A 32 years old male was involved in an MVC where he was in the front seat as a passenger and had his seatbelt on. It was a direct front collision. The patient is stable. He is in moderate pain. Displacement of the lower part of the sternum as well as a retrosternal hematoma was noted after the ED care.
Trauma care is very important as globally recognized. It is also important to prevent injury. Seat belts are doing their part to prevent further injury. However, they may not be protective, or even cause injury if the other prevention measures were not applied such as speed limit.
This case shows dramatic skin lesions caused by the seatbelt. You can see various images of this in the clinical image archive (just click the image). What seatbelt sign says to us? INVESTIGATE FURTHER INNER INJURY… This patient has neck, chest, abdomen skin findings. Therefore, vascular injuries (aorta, vein), viscus injuries (perforation, bleeding), solid organ lacerations (spleen, liver, pancreas), contusions (cardiac) in the neck, chest, and abdomen should be investigated.
To learn more about trauma management read below chapter.
Multiple Trauma by Pia Jerot and Gregor Prosen by Dan O’Brien
In case you didn’t encounter electrical injury today!
The above picture shows entry wounds of electrical injury. One of the important hints is DO NOT DELAY TO TAKE OFF RINGS for any hand injury!
The above picture shows exit wounds of the same patient.
In case you didn’t encounter a construction worker who presented with high voltage electrical injury today!
In case you didn’t encounter another trauma today!
You are working in a rural hospital. A 55-year-old female was brought to the ED by EMS. She was found at home, lying on the ground, in front of the stairs. She is vitally stable but unconscious (GCS: E1, V:2, M:3). You applied trauma surveys. After inline stabilization, you intubated the patient. The facility does not have a CT scan, and you order standard X-ray series for trauma including c-spine.
What are abnormal findings in this x-ray?
Facet dislocation? Unilateral or Bilateral?
In case you didn’t encounter a kid with wrist pain today!
Pediatric fractures affecting growth plate are classified with Salter-Harris classification. It is from I to V.
What is your opinion about below x-ray? I, II, III, IV or V?
Please give your answer at the comment box below.
In case you didn’t encounter a child fallen from a bicycle today!
In case you didn’t encounter a child with elbow pain today!