Trauma

Motor Vehicle Accident

search

Motor Vehicle Accident, MVA, Single Car Accident, Pedestrian Injury

  • See Also
  1. ABC Management (Cardiopulmonary Resuscitation)
  2. Primary Trauma Evaluation
  3. Secondary Trauma Evaluation
  4. Pediatric Trauma
  5. Emergency Procedure
  6. Trauma Team Activation (TTA)
  7. Trauma Triage in the Field
  8. Trauma Center
  9. Hemorrhagic Shock
  10. Fluid Resuscitation in Trauma
  11. Emergency Decision Cycle (OODA Loop, AAADA Model)
  • Causes
  • Single Car Accident (6 S's Mnemonic)
  1. Seizure
  2. Syncope
  3. Sugar (Hypoglycemia)
  4. Suicide
  5. Sleep
  6. Sauce (Alcohol Intoxication)
  • Mechanism
  • Frontal Impact MVA
  1. Signs at accident scene
    1. Bent steering wheel
    2. Knee impact on dash
    3. Bull's-eye impression in windshield
  2. Associated Injuries
    1. Cervical Spine Fracture
    2. Anterior Flail Chest
    3. Myocardial Contusion
    4. Pneumothorax
    5. Traumatic Aortic Rupture or transection
    6. Spleen or liver Fracture
    7. Hip or Knee Dislocation
  • Mechanism
  • Side Impact MVA
  1. Contralateral Neck Sprain
  2. Cervical Spine Fracture
  3. Pneumothorax
  4. Lateral Flail Chest
  5. Spleen or Liver Fracture
  6. Traumatic Aortic Rupture
  7. Diaphragmatic Rupture
  8. Pelvic Fracture or acetabulum Fracture
  • Mechanism
  • Rear Impact MVA
  1. Cervical Spine Injury
  • Mechanism
  • Ejection from Vehicle
  1. Significantly increased risk of multiple injury
  2. Significantly increased mortality
  • Mechanism
  • Motor vehicle-pedestrian: Injury triad
  1. Step 1: Bumper impact
    1. Lower extremity Fracture
  2. Step 2: Hood or Windscreen impact
    1. Thoracic or Abdominal Injury
  3. Step 3: Ground impact
    1. Head Injury
  • Associated Conditions
  1. Seat Belt Sign
  2. Seat Belt Fracture
  • Prevention
  1. See Automobile Safety
  2. See Adult Safety Belt
  3. See Child Safety Seat
  • References
  1. (2012) ATLS Manual, 9th ed, American College of Surgeons