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What is "index of suspicion"? - Answers-The medical
provider's estimate of a disease or injury being present in
a patient. A high index of suspicion means there is a high
probability the injury is present. A low index of suspicion
means there is a low risk of the injury.
List the two basic mechanisms of motion injury - Answers-
Blunt and penetrating
Identify the three collisions associated with a motor-
vehicle collision (MVC) - Answers-1. Machine collision
2. Body collision
3. Organ collision resulting in rupture, shearing, or bruising
Name the five common forms of MVCs - Answers-1.
Frontal-impact (head-on collision)
2. Lateral-impact (T-bone collision)
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3. Rear-impact collision
4. Rollover collision
5. Rotational collision
Using the three collisions associated with a MVC, relate at
least three frontal-impact collisions to potential patient
injuries to deformity of the vehicle, interior structures and
body structures. - Answers-Machine collision = Deformed
front end
Body collision = Spider-web pattern of windshield
Organ collision = Coup/contracoup brain, soft-tissue injury
(scalp, face, neck), hyperextension/flexion of the cervical
spine
Machine collision = Deformed front end
Body collision = Steering wheel ring fracture, deformity
and column displacement
Organ collision = Traumatic tattooing of patient's skin
Machine collision = Deformity of vehicle
Body collision = Dashboard fracture and deformity
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Organ collision = Facial trauma, coup/contracoup brain,
hyperextension/flexion of the cervical spine, pelvis, hip
and knee trauma
Using the three collisions associated with a MVC, relate at
least three lateral-impact collisions to potential patient
injuries to deformity of the vehicle, interior structures and
body structures. - Answers-Machine collision = Deformed
driver or passenger side
Body collision = Degree of door deformity (ex: armrest
bent, outward or inward bowing of door)
Organ collision = This cannot be predicted by external
exam alone. Instead, consider organs beneath areas of
external injury:
-Head = Coup/contracoup
-Neck = Ranging from cervical-muscle strain to fracture or
subluxation with neurologic deficit
-Upper arm and shoulder = Injuries appear on the side of
the impact and are common, as are injuries to the lower
extremities
-Thorax/abdomen = Injuries from soft-tissue injuries to flail
chest, lung contusion, pneumothorax, hemothorax, or
possible traumatic aortic dissection. Injuries include those
to solid and hollow organs
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-Pelvis/legs = Pelvic, hip or femur fractures. Pelvic injuries
may also include dislocation, bladder rupture and urethral
injuries
Describe potential injuries associated with proper and
improper use of seat restraints, headrest and air bags in a
head-on collision - Answers-Proper use of seat restraint =
Facial, head or neck injuries such as fractures,
dislocations or spinal-cord injuries; Clavicle fractures (at
the point where the chest strap crosses) and chest-wall
injuries; Internal organ damage
Improper use of seat restraint = Abdominal or lumbar
spine injury; No restraint could possibly lead to ejection of
vehicle
Improper use of headrest = (second impact)
Hyperextension of the cervical spine
Proper use of air bags = Injuries from a second impact
after deflation can lead to striking the steering wheel
leading to internal injuries (thus, check under the deflated
air bag for mechanical deformity; Leg, pelvis or abdominal
injuries; Abrasions from the nylon bag, corneal abrasions