![]() ![]() Elderly patients, pregnant patients, anticoagulated patients, and young children should be managed in trauma centers capable of providing specialized care. The mechanism is also important as victims of high-risk auto crashes, falls from heights, motorcycle crashes, and pedestrian accidents with significant impact should be managed in a trauma center. Patients with two or more long bone fractures, crushed or pulseless extremities, amputations proximal to the ankle or wrist, pelvic fractures, paralysis, or depressed skull fractures warrant trauma center triage based on injuries. or greater than 29/min, or patients who need ventilatory support warrant triage to a trauma center. Patients with a Glasgow coma scale score greater than 13, respiratory rates less than 10/min. Victims of blunt trauma who meet certain triage criteria have been demonstrated to have improved outcomes when managed in a trauma center. Characteristics of fractures and associated soft tissue and/or skeletal muscle injuries may aid in establishing directionality of the impact causing the wound for example, bumper impact to a pedestrian's legs often results in comminuted fractures of the tibia and/or fibula with a triangular bone fragment pointing in the direction the vehicle was moving. Examination of adjacent or underlying subcutaneous soft tissues may aid in distinguishing between contusion, in which there will be hemorrhage due to rupture of blood vessels, and lividity, a postmortem change in which blood is contained within blood vessels. Primary, secondary, and tertiary surveys are important, with appropriate intervention and resuscitation as required.īlunt impact injuries usually manifest immediately after impact however, deep contusions may not be visible on the skin surface for several days after the injury occurs. This entails obtaining a history of mechanism, events, comorbidities, allergies, medications, and last meal. Send us feedback.Patients presenting with acute blunt trauma should be carefully assessed to ensure serious injuries are not missed. These example sentences are selected automatically from various online news sources to reflect current usage of the word 'trauma.' Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors. 2022 Other factors can include life stressors such as criminal or legal matters, persecution, eviction or home loss, grief, a devastating or debilitating illness, trauma, or other crises, according to NAMI. 2022 The cause for higher rates is complex – for example, the rates seen in Alaska Native populations correlate with systemic inequities, such as intergenerational trauma, socioeconomic factors, racial and ethnic discrimination and more.Īnchorage Daily News, 15 Sep. Gabriel San Románstaff Writer, Los Angeles Times, 16 Sep. 2022 Hate attacks are probably underreported for reasons that include the trauma experienced by victims, fear of retaliation and lack of knowledge about where to go, the report said. ![]() 2022 However, this level can be elevated in the setting of trauma, inflammation, infection, and prostate cancer.Įssence, 12 Sep. ![]() 2022 As BoJack spent six seasons wrestling with addiction, depression, and childhood trauma, his long family-sitcom hangover felt like a magnification of our own. 2022 Iron that’s in use doesn’t tend to exit the body unless a person loses blood, whether through menstruation, bleeding from trauma, illness - or through donation.īrittany Trang, STAT, 21 Sep. 2022 But lasting trauma and a desire to see justice stayed with him.Ĭhris Kenning, USA TODAY, 23 Sep. Recent Examples on the Web Most Asian Americans have also experienced horrendous historical trauma, which explains why the recent increase in hate crimes and discrimination might be so triggering, Hsieh explained during a recent presentation at a county mental health meeting. ![]()
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