seatbelts - Trauma: Case Presentation Ronald Jou 19 March...

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Stanford University Medical Center Trauma: Case Presentation Ronald Jou 19 March 2007
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Ring Down 7 year-old girl Rear passenger Lap belt restraint (shared) Car traveling at freeway speeds Tire blew out Impact on median divider
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Trauma Survey 1° survey: Patient vomiting No life-threatening injuries Vitals stable Hx of abd pain and vomiting that AM No medication allergies or PMHx Patient had no complaints
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Trauma Survey 2° survey: Abdomen soft, non-tender Abrasion over left iliac crest Repeat survey: Somnolent CT head: negative Patient admitted to PICU
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PICU Course Linear bruising across abdomen Abdominal pain and tenderness CT abdomen/pelvis obtained
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Operating Theater Diagnostic laparoscopy: Moderate stool Mild blood Sigmoid perforation Conversion to open laparotomy
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Operating Theater Exploratory laparotomy: Full thickness sigmoid perforation No other injuries seen Six hours had elapsed since injury
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Operating Theater Treatment: Resection of injury Loop sigmoid colostomy
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seatbelts - Trauma: Case Presentation Ronald Jou 19 March...

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