Evaluation of blunt trauma to the head continues with the secondary survey in which evidence of cranial trauma, including bruises, contusions, lacerations, and abrasions are noted. In addition to noting external injury, a comprehensive neurologic exam is typically performed to assess for damage to the brain. Depending on the mechanism of injury and examination, a CT scan of the skull and brain may be ordered.
This is typically done to assess for blood within the skull , or fracture of the skull bones. Traumatic brain injury TBI is a significant cause of morbidity and mortality and is most commonly caused by falls, motor vehicle accidents, sports- and work-related injuries, and assaults. It is the most common cause of death in patients under the age of TBI is graded from mild to severe, with greater severity correlating with increased morbidity and mortality.
Most patients with more severe traumatic brain injury have of a combination of intracranial injuries, which can include diffuse axonal injury , cerebral contusions , as well as intracranial bleeding , including subarachnoid hemorrhage , subdural hematoma , epidural hematoma , and intraparenchymal hemorrhage. Injury to extremities like arms, legs, hands, feet is extremely common.
The most common mechanism for solely upper extremity injuries is machine operation or tool use. Work related accidents and vehicle crashes are also common causes.
This uses a special scanner and a substance that makes it easier to examine the vessels in finer detail than what the human hand can feel or the human eye can see. Neurologic evaluation involves testing of the major nerve functions of the axillary , radial , and median nerves in the upper extremity as well as the femoral , sciatic , deep peroneal , and tibial nerves in the lower extremity.
Surgical treatment may be necessary depending on the extent of injury and involved structures, but many are managed nonoperatively. The most common causes of blunt pelvic trauma are motor vehicle accidents and multiple-story falls, and thus pelvic injuries are commonly associated with additional traumatic injuries in other locations.
One of the primary concerns is the risk of pelvic fracture , which itself is associated with a myriad of complications including bleeding, damage to the urethra and bladder , and nerve damage. During the evaluation of trauma patients in an emergency department, the stability of the pelvis is typically assessed by the healthcare provider to determine whether fracture may have occurred. Providers may then decide to order imaging such as an X-ray or CT scan to detect fractures; however, if there is concern for life-threatening bleeding, patients should receive an X-ray of the pelvis.
A life-threatening concern is hemorrhage , which may result from damage to the aorta , iliac arteries or veins in the pelvis. The majority of bleeding due to pelvic trauma is due to injury to the veins. Should a patient appear hemodynamically unstable in the absence of obvious blood on the FAST scan, there may be concern for bleeding into the retroperitoneal space , known as retroperitoneal hematoma. Stopping the bleeding may require endovascular intervention or surgery, depending on the location and severity.
In most settings, the initial evaluation and stabilization of traumatic injury follows the same general principles of identifying and treating immediately life-threatening injuries. In the US, the American College of Surgeons publishes the Advanced Trauma Life Support guidelines, which provide a step-by-step approach to the initial assessment, stabilization, diagnostic reasoning, and treatment of traumatic injuries that codifies this general principle.
This is sometimes described as the "A, B, C's"—Airway, Breathing, and Circulation—and is the first step in any resuscitation or triage. Then, the history of the accident or injury is amplified with any medical, dietary timing of last oral intake and past history, from whatever sources such as family, friends, previous treating physicians that might be available. The amount of time spent on diagnosis should be minimized and expedited by a combination of clinical assessment and appropriate use of technology,  such as diagnostic peritoneal lavage DPL , or bedside ultrasound examination FAST  before proceeding to laparotomy if required.
If time and the patient's stability permits, CT examination may be carried out if available. Be My Baby buy track 6. James Brown buy track 7. Fucked On Your Fuck buy track 8. Get In The Car buy track 9. Dirty Mouth buy track Mean Old Queen buy track Abattoir Blues is a Manchester based Label specialising is blues, garage and punk acts. Contact Abattoir Blues. Streaming and Download help. Report this album or account.
If you like Blunt Force Trauma, you may also like:. On a similar note, many of the "fighters'" gun choices would go through the vests the others use, especially when they lack trauma plates and why would they NOT use trauma plates???
That's not a spoiler, one example is seen at minute 3 when someone has a Desert Eagle, and it was also glimpsed in the trailer. If you get bruises, it means you felt something. For the longest times in this, it feels like While our main character struggles to explain what can not be explained, we get a second story line with the gorgeous and talented Freida Pinto.
The ensuing love story is not the most believable you'll have seen. But it serves its purpose killing time and establishing another character besides our main man. Unfortunately not many things work in its favor here. The ending which seems blurred, but I guess if you look closely enough you might be able to see something and if you still care have an opinion about it will split the opinion many viewers will have.
Rightfully so I think. Watch it if you don't expect much Blunt Force Trauma is about an underground betting ring where two guys wear bulletproof vests and take turns shooting each other out of a circle. It's unique, it's inherently cinematic and each duel is a highlight. The story surrounding it however, predictably though, is very flat and centres around characters with very little dimension to them.
The film has plenty of style and there are some really neat dress styles in this. The characters look way cooler than they talk or act. This is due to very basic dialogue and performances that are way too toned down to the point of mumblecore.
