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There was a significant mechanism of injury (for example, a high-speed car accident, falls >20 ft); OR; The patient has an altered mental status; OR; The medical responder suspects that the patient has multi-systems trauma; If NONE of these criteria are met, the medical provider may go through a slower or more focused trauma assessment. [3]
TQIP measures multiple variables in its risk-adjustment models. These variables include factors such as age, race, gender, initial pulse rate in the emergency department, the mechanism of injury, etc. An 18 variable multivariable logistic regression model is used to estimate risk-adjusted mortality for trauma patients.
This injury has also been reported in babies younger than six months and in older children up to the preteen years. There is a slight predilection for this injury to occur in girls and in the left arm. The classic mechanism of injury is longitudinal traction on the arm with the wrist in pronation, as occurs when the child is lifted up by the wrist.
Major trauma is a severe traumatic injury that has the potential to cause disability or death. Serious traumatic injury most often occurs as a result of traffic collisions. [11] Traumatic injury is the leading cause of death in people under the age of 45. [12] Blunt trauma injuries are caused by the forceful impact of an external object.
A wound is any disruption of or damage to living tissue, such as skin, mucous membranes, or organs. [1] [2] Wounds can either be the sudden result of direct trauma (mechanical, thermal, chemical), or can develop slowly over time due to underlying disease processes such as diabetes mellitus, venous/arterial insufficiency, or immunologic disease. [3]
Mechanism of injury (MOI) is the means by which an injury occurs. [2] It is important because in the absence of an MoI there is no hazard. Common mechanisms of injury are "slips, trips and falls", for example: Hazard: Ex. a tool bag (in walkway) Mechanism of injury: Ex. trip (over tool bag) Injury = Bone fracture; Other common mechanisms of ...
Examples of these indications include penetrating neck trauma, expanding neck hematoma, and being unconscious. In general, the method of intubation used is rapid sequence intubation followed by ventilation, though intubating in shock due to bleeding can lead to arrest, and should be done after some resuscitation whenever possible.
Once the patient is stabilised, orthopedic injuries can be evaluated including determining the severity of injury using a classification system. Mechanism of injury is important to know the amount energy that is transferred to the patient and the level of contamination. Every limb should be exposed to evaluate any other hidden injuries.