@article{ref1,
title="Mechanisms of motor vehicle accidents that predict major injury",
journal="Emergency medicine (ACEM-ASEM)",
year="2003",
author="Palanca, Sylvia and Taylor, David McD and Bailey, M. and Cameron, Peter A.",
volume="15",
number="5-6",
pages="423-428",
abstract="OBJECTIVE: To assess whether prehospital triage guidelines, based on mechanistic criteria alone, accurately identify victims of motor vehicle accidents (MVA) with major injury. METHODS: Retrospective analysis of the Royal Melbourne Hospital trauma database. Mechanisms analysed were those outlined by the American College of Surgeons Committee on Trauma and Advanced Trauma Life Support/Early Management of Severe Trauma prehospital triage guidelines. RESULTS: There were 621 MVA analysed, 253 with major injury (40.7%). Multivariate logistic regression indicated prolonged extrication time (P < 0.0001), cabin intrusion (P = 0.047), high speed (P = 0.003) and ejection from vehicle (P = 0.04) were statistically associated with major injury. Vehicle rollover and fatality in the same vehicle were not statistically associated with major injury. CONCLUSIONS: These data suggest that existing guidelines for the prehospital triage of MVA victims, based on mechanistic criteria alone may need revision.<p /> <p>Language: en</p>",
language="en",
issn="1035-6851",
doi="",
url="http://dx.doi.org/"
}