Photograph documentation of motor vehicle damage by EMTs at the scene: A prospective multicenter study in the United States

Hunt, Richard C.; Whitley, Theodore W.; Allison, E Jackson; Aghababian, Richard V.; Krohmer, Jon R.; Landes, Fred; McCabe, John B.; Prasad, N. Heramba; Cabinum, Elaine S

doi:10.1016/s0735-6757(97)90003-6

Cited by 9 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 Observations that stem from the study of anatomical injury patterns in motor vehicle collisions (MVCs) include the occurrence of, among others, chance fractures seen with lap belt use, and cases of hangman fracture, which is a severe extension injury resulting when the face forcibly strikes the dashboard. [9][10][11][12][13][14][15] Other injury mechanisms associated with specific anatomical injury include Lisfranc joint fractures, which often occur from a twisting fall, 16 Colles fracture, which is most commonly seen in patients who fell on an outstretched hand, 17 knee dislocation patterns from axial loads 18 and tracheobronchial injuries. 19…”

Section: Introductionmentioning

confidence: 99%

Association of injury mechanism with the risk of cervical spine fractures

Thompson

Stiell²,

Clement³

et al. 2009

CJEM

View full text Add to dashboard Cite

Objective:A full understanding of an injury event and the mechanical forces involved should be important for predicting specific anatomical patterns of injury. Yet, information on the mechanism of injury is often overlooked as a predictor for specific anatomical injury in clinical decision-making. We measured the relationship between mechanism of injury and risk for cervical spine fracture.Methods:Our case-control study is a secondary analysis of data collected from the Canadian C-Spine Rule (CCR) study. Data were collected from 1996 to 2002 and included patients presenting to the emergency departments of 9 tertiary care centres after sustaining acute blunt trauma to the head or neck. Cases are defined as patients who were categorized in the CCR study with a clinically important cervical spine fracture. Controls had no radiologic evidence of cervical spine injury. Bivariate and multivariate unconditional logistic regression models were used. Results are presented as odds ratios (ORs) with 95% confidence intervals (CIs).Results:Among the 17 208 patients in the CCR study, 320 (2%) received a diagnosis of a cervical spine fracture. Axial loads, falls, diving incidents and nontraffic motorized vehicle collisions (e.g., collisions involving snowmobiles or all-terrain vehicles) were injury mechanisms that were significantly related to a higher risk of fracture. For motor vehicle collisions, the risk of cervical spine injury increased with the posted speed, being involved in a head-on collision or a rollover, or not wearing a seat belt (p< 0.05). The occurrence of cervical spine fracture was negligible in simple rear-end collisions (1 in 3694 cases; OR 0.015, 95% CI 0.002–0.104]).Conclusion:Our study quantitatively demonstrates the relationship between specific mechanisms of injury and the risk of a cervical spine fracture. A full understanding of the injury mechanism would assist providers of emergency health care in assessing risk for injury in trauma patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Association of injury mechanism with the risk of cervical spine fractures

Thompson

Stiell²,

Clement³

et al. 2009

CJEM

View full text Add to dashboard Cite

show abstract

“…In one study, prehospital providers were able to determine both area and severity of damage in over 90% of crashes. 12 On-scene documentation of crash characteristics can be used to predict anatomic injury site, injury severity, and hospital length of stay in crashes without airbag deployment. 13 Our data are descriptive, based on small case series, and do not prove causation.…”

Section: Discussionmentioning

confidence: 99%

Crash Analysis of Lower Extremity Injuries in Children Restrained in Forward-facing Car Seats During Front and Rear Impacts

Bennett¹,

Kaufman²,

Schiff³

et al. 2006

The Journal of Trauma: Injury, Infection, and Critical Care

View full text Add to dashboard Cite

show abstract

“…6 In a subsequent study assessing the time needed for out-of-hospital personnel to take photographs (1 interior, 1 exterior of the vehicle), 96% of the photos required less than 2 minutes and there was no difference in on-scene times compared with a prior control sample. 8 Other studies have documented the inaccuracy of information obtained by emergency physicians regarding vehicle collision factors when compared with police accident reports, with 74% of cases having at least one discrepancy and 46% having multiple discrepancies. 7 Furthermore, verbal depiction of collision details is often inefficient and ineffective in the clinical setting, especially in a high-volume ED or where multiple phy-sicians care for the patient.…”

Section: Discussionmentioning

confidence: 99%

“…2,6,7 On-scene photographic documentation of damage from motor vehicle crashes (MVCs) has been suggested as a potentially effective means of obtaining accurate and timely out-of-hospital information. 6,8 To date, no study has linked injury pattern and injury severity to data from crash scene photographs.…”

mentioning

confidence: 99%

Crash Scene Photography in Motor Vehicle Crashes without Air Bag Deployment

Newgard

2002

Academic Emergency Medicine

View full text Add to dashboard Cite

Objective: To determine whether vehicle characteristics, measured using crash scene photography, are associated with anatomic patterns of injury and severity of injury sustained in motor vehicle crashes (MVCs) without air bag deployment. Methods: A prospective observational study was conducted over 22 months, using 12 fire departments serving two hospitals. Two vehicle photographs (exterior and interior) were taken at each MVC. Vehicular variables were assigned by grading the photographs with a standardized scoring system, and outcome information on each patient was collected by chart review. Results: Five hundred fifty-nine patients were entered into the study. Frontal crashes and increasing passenger space intrusion (PSI) were associated with head, facial, and lower-extremity injuries, while rear crashes were associated with spinal injuries. Restraint use had a protective effect in head, facial, and upper and lower extremity injuries, yet was associated with higher odds of spinal injury. Lack of restraint use, increasing PSI, and steering wheel deformity were associated with an increased hospital length of stay and hospital charges, yet only steering wheel deformity was associated with increasing injury severity when adjusting for other crash variables. Conclusions: Out-of-hospital variables, as obtained from crash vehicle photography, are associated with injury site, injury severity, hospital length of stay, and hospital charges in patients involved in MVCs without air bag deployment.

show abstract

Photograph documentation of motor vehicle damage by EMTs at the scene: A prospective multicenter study in the United States

Cited by 9 publications

References 10 publications

Association of injury mechanism with the risk of cervical spine fractures

Association of injury mechanism with the risk of cervical spine fractures

Crash Analysis of Lower Extremity Injuries in Children Restrained in Forward-facing Car Seats During Front and Rear Impacts

Crash Scene Photography in Motor Vehicle Crashes without Air Bag Deployment

Contact Info

Product

Resources

About