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2025 (BRAND NEW!!)
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.
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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
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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.
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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