3/30/2024 0 Comments Seatbelt sign traumaIf we include no rebound or guarding on physical exam along with a negative CT scan, it appears to be safe to discharge trauma patient’s with seat belt sign. The authors conclude it is safe to discharge patients meeting these criteria. The seatbelt syndrome was first identified by Garrett et al. If the patient’s CT did not include any of these findings, there was a 0.01% chance of finding a delayed hollow viscus injury. Patients with the seat belt sign (SBS) from motor vehicle crashes (MVCs) are prone to specific regional injury patterns. Cunningham, MD SEAT BELT SIGN FOLLOWING BLUNT TRAUMA IS ASSOCIATED WITH INCREASED INCIDENCE OF ABDOMINAL INJURY. No bowel wall irregular contours, thickening, hematoma or airĤ. Trauma Seat Belts and Trauma: Clinical Clues for the Surgeon Cjuest Reviewers: Jeanette M. 7 GQ Chance in 1948 had described a fracture type occurring in patients wearing a lap belt during motor. Seatbelt sign following blunt trauma is associated with. Investigators at a Level 1 trauma center analyzed the incidence, clinical implications, and spectrum of regional injuries in patients injured in MVC over 2 years. No free fluid (free fluid was the leading indicator of occult hollow viscus injury)ģ. Result of one such injury is the ‘seat belt syndrome’ which is described as the association of seat belt sign with bowel rupture and lumbar spine fracture. Officially, a seat belt sign consists of contusions and abrasions on the abdomen of a restrained occupant involved in a motor vehicle crash. The characteristic subcutaneous hemorrhage along the seat belt in motor vehicle accidents is called the seat belt sign (SBS). Patients with the seat belt sign (SBS) from motor vehicle crashes (MVCs) are prone to specific regional injury patterns. In this most recent study, a negative CT was defined asġ. Over the past few years there have been studies pointing toward the safety of discharging blunt abdominal trauma patients with a negative CT even if they do have a seat belt sign. Traditional trauma teaching is to admit trauma patients with abdominal wall ecchymosis caused by seat belts (seat belt sign) for fear of missing a hollow viscus injury leading to peritonitis and sepsis. The risk of IAI in those patients with seat belt sign who were without abdominal pain or tenderness, and with Glasgow Coma Scale (GCS) scores of 14 or 15, was also calculated.
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