TY  - JOUR
PY  - 2003//
TI  - Mechanisms of motor vehicle accidents that predict major injury
JO  - Emergency medicine (ACEM-ASEM)
A1  - Palanca, Sylvia
A1  - Taylor, David McD
A1  - Bailey, M.
A1  - Cameron, Peter A.
SP  - 423
EP  - 428
VL  - 15
IS  - 5-6
N2  - 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>
LA  - en
SN  - 1035-6851
UR  - http://dx.doi.org/
ID  - ref1
ER  -