetrating trauma
tissue
wound
physical trauma
road traffic collisions
assaults
elderly who experience falls
contusions
concussions
abrasions
lacerations
internal
hemorrhages
bone fractures
force
comorbidities
life-threatening
blood loss

steering wheel

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