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dc.contributor.authorO'Dowd, Vincent
dc.contributor.authorKiernan, Christine
dc.contributor.authorLowery, Aoife
dc.contributor.authorKhan, Waqar
dc.contributor.authorBarry, Kevin
dc.date.accessioned2012-01-31T15:54:51Z
dc.date.available2012-01-31T15:54:51Z
dc.date.issued2012-01-31T15:54:51Z
dc.identifier.citationEmerg Med Int. 2011;2011:675341. Epub 2011 Apr 7.en_GB
dc.identifier.issn2090-2859 (Electronic)en_GB
dc.identifier.issn2090-2840 (Linking)en_GB
dc.identifier.pmid22046543en_GB
dc.identifier.doi10.1155/2011/675341en_GB
dc.identifier.urihttp://hdl.handle.net/10147/203270
dc.description.abstractThe use of seatbelts has increased significantly in the last twenty years, leading to a decrease in mortality from road traffic accidents (RTA). However, this increase in seatbelt use has also led to a change in the spectrum of injuries from RTA; abdominal injuries, particularly intestinal injuries have dramatically increased with the routine use of seatbelts. Such intestinal injuries frequently result from improper placement of the "lap belt". We present 3 cases in which passengers wearing a seatbelt sustained significant devascularisation injuries to the small bowel requiring emergency surgical intervention. A high index of suspicion is crucial in such cases to prevent delays in diagnosis that can lead to severe complications and adverse outcomes. It is evident that while advocating seatbelt use, the importance of education in correct seatbelt placement should also be a focus of public health strategies to reduce RTA morbidity and mortality.
dc.language.isoengen_GB
dc.titleSeatbelt injury causing small bowel devascularisation: case series and review of the literature.en_GB
dc.contributor.departmentDepartment of Surgery, Mayo General Hospital, Castlebar, Mayo, Ireland.en_GB
dc.identifier.journalEmergency medicine internationalen_GB
dc.description.provinceConnacht
html.description.abstractThe use of seatbelts has increased significantly in the last twenty years, leading to a decrease in mortality from road traffic accidents (RTA). However, this increase in seatbelt use has also led to a change in the spectrum of injuries from RTA; abdominal injuries, particularly intestinal injuries have dramatically increased with the routine use of seatbelts. Such intestinal injuries frequently result from improper placement of the "lap belt". We present 3 cases in which passengers wearing a seatbelt sustained significant devascularisation injuries to the small bowel requiring emergency surgical intervention. A high index of suspicion is crucial in such cases to prevent delays in diagnosis that can lead to severe complications and adverse outcomes. It is evident that while advocating seatbelt use, the importance of education in correct seatbelt placement should also be a focus of public health strategies to reduce RTA morbidity and mortality.


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