TY  - JOUR
PY  - 1993//
TI  - Injuries missed during initial assessment of blunt multi-system trauma patients
JO  - Proceedings: Association for the Advancement of Automotive Medicine Annual Conference
A1  - Rizoli, S. B.
A1  - Sharkey, P. W.
A1  - McLellan, B. A.
A1  - Boulanger, B. R.
SP  - 255
EP  - 262
VL  - 37
IS  - 
N2  - Initial management in trauma involves resuscitation and detection of injuries. Despite efforts, some injuries are missed. A review of 432 adult blunt trauma patients demonstrated that 59 (13.6%) had 74 missed injuries. Missed injuries were those recognized during hospitalization but not identified during resuscitation. Most missed injuries were fractures (83.8%). Once detected, 40% required a change in therapy, including surgery. Twenty-eight percent were diagnosed after extubation or recovery of consciousness and 25 % were never detected clinically. Radiologists diagnosed 28% of injuries by reviewing admission radiographs. Repeated physical examination, high suspicion and attention to complaints are essential in detecting missed injuries.<p />
LA  - 
SN  - 1540-0344
UR  - http://dx.doi.org/
ID  - ref1
ER  -