Mechanisms and Patterns of Injury: The Key to Anticipation in Trauma Management

Skin changes following minor trauma

“…Only minor damage could be seen in the biopsy material. The traumas were induced with maximum retardation of 10 G, which is clearly below the values given for major blunt trauma by Grande [17]. The spectroscopic analysis of the impact site showed only weak variations in a short period of time after impact, see Figure 2, Inj1-Inj4.…”

“…The relation between the extent of trauma and the resulting injury have been thoroughly described for major and often fatal trauma like head injuries or trauma to inner organs caused by, for example, car crashes. Nonpenetrating minor trauma are only described by a few authors, see for example [7,8,16,17]. Roberts et al [16] presented a finite element model to evaluate the effect of non-penetrating ballistic impacts.…”

Importance of the Mechanism of Injury in Trauma Radiology Decision-Making

“…This type of trauma often occurs because of compression forces, rapid acceleration or deceleration forces, or a combination of these [ 5 ]. Compression injuries are caused by external compression against a fixed object, resulting in deformed hollow organs and increased intraluminal pressures, ultimately leading to rupture of the organ or tissue if the tensile strength is exceeded [ 8 ]. Acceleration and deceleration forces cause stretching and shearing at the interface between fixed and mobile structures, resulting in the disruption of organs, connective tissue, blood vessels, and nerves [ 8 ].…”

“…Compression injuries are caused by external compression against a fixed object, resulting in deformed hollow organs and increased intraluminal pressures, ultimately leading to rupture of the organ or tissue if the tensile strength is exceeded [ 8 ]. Acceleration and deceleration forces cause stretching and shearing at the interface between fixed and mobile structures, resulting in the disruption of organs, connective tissue, blood vessels, and nerves [ 8 ]. The most common causes of blunt trauma at the emergency department are motor vehicle accidents (MVAs) and falls (from a standing height or greater) [ 7 ].…”

Análise comparativa do perfil de vítimas de trauma contuso e penetrante atendidas na sala de emergência: estudo longitudinal

“…De uma maneira geral, traumas contusos podem ser resultantes de quedas, colisões veiculares, incidentes de lazer ou demais ocorrências de transporte (1)(2)(3)(4) . Neste tipo de trauma, o padrão e a gravidade das lesões resultantes são determinados pela magnitude e orientação da mudança de aceleração para o indivíduo (3) .…”