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If you see a cracked windshield in a MVC... what will the pt represent with?
- 🧠ANSWER ✔✔Bruised or lacerated head or face. Brain injury, *cervical
spine injury (always until proven otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what will the pt
represent with? - 🧠ANSWER ✔✔Bruised neck, bruised chest. Sternal or rib
fracture, flail chest, myocardial contusion, *pericardial tamponade,
pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent
with? - 🧠ANSWER ✔✔Bruised abdomen, bruised knee, misplaced
kneecap. Ruptured spleen, liver, bowel, diaphragm. Fractured patella,
dislocated knee, *femoral fracture, dislocated hip.
,If you see the rear end of the vehicle is damaged in a MVC... what will the
pt represent with? - 🧠ANSWER ✔✔Secondary anterior injuries, esp if the pt
wasn't restrained. "Wiplash" injuries, *coup contrecoup injury.
Phases of Deceleration - 🧠ANSWER ✔✔1) Deceleration of the vehicle,
occurs when the vehicle strikes another object & comes to a stop. 2)
Deceleration of occupant, which starts during sudden braking & continues
through the whole crash. 3) Deceleration of internal organs, that consist of
internal organs that continue forward momentum until they're stopped by
anatomical restraints. 4) Secondary collisions, which occur when a vehicle
occupant is hit by objects moving within the vehicle (loose objects). 5)
Additional impacts, that the vehicle may receive when it is hit by a second
vehicle or is deflected into another.
Velocity - 🧠ANSWER ✔✔"Speed kills"- causes more damage than mass.
Seat Belt Use - 🧠ANSWER ✔✔All arguments against seat belt use are
unfounded.
Airbag Injuries - 🧠ANSWER ✔✔Common injuries include abrasions to the
face, chest and arms. Minor corrosive effects can occur because of the
cornstarch on the airbag, and it may irritate the skin.
, Down and Under Pathway - 🧠ANSWER ✔✔Occupant slides under the
steering wheel or the dash. The knees hit the dashboard, and transmit
energy up the leg, to the femur/pelvis. If the feet are locked in place, it can
cause femur fractures.
Up and Over Pathway - 🧠ANSWER ✔✔Chest hits the steering wheel, head
hits the windshield and anterior portion of the throat hits the top of the
steering wheel. Can cause significant head and neck injuries.
Head on Impact in Motorcycle Crashes - 🧠ANSWER ✔✔Head on impact-
motorcycle strikes another object and stops its forward motion, while the
rider continues forward motion until stopped by outside force. This causes
the rider to go over the handlebars, which causes femur fractures, and tib
fractures.
Angular Impact in Motorcycle Crashes - 🧠ANSWER ✔✔The motorcycle
strikes an object, or another vehicle at an angel so that the rider sustains
direct crushing injuries to the lower extremity between the object and
motorcycle.
Motorcycle Crashes - 🧠ANSWER ✔✔With any motorcycle crash, the
helmet should be removed carefully if airway management techniques
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