Of these, over 13,000 were homicides.1 In 2008, there were over 78,000 nonfatal fi rearm injuries reported.3 Blast injuries are a major cause of injuries in many countries, whereas penetrating injuries from knives are prominent in others. In 2006, there were almost 31,000 deaths from fi rearms. Penetrating trauma from guns is very high in the United States. This problem is not limited to the United States other coun-tries have an equal frequency of vehicular trauma, although the vehicles may be different. Unexpected traumatic injuries are responsible for more than 169,000 deaths in the United States each year.1Vehicle collisions accounted for more than 37,000 deaths and more than 4 million injured persons in 2008.2 How would you describe each patient based upon the kinematics?
Take the patients one at a time and describe them based on the kinematics. It is your responsibility to assess the patients and assign priority for transportation. You are the senior EMT-paramedic on the scene. You are dealing with four injured patientstwo in each carand all have remained in the cars. None of the passengers in either vehicle are wearing a safety belt. As you look into the car on the passenger side, you find an indentation in the lower part of the passenger-side dash.
CINEMATICA DE TRAUMA DEFINICION DRIVERS
There is a bent steering wheel, and, there is a bulls-eye fracture of the windshield on the drivers side. The other car veered off the left side of the road and hit a utility pole, centered between the two headlights. There are bullet holes in the left-front door. The first car is in the ditch on the right side of the road and has impacted a tree at the passenger-side door. On arrival, you confirm that there are only two cars involved. The scene is secured by law enforcement when you arrive. You and your partner are dispatched to a two-car collision. Integrate principles of the kinematics of trauma into patient assessment.ĭescribe the recommended card and procedure for documenting TCCC care on the battlefield.Īt the completion of this chapter, the reader will be able to do the following:Ĭh04-04323065023.indd 43ch04-04323065023.indd 43 7/20/10 10:16:26 AM7/20/10 10:16:26 AM blasts, falls).ĭescribe the five phases of blast injury and the injuries produced in each phase.ĭescribe the differences in the production of injury with low-, medium-, and high-energy weapons.ĭiscuss the relationship of the frontal surface of an impacting object to energy exchange and injury production. Relate the laws of motion and energy to mechanisms other than motor vehicle crashes (e.g. Given the description of a motor vehicle crash, use kinematics to predict the likely injury pattern for an unrestrained occupant.Īssociate the principles of energy exchange with the pathophysiology of injury to the head, spine, thorax, abdomen, and extremities resulting from that exchange.ĭescribe the specific injuries and their causes as related to interior and exterior vehicle damage.ĭescribe the function of restraint systems for vehicle occupants.
Define energy in the context of production of injury.ĭescribe the association between the laws of motion, energy, and the kinematics of trauma.ĭescribe the relationship of injury and energy exchange to speed.ĭiscuss energy exchange and the production of cavitation.
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