Blunt force Trauma does not have a lot going for it apart from its central premise, but man what a central premise. It is so good, it just about carries a film that is otherwise poorly acted, looks cheap as hell and lacks any real engaging characters. Despite all the negatives, i feel this deserves a sequel. Hell, i'd watch it. No spoilers. Just an old reference. When I was younger, there was a thing called a "shaggy dog story". This movie has A LOT going for it. It has good character development, for example.
Good basic plot. Good although each mostly simple complications to the plot. Some elements of the action were never adequately explained. But in the long run: too many things were not explained in the context. Many things seemed to happen with no rational motivation behind them. It is a serious medical emergency but the extent of severity depends on bleeding rate and location of the bleeding.
Severe internal bleeding into the chest, abdomen, retroperitoneal space, pelvis, and thighs can cause hemorrhagic shock or death if proper medical treatment is not received quickly. Internal bleeding is a medical emergency and should be treated immediately by medical professionals. A bruise , also known as an ecchymosis or contusion , is a type of hematoma of tissue, the most common cause being capillaries damaged by trauma, causing localized bleeding that extravasate into the surrounding interstitial tissues.
Most bruises are not very deep under the skin so that the bleeding causes a visible discoloration. The bruise then remains visible until the blood is either absorbed by tissues or cleared by immune system action.
Bruises, which do not blanch under pressure, can involve capillaries at the level of skin, subcutaneous tissue, muscle, or bone. Bruises are not to be confused with other similar-looking lesions. These lesions include petechia, purpura, and ecchymosis. Major trauma is any injury that has the potential to cause prolonged disability or death.
There are many causes of major trauma, blunt and penetrating, including falls, motor vehicle collisions, stabbing wounds, and gunshot wounds. Depending on the severity of injury, quickness of management, and transportation to an appropriate medical facility may be necessary to prevent loss of life or limb. The initial assessment is critical, and involves a physical evaluation and also may include the use of imaging tools to determine the types of injuries accurately and to formulate a course of treatment.
A penetrating head injury , or open head injury , is a head injury in which the dura mater, the outer layer of the meninges, is breached. Penetrating injury can be caused by high-velocity projectiles or objects of lower velocity such as knives, or bone fragments from a skull fracture that are driven into the brain. Head injuries caused by penetrating trauma are serious medical emergencies and may cause permanent disability or death.
A chest injury , also known as chest trauma , is any form of physical injury to the chest including the ribs, heart and lungs. Typically chest injuries are caused by blunt mechanisms such as motor vehicle collisions or penetrating mechanisms such as stabbings. A pelvic fracture is a break of the bony structure of the pelvis. This includes any break of the sacrum, hip bones, or tailbone. Symptoms include pain, particularly with movement.
Complications may include internal bleeding, injury to the bladder, or vaginal trauma. Focused assessment with sonography in trauma is a rapid bedside ultrasound examination performed by surgeons, emergency physicians, and certain paramedics as a screening test for blood around the heart or abdominal organs hemoperitoneum after trauma. A gunshot wound GSW is physical trauma caused by a bullet from a firearm. Damage may include bleeding, broken bones, organ damage, infection of the wound, or loss of the ability to move part of the body.
Damage depends on the part of the body hit, the path the bullet follows through the body, and the type and speed of the bullet. Long-term complications can include lead poisoning and post traumatic stress disorder PTSD. Traumatic aortic rupture , also called traumatic aortic disruption or transection , is a condition in which the aorta, the largest artery in the body, is torn or ruptured as a result of trauma to the body.
The condition is frequently fatal due to the profuse bleeding that results from the rupture. Since the aorta branches directly from the heart to supply blood to the rest of the body, the pressure within it is very great, and blood may be pumped out of a tear in the blood vessel very rapidly.
This can quickly result in shock and death. In fact, aortic disruption due to blunt chest trauma is the second leading cause of injury death behind traumatic brain injury. Penetrating trauma is an injury that occurs when an object pierces the skin and enters a tissue of the body, creating an open wound. The penetrating object may remain in the tissues, come back out the way it entered, or pass through the tissues and exit from another area. An injury in which an object enters the body or a structure and passes all the way through is called a perforating injury, while penetrating trauma implies that the object does not pass through.
Perforating trauma is associated with an entrance wound and an often larger exit wound. In head injury, a coup injury occurs under the site of impact with an object, and a contrecoup injury occurs on the side opposite the area that was hit. Coup and contrecoup injuries are associated with cerebral contusions, a type of traumatic brain injury in which the brain is bruised. Coup and contrecoup injuries can occur individually or together.
When a moving object impacts the stationary head, coup injuries are typical, while contrecoup injuries are produced when the moving head strikes a stationary object. A pulmonary contusion , also known as lung contusion , is a bruise of the lung, caused by chest trauma. As a result of damage to capillaries, blood and other fluids accumulate in the lung tissue. The excess fluid interferes with gas exchange, potentially leading to inadequate oxygen levels hypoxia.
Unlike pulmonary laceration, another type of lung injury, pulmonary contusion does not involve a cut or tear of the lung tissue. A pulmonary laceration is a chest injury in which lung tissue is torn or cut. An injury that is potentially more serious than pulmonary contusion, pulmonary laceration involves disruption of the architecture of the lung, while pulmonary contusion does not.The blunt trauma from the accident has resulted in serious damage to his heart. Lovitura directă din accident a dus la deteriorări serioase ale inimii. year-old female, unconscious, with blunt trauma to the face and abdomen.