![]() ![]() SBS may not be as predictive of abdominal injury as previously reported. Patients without SBS had a higher Injury Severity Score and accounted for all of the deaths. The SBS was not significantly associated with abdominal injury in our population. The SBS had a sensitivity of 25% and a specificity of 85%. Four (1.4%) children without SBS died of head injuries compared with zero with SBS. ![]() ![]() The relative risk of an abdominal injury given an SBS was 1.7 (CI 0.96-2.69 p = 0.078). It has been estimated that 1 of all abdominal blunt trauma results in a TAWH. So far only one systematic review has described a larger series of 55 cases of Traumatic Abdominal Wall Hernia (TAWH) after blunt abdominal trauma. At a level I pediatric trauma center, we performed a retrospective review of trauma flow sheets for all motor vehicle crash victims (ages, 0-20. Lesions of the abdominal wall due to seat belt injury have been rarely described. This study defines its predictive value in identifying injuries in a large pediatric trauma population. Four (11%) of these had a positive laparotomy with three having a bowel injuries. The 'seat belt sign' (SBS) has been reported to be highly associated with intra-abdominal injury. Of the 277 (84%) children without SBS, 36 (13%) had abdominal injuries. SBS and abdominal tenderness were reported in 30 (56%) patients 8 (15%) of whom sustained abdominal injury. Two had a bowel injuries and one had a negative laparoscopy. Seatbelt injuries Although seatbelts reduce mortality overall, they cause a specific pattern of internal injuries. Evaluate the abdomen for external signs of trauma such as abrasions, lacerations, contusions, and seatbelt sign. Left shoulder pain may occur due to diaphragmatic irritation. Three (6%) children with SBS required operative intervention. The typical presentation includes left upper quadrant pain, abdominal distension, and hypotension. Abdominal injury was identified by computed tomography scan or intraoperatively in 12 (22%) of these children. A prospective study for the detection of vascular injury in adult and pediatric patients with cervicothoracic seat belt signs. Rozycki GS, Tremblay L, Feliciano DV, et al. Clinical importance of the seat belt sign in blunt trauma to the neck. Of 331 patients (mean age, 9.96 years), an SBS was present in 54 (16%) of these children. DiPerna CA, Rowe VL, Terramani TT, et al. All patients with an abdominal SBS recorded were included in the analysis. This study defines its predictive value in identifying injuries in a large pediatric trauma population.Īt a level I pediatric trauma center, we performed a retrospective review of trauma flow sheets for all motor vehicle crash victims (ages, 0-20) requiring trauma team activation during 20. The "seat belt sign" (SBS) has been reported to be highly associated with intra-abdominal injury. ![]()
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