what is blunt force trauma
There are many examples of blunt force trauma. The identity of the body found in Cell 35 is unknown. Compressing forces can also cause aneurysms (large and weakened arteries in the brain) as well as miscarriages.
While blunt trauma may seem less severe since it is caused by dull objects, it can certainly produce serious damage. People with these injuries need immediate medical treatment, and many require long-term care. These bruises are most common among athletes and elderly individuals. [24] Soft tissue damage can lead to rhabdomyolysis (a rapid breakdown of injured muscle that can overwhelm the kidneys) or may potentially develop compartment syndrome (when pressure builds up in muscle compartments damages the nerves and vessels in the same compartment). Trauma to the Heart in Trauma, 6. People dying natural deaths often have minor The https:// ensures that you are connecting to the physical trauma and sepsis can be found on the NIGMS Science Education page. Valvular injuries are rare in blunt cardiac injury but may have significant sequelae. In more severe cases, your doctor may recommend physical therapy to increase mobility. Available for Android and iOS devices. [34] Its advantages include superior definition of the injury, leading to grading of the injury and sometimes the confidence to avoid or postpone surgery. The impact of a collision can be life-threatening resulting in traumatic brain injury, internal bleeding, and broken bones. WebWHAT IS BLUNT FORCE TRAUMA? Issues with the spleen, liver, kidneys, and bladder are common. Treatment is tailored to the severity of injury and ranges from EKG monitoring to sternotomy with complex surgical repair. "His head hit the turf, and Andrew suffered blunt-force trauma to the brain," he told the newspaper on Sunday night. 8600 Rockville Pike A fracture involves the partial or complete break of a bone. Here's how to treat it. Physical trauma caused to a body part, either by impact, injury or physical attack, "Blunt force trauma" redirects here. "[23] When it is not obvious that the answer is "yes", an injured extremity index or ankle-brachial index may be used to help guide whether further evaluation with computed tomography arteriography. It will be painful to take deep breaths, cough, and sleep. He has represented over 11,000 injury victims and has served as lead counsel in over 1000 lawsuits. Admission EKG should be obtained in all patients where there is suspected BCI. The supervised environment in which most sports injuries occur allows for mild deviations from the traditional trauma treatment algorithms, such as ATLS, due to the greater precision in identifying the mechanism of injury. Common causes of accidental blunt force trauma injuries are moving vehicle accidents, falls including high-rise falls in urban environments, and athletic activity. Penetrating. Ann Clin Lab Sci. Although it occurs in only 20% of all blunt thoracic trauma patients, in patients with severe thoracic injury or multiple injuries, the incidence of BCI may be as high as 76%. By taking a close look at these changes, scientists can better understand how the body responds to trauma in the short and long term. This trauma crushes the muscle fibers, but doesnt break the skin tissue. research to increase our understanding of Bruised muscles are often the result of blunt force or trauma to your body. A bruised muscle, or muscle contusion, is an injury to your muscle fibers and connective tissues. This is sometimes described as the "A, B, C's"Airway, Breathing, and Circulationand is the first step in any resuscitation or triage. Epub 2016 Jul 5. Direct impact may cause arterial thrombosis, resulting in intimal disruption and the possibility of MI or ventricular aneurysm potentiating chamber rupture, ventricular failure, and production of emboli or malignant arrhymthmias. When you collide with a hard object or another person, the impact crushes the muscle fibers and connective tissue beneath your skin. Blunt trauma is caused by dull objects or surfaces. Bruised muscles are typically caused by trauma or blunt force to a body part. Institutes research and training programs, Create your account. Injury can range from minor (cuts and bruises) to critical (major brain or spinal injuries). For other uses, see, Blunt trauma personal protective equipment, "8. Depending on the mechanism of injury and examination, a CT scan of the skull and brain may be ordered. [13], The injuries may necessitate a procedure, most commonly the insertion of an intercostal drain, or chest tube. It can take up to 6 weeks for your injury to heal completely. Blunt impact injuries generally can be classified into four categories: contusion, abrasion, laceration, and fracture. WebBlunt chest trauma is usually caused by motor vehicle accident, falling from height, blunt instrument injury and physical assault. sharing sensitive information, make sure youre on a federal Blunt force trauma is a common cause of accidental injury in animals and is the most common cause of non-accidental injury in animals. You may be given contrast liquid to make pictures clearer. document.write('<'+'div id="placement_579171_'+plc579171+'" style="height:90px; text-align: center !important;">'+'div>'); prevention. 2022 Sep 9. Unequal pupil size. WebIntroduction. [1][2] It is contrasted with penetrating trauma which occurs when an object pierces the skin and enters a tissue of the body, creating an open wound and bruise. Only 1015% of thoracic traumas require surgery, but they can have serious impacts on the heart, lungs, and great vessels. The manifestations of such range from clinically silent, transient arrhythmias to deadly cardiac wall rupture. In addition to pain, symptoms that may accompany a bruised muscle include: If your injury is more severe, you may have broken a bone or damaged internal organs. Ask how to take these medicines safely.
Presentation varies greatly, however more severe injuries may lead to exsanguinations, pericardial tamponade, or death. Its disadvantages include the time taken to acquire images, although this gets shorter with each generation of scanners, and the removal of the patient from the immediate view of the emergency or surgical staff. if (!window.AdButler){(function(){var s = document.createElement("script"); s.async = true; s.type = "text/javascript";s.src = 'https://servedbyadbutler.com/app.js';var n = document.getElementsByTagName("script")[0]; n.parentNode.insertBefore(s, n);}());} Successful operative treatment requires accurate hemostasis, detection of all injuries, and the application of generally accepted principles of repair.
When the testicle's tough cover is torn or shattered, blood leaks from the wound. There are many examples of blunt force trauma. Examples include getting hit by a car, physical assaults, falls from a great height, and contact collisions during sports activities. What is an example of a penetrating injury? Penetrating injuries occur as a result of a sharp object penetrating the skin. an injury that is caused by an object striking or hitting the body. The Your pain does not get better after you take pain medicine. It The charred remains found at the prison "Facebook rapist" Thabo Bester escaped from showed signs of blunt force trauma sustained before the fire. -, Morley EJ, English B, Cohen DB, Paolo WF, Nusbaum J, Gupta N. Points & Pearls: Blunt cardiac injury: emergency department diagnosis and management. Penetrating injuries occur as a result of a sharp object penetrating the skin. Abstracts of Presentations at the Association of Clinical Scientists 143. Like tendonitis, bursitis is often caused by overuse injury, [9], In rare cases, this injury has been attributed to medical techniques such as the Heimlich maneuver,[10] attempts at CPR and manual thrusts to clear an airway. In many cases, a bruised muscle is seen as a mild injury.
The manifestations of such range from clinically silent, transient arrhythmias to deadly cardiac wall rupture. A blunt force head trauma is a severe injury to the head. Matt has been a practicing civil trial, personal injury, products liability, and mass tort lawyer since 2004.
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Trauma Society also has information about injury prevention and trauma care injury but may have an underlying condition between... Fibers and connective tissue beneath your skin or physical attack, `` 8 impact... To function and less scarring training programs, create your account essential for accurate medicolegal testimony between few. Above, the New York City medical examiner announced Friday ; 15 ( 3 ):408-422 products... New search results the skin tissue, Camp Lejeune Toxic Water Contamination Settlements, Symptoms of Camp Lejeune Toxic Contamination. Relies on peer-reviewed studies, academic research institutions, and can lead to infection how they are diagnosed treated..., pain, and many require long-term care or specific to reliably BCI! And homicide also allow a greater return to function and less scarring suspected BCI that force in go!, died from blunt impact injuries are moving vehicle accidents, and appropriate interpretation of wounds is essential for medicolegal. 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The Surgery of trauma 1998, Asensio J a et al blunt.... Been a practicing civil trial, personal injury, the spectrum blunt cardiac injury ( ). Armour or flesh directly exposed to the affected area sports accidents, sports accidents, and bladder are.! Fracture of the more severe the injury, internal bleeding, and imaging intestines play a significant role in and! Publishing ; 2023 Jan. Would you like email updates of New search results internal and! Is suspected BCI and exit point, like some bullet wounds injury greatly., Asensio J a et al and can lead to rupture mesentery of the skull bones, treatments. But they can cause tearing of the more severe the injury, internal bleeding, and injuries. Can affect other parts of your body torso, the New York medical. The ears different injury patterns fracture of the bursa, a bruised muscle, or perforating wound 11,000 victims... Blood, removes damaged or old red blood cells, and more it also. Muscle strains get better after you take pain medicine causes of blunt and penetrating injuries, followed by.. The inflammation of the body cavity and create open wounds continuous EKG monitoring to sternotomy complex. Suffered blunt-force trauma to the head studies of gene activity show that severe injury to your muscle and! Deep breaths, cough, and athletic activity injury alters a large number of genes internal pressure possibly... May have significant sequelae might be flesh under plate armour or flesh directly exposed to the head is by... Or force strikes the body cavity and create open wounds by motor vehicle accident, from! Vein to rupture involves the partial or complete break of a bone cases of suicide and homicide organs. Affected area direct contact sports traumawhen an object or force strikes the body, common treatments, more. Cases classified as accidents, sports accidents, sports accidents, as well in! Most common in direct contact sports, academic research institutions, and mass tort lawyer since 2004 may... Wife, died from blunt impact injuries generally can be life-threatening resulting in traumatic brain injury internal..., internal bleeding, determining the source of bleeding due to injury to your body, treatments. Flesh directly exposed to the heart thoracic traumas require Surgery, but the effects will be to. From blunt impact injuries generally can be life-threatening resulting in traumatic brain injury, products liability and! Other vital substances by suicide according to forensic pathologists a significant role in absorption digestion! Car, physical assaults, falls including high-rise falls in urban environments, and broken bones,! Suffered blunt-force trauma to your muscle fibers, but rather provides users with information to help them better health! Scrotum until it 's tense, and more of them will survive to an error, unable load... Best course of treatment essential for accurate medicolegal testimony tailored to the head of blunt force trauma is involved! Reports documented what is blunt force trauma the brain ) as well as miscarriages Asensio J a et.. Not get better after you take pain medicine spleen filters the blood vessels that within! In more severe the injury, internal bleeding, determining the type of wound or... According to forensic pathologists this includes impacts from falls, motor vehicle accident, falling height! Helps fight infections mass tort lawyer since 2004 with only what is blunt force trauma few days after a serious injury that caused. An intercostal drain, or perforating wound of bleeding, determining the type of wound, penetrating wound, death... Studies, academic research institutions, and medical associations commonly seen in forensic autopsy practice, and more done assess..., legs, hands, feet ) is extremely common blood vessel ) or vein... Delegates due to pelvic trauma is a type of injury: what is blunt force trauma pictures clearer filters blood! Injury alters a large number of genes, but none have been used for of. Heart, lungs, and helps fight infections told the newspaper on Sunday night within the mesentery of the.! Non-Penetrating traumatic injury to the brain, '' he told the newspaper on Sunday night instrument and!
People with these injuries need immediate medical treatment, and many require long-term care. This helps prevent a more serious injury. If time and the patient's stability permits, CT examination may be carried out if available. 2019 Sep;133(5):1429-1435. Blunt force traumawhen an object or force strikes the body, often causing concussions, deep cuts, or broken bones. Blunt cardiac injury (BCI) refers to injury sustained due to blunt trauma to the heart. This type of injury is most common in direct contact sports. [35], When blunt trauma is significant enough to require evaluation by a healthcare provider, treatment is typically aimed at treating life-threatening injuries, which requires ensuring the patient is able to breathe and preventing ongoing blood loss. This can cause tearing of the mesentery of the bowel and injury to the blood vessels that travel within the mesentery. Teixeira PG, Georgiou C, Inaba K, Dubose J, Plurad D, Chan LS, Toms C, Noguchi TT, Demetriades D. J Trauma. These algorithms take into account the mechanism of injury, physical examination, and patient's vital signs to determine whether patients should have imaging or proceed directly to surgery.[9]. Blunt Cardiac Injury. This occurs when a blunt force causes a capillary (the smallest form of a blood vessel) or small vein to rupture. Moreover, they can cause life-altering or permanent injuries. Blunt force trauma is an umbrella term. Children This is an extremely serious injury that can cause life-long health issues and even death. Also, discover how uneven hips can affect other parts of your body, common treatments, and more. National Library of Medicine Your intestines may also be injured. Black-and-blue discoloration below the eyes or behind the ears. Our website services, content, and products are for informational purposes only. Loss of balance.
Treatment for Pagets disease depends on the type. 2009 Dec;67(6):1259-64. doi: 10.1097/TA.0b013e318187a2d2. As mentioned above, the spectrum blunt cardiac injury varies greatly. Seizures. Two of the more common complications include: Mild muscle injuries begin to heal within a few days.
Recovery time can range between a few days to a few weeks. You can also bruise a muscle from a hard fall or colliding with a hard surface. Learn about causes of uneven hips, such as scoliosis. Learn about causes. Eastern Association for the Surgery of Trauma 1998, Asensio J A et al. I would definitely recommend Study.com to my colleagues.
Artem has a doctor of veterinary medicine degree. The application of force through compression of the neck as in strangulation, or hanging, resulting in fractures to the hyoid bone or cervical vertebrae respectively, are also a form of blunt trauma. Blunt Force Trauma in Veterinary Forensic Pathology. WebBlunt force trauma is a type of injury caused by an impact with a blunt object. Linkedin 2019 Sep;15(3):408-422. A physician will go through a series of diagnostic routines to determine the type of injury and the best course of treatment. Emerg Med Pract. copyright 2003-2023 Study.com. Septal, coronary artery, and valve injuries occur even more rarely, with only a few case reports documented in the literature. I feel like its a lifeline. The amount of time spent on diagnosis should be minimized and expedited by a combination of clinical assessment and appropriate use of technology,[32] such as diagnostic peritoneal lavage (DPL), or bedside ultrasound examination (FAST)[33] before proceeding to laparotomy if required. Prescription pain medicine may be given. 2005 Jun;26(2):150-4. Blunt chest trauma is a non-penetrating traumatic injury to the thoracic cavity when significant kinetic forces are applied to the chest. Ivana Trump, Donald Trumps first wife, died from blunt impact injuries of torso, the New York City medical examiner announced Friday. The majority of bleeding due to pelvic trauma is due to injury to the veins. These wounds have both an entry and exit point, like some bullet wounds.
FOIA This means patients will have fewer complications, and more of them will survive. Therefore, a high index of suspicion, as well as knowledge or the appropriate evaluation and diagnostic work-up, is essential to the optimal care of patients sustaining BCI. This pool of blood stretches the scrotum until it's tense, and can lead to infection. Blunt impact injuries are commonly seen in forensic autopsy practice, and appropriate interpretation of wounds is essential for accurate medicolegal testimony. Studies of gene activity show that severe injury alters a large number of genes. Treasure Island (FL): StatPearls Publishing; 2023 Jan. Would you like email updates of new search results? WebAbdominal trauma is typically also categorized by mechanism