Management of Sternal Fractures: 239 Cases

2002 ◽  
Vol 10 (2) ◽  
pp. 145-149 ◽  
Author(s):  
Konstantinos Potaris ◽  
John Gakidis ◽  
Peter Mihos ◽  
Valsamakis Voutsinas ◽  
Anastasios Deligeorgis ◽  
...  
Keyword(s):  
Trauma Center ◽  
Motor Vehicle ◽  
Morbidity And Mortality ◽  
Cardiac Complications ◽  
Seat Belts ◽  
Motor Vehicle Collisions ◽  
Concomitant Injuries ◽  
Vehicle Collisions ◽  
Car Accident ◽  
Sternal Fractures

A review of the management of 239 patients with sternal fractures in a busy trauma center between October 1989 and May 2000 was undertaken to determine the incidence, significance, morbidity, and mortality of this injury. There were 140 men and 99 women with a mean age of 50.3 years (range, 15 to 93 years). Sternal fractures accounted for 8% of admissions for thoracic trauma. The causes were motor vehicle collisions in 215 patients (90%) and falls or direct blows in 24 (10%). Only 64 of 204 car accident patients (31%), 28 men and 36 women, were restrained by seat belts. Complications developed in 13 patients (5.4%). Mortality rate was 0.8%. Mean length of stay in the ward was 6.4 days (range, 1 to 32 days). Four patients (1.7%) underwent surgery. The results show that isolated sternal fractures have low associated morbidity and mortality. Admission is justified for the management of pain and treatment of cardiac complications and concomitant injuries.

MP9-16 THE IMPACT OF SEAT BELTS AND AIRBAGS ON HIGH GRADE RENAL INJURIES AND NEPHRECTOMY RATES IN MOTOR VEHICLE COLLISIONS

2014 ◽  
Vol 191 (4S) ◽  
Author(s):  
Marc Bjurlin ◽  
Richard Fantus ◽  
Michele Mellett ◽  
Richard Fantus ◽  
Dana Villines
Keyword(s):  
Motor Vehicle ◽  
High Grade ◽  
Seat Belts ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
The Impact ◽  
Renal Injuries

Biomechanical Analysis of Late Airbag Deployment in Motor Vehicle Crashes Using Computer Simulation

2007 ◽  
Author(s):  
Russell Frieder ◽  
Sri Kumar
Keyword(s):  
Computer Simulation ◽  
Motor Vehicle ◽  
Biomechanical Analysis ◽  
Seat Belts ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Restraint Use ◽  
Airbag Deployment ◽  
Safety Systems ◽  
Frontal Collisions

Motor vehicle collisions frequently result in serious or fatal inuries to occupants [1–4]. Frontal collisions are amongst the most severe types of accidents. The use of safety systems such as seat belts and airbags has been shown to reduce the severity of injuries sustained by occupants [5–10]. It is well known that frontal airbags act as supplemental restraints to seat belts in protecting occupants. Airbag deployment occurs through a reaction of chemicals in the inflator that rapidly produces gas and fills the canvas bag. The filled bag acts a cushion between the occupant and the vehicle’s interior components. The supplemental restraint provided by the airbag increases the amount of time and distance over which the occupant’s body decelerates, and accordingly reduces the potential for injury. The time at which the airbag deployment is initiated during the crash sequence can have an effect on the nature of the contact between occupant and airbag. Though properly timed, frontal airbags have been shown to reduce injuries sustained to occupants[11], it has been reported that airbags that deploy too late may cause injury[12]. To date, there have been a very limited number of studies that have addressed the biomechanical effects of late airbag deployment. The purpose of this study is to determine the biomechanical effects of late airbag deployment and restraint use on various sizes of occupants through computer simulation.

scholarly journals The Impact of Seat Belts and Airbags on High Grade Renal Injuries and Nephrectomy Rate in Motor Vehicle Collisions

2014 ◽  
Vol 192 (4) ◽  
pp. 1131-1136 ◽  
Author(s):  
Marc A. Bjurlin ◽  
Richard Jacob Fantus ◽  
Richard Joseph Fantus ◽  
Michele M. Mellett ◽  
Dana Villines
Keyword(s):  
Motor Vehicle ◽  
High Grade ◽  
Seat Belts ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
The Impact ◽  
Renal Injuries

scholarly journals The role of seating position in determining the injury pattern among unrestrained children involved in motor vehicle collisions presenting to a level I trauma center

2012 ◽  
Vol 32 (5) ◽  
pp. 502-506 ◽  
Author(s):  
Ayman Al-Jazaeri ◽  
Mohammad Zamakhshary ◽  
Abdulrahma Al-Omair ◽  
Yasser Al-Haddab ◽  
Othman Al-Jarallah ◽  
...  
Keyword(s):  
Trauma Center ◽  
Motor Vehicle ◽  
Injury Pattern ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Level I ◽  
Seating Position

Factors involved in the assessment of paediatric traffic injuries and deaths

2018 ◽  
Vol 58 (4) ◽  
pp. 210-215 ◽  
Author(s):  
Siobhan O’Donovan ◽  
Corinna van den Huevel ◽  
Matthew Baldock ◽  
Roger W Byard
Keyword(s):  
Motor Vehicle ◽  
Unintentional Injury ◽  
Forensic Assessment ◽  
Seat Belts ◽  
Motor Vehicle Collisions ◽  
Safety Measures ◽  
Vehicle Collisions ◽  
Air Bags ◽  
Safety Guidelines

Motor-vehicle collisions are the leading cause of unintentional injury and death in children in many parts of the world, including Europe, North America and Australia. The number of fatal collisions has decreased considerably in countries where safety measures such as child restraints, seat belts and air bags have been introduced, providing protection for children within vehicles, although it is recognised that there have been concomitant improvements in emergency responses and techniques, and in hospital treatments. Helmets and changes in external vehicle designs have been implemented to protect paediatric pedestrians and cyclists. However, despite the development of safety guidelines and technologies, injuries still occur. This paper provides an overview of the role of motor-vehicle collisions in paediatric morbidity and mortality to analyse the nature and aetiology of common fatal and non-fatal injuries in children that may present for forensic assessment as passengers, pedestrians or cyclists.

scholarly journals Alarming Rate of Substance Use in Motor Vehicle Collisions at an Appalachian Trauma Center

Cureus ◽  
2020 ◽  
Author(s):  
Rebecca Proctor ◽  
Melissa P Taylor ◽  
Megan Quinn ◽  
Bracken Burns
Keyword(s):  
Substance Use ◽  
Trauma Center ◽  
Motor Vehicle ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions

Case Exercise: Biomechanics in Rearend Motor Vehicle Collisions

2007 ◽  
Vol 12 (3) ◽  
pp. 4-7
Author(s):  
Charles N. Brooks ◽  
Christopher R. Brigham
Keyword(s):  
Motor Vehicle ◽  
Body Position ◽  
Motor Vehicle Collisions ◽  
Time Curve ◽  
Vehicle Collisions ◽  
Need For Treatment ◽  
Multiple Factors ◽  
Bodily Injury ◽  
Vehicle Collision ◽  
Physical Findings

Abstract Multiple factors determine the likelihood, type, and severity of bodily injury following a motor vehicle collision and, in turn, influence the need for treatment, extent of disability, and likelihood of permanent impairment. Among the most important factors is the change in velocity due to an impact (Δv). Other factors include the individual's strength and elasticity, body position at the time of impact, awareness of the impending impact (ie, opportunity to brace, guard, or contract muscles before an impact), and effects of braking. Because Δv is the area under the acceleration vs time curve, it combines force and duration and is a useful way to quantify impact severity. The article includes a table showing the results of a literature review that concluded, “the consensus of human subject research conducted to date is that a single exposure to a rear-end impact with a Δv of 5 mph or less is unlikely to result in injury” in most healthy, restrained occupants. Because velocity incorporates direction as well as speed, a vehicular occupant is less likely to be injured in a rear impact than when struck from the side. Evaluators must consider multiple factors, including the occupant's pre-existing physical and psychosocial status, the mechanism and magnitude of the collision, and a variety of biomechanical variables. Recommendations based solely on patient history and physical findings (and, perhaps, imaging studies) may be ill-informed.

105: Renal Injury Mechanisms in Motor Vehicle Collisions: Analysis of the Crash Injury Research and Engineering Network (CIREN) Dataset

2007 ◽  
Vol 177 (4S) ◽  
pp. 37-37
Author(s):  
James K. Kuan ◽  
Robert Kaufman ◽  
Jonathan L. Wright ◽  
Charles Mock ◽  
Avery B. Nathens ◽  
...  
Keyword(s):  
Renal Injury ◽  
Motor Vehicle ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Injury Mechanisms ◽  
Injury Research
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