Collecting information from the scene of a motor vehicle collision: The mechanism of injury
<p dir="ltr">While dealing with motor vehicle collision (MVC) victims, the Paramedics on-scene make patient management decisions based on assessment of the physiological parameters, anatomic site of injury, mechanism of injury (MOI), and some special considerations (age and underlyin...
محفوظ في:
| المؤلف الرئيسي: | |
|---|---|
| مؤلفون آخرون: | |
| منشور في: |
2015
|
| الموضوعات: | |
| الوسوم: |
إضافة وسم
لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!
|
| _version_ | 1864513523025969152 |
|---|---|
| author | Yousaf Shah (6932063) |
| author2 | Guillaume Alinier (6952004) |
| author2_role | author |
| author_facet | Yousaf Shah (6932063) Guillaume Alinier (6952004) |
| author_role | author |
| dc.creator.none.fl_str_mv | Yousaf Shah (6932063) Guillaume Alinier (6952004) |
| dc.date.none.fl_str_mv | 2015-11-12T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.5339/jlghs.2015.itma.56 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Collecting_information_from_the_scene_of_a_motor_vehicle_collision_The_mechanism_of_injury/27160434 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Motor Vehicle Collisions (MVC) Paramedic Decision-Making Mechanism of Injury (MOI) Trauma Assessment Emergency Physician Management Patient Handover |
| dc.title.none.fl_str_mv | Collecting information from the scene of a motor vehicle collision: The mechanism of injury |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">While dealing with motor vehicle collision (MVC) victims, the Paramedics on-scene make patient management decisions based on assessment of the physiological parameters, anatomic site of injury, mechanism of injury (MOI), and some special considerations (age and underlying illnesses). In victims with normal physiological and anatomical parameters, and no alarming consideration, the MOI alone is found to be an independent predictor of mortality and functional impairment (2, 3); the Emergency Physician can utilize such information to guide further management of the MVC victims. Information concerning the MOI mostly comes from the Paramedics who retrieved the patient from the crash scene. The purpose of this review is to explore the injury-predictive mechanisms of MVC and to guide the Paramedics in conveying such vital information to the Emergency Physician during handover process. A literature search was made using the online search engine PubMed to identify studies exploring the injury-predictive mechanisms of MVC. Keyword combinations were used that included: Motor/Vehicle/Collision/Road/Traffic/Accidents/Trauma/Mechanism of injury. Auto vs. pedestrian and Motorcycle crashes were excluded. A total of 8 articles were found to be relevant. The mechanisms of MVC which are highly predictive of a significant occult injury include ejection from vehicle (1,4,5), intrusion of the passenger compartment more than 12 inches (1,2,4), prolonged extrication time >20 minutes (4,5), death in the same passenger compartment (1,5), high speed crashes (4), deformity of the steering wheel (2), and rollover causing significant intrusion or ejection of the victim (1). Paramedics reporting the aforementioned crash-specific variables would alert the Emergency Physician and help him better deal with MVC victims who have normal physiological and anatomical parameters, and no alarming considerations. Provision of MVC scene photographs to the emergency physician could be a future research project to assess its impact on altering patient management and outcome.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Local and Global Health Science, title discontinued as of (2017)<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/jlghs.2015.itma.56" target="_blank">https://dx.doi.org/10.5339/jlghs.2015.itma.56</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_28c635d076af2865e4f496086d422f7c |
| identifier_str_mv | 10.5339/jlghs.2015.itma.56 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/27160434 |
| publishDate | 2015 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Collecting information from the scene of a motor vehicle collision: The mechanism of injuryYousaf Shah (6932063)Guillaume Alinier (6952004)Biomedical and clinical sciencesClinical sciencesMotor Vehicle Collisions (MVC)Paramedic Decision-MakingMechanism of Injury (MOI)Trauma AssessmentEmergency Physician ManagementPatient Handover<p dir="ltr">While dealing with motor vehicle collision (MVC) victims, the Paramedics on-scene make patient management decisions based on assessment of the physiological parameters, anatomic site of injury, mechanism of injury (MOI), and some special considerations (age and underlying illnesses). In victims with normal physiological and anatomical parameters, and no alarming consideration, the MOI alone is found to be an independent predictor of mortality and functional impairment (2, 3); the Emergency Physician can utilize such information to guide further management of the MVC victims. Information concerning the MOI mostly comes from the Paramedics who retrieved the patient from the crash scene. The purpose of this review is to explore the injury-predictive mechanisms of MVC and to guide the Paramedics in conveying such vital information to the Emergency Physician during handover process. A literature search was made using the online search engine PubMed to identify studies exploring the injury-predictive mechanisms of MVC. Keyword combinations were used that included: Motor/Vehicle/Collision/Road/Traffic/Accidents/Trauma/Mechanism of injury. Auto vs. pedestrian and Motorcycle crashes were excluded. A total of 8 articles were found to be relevant. The mechanisms of MVC which are highly predictive of a significant occult injury include ejection from vehicle (1,4,5), intrusion of the passenger compartment more than 12 inches (1,2,4), prolonged extrication time >20 minutes (4,5), death in the same passenger compartment (1,5), high speed crashes (4), deformity of the steering wheel (2), and rollover causing significant intrusion or ejection of the victim (1). Paramedics reporting the aforementioned crash-specific variables would alert the Emergency Physician and help him better deal with MVC victims who have normal physiological and anatomical parameters, and no alarming considerations. Provision of MVC scene photographs to the emergency physician could be a future research project to assess its impact on altering patient management and outcome.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Local and Global Health Science, title discontinued as of (2017)<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/jlghs.2015.itma.56" target="_blank">https://dx.doi.org/10.5339/jlghs.2015.itma.56</a></p>2015-11-12T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.5339/jlghs.2015.itma.56https://figshare.com/articles/journal_contribution/Collecting_information_from_the_scene_of_a_motor_vehicle_collision_The_mechanism_of_injury/27160434CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/271604342015-11-12T09:00:00Z |
| spellingShingle | Collecting information from the scene of a motor vehicle collision: The mechanism of injury Yousaf Shah (6932063) Biomedical and clinical sciences Clinical sciences Motor Vehicle Collisions (MVC) Paramedic Decision-Making Mechanism of Injury (MOI) Trauma Assessment Emergency Physician Management Patient Handover |
| status_str | publishedVersion |
| title | Collecting information from the scene of a motor vehicle collision: The mechanism of injury |
| title_full | Collecting information from the scene of a motor vehicle collision: The mechanism of injury |
| title_fullStr | Collecting information from the scene of a motor vehicle collision: The mechanism of injury |
| title_full_unstemmed | Collecting information from the scene of a motor vehicle collision: The mechanism of injury |
| title_short | Collecting information from the scene of a motor vehicle collision: The mechanism of injury |
| title_sort | Collecting information from the scene of a motor vehicle collision: The mechanism of injury |
| topic | Biomedical and clinical sciences Clinical sciences Motor Vehicle Collisions (MVC) Paramedic Decision-Making Mechanism of Injury (MOI) Trauma Assessment Emergency Physician Management Patient Handover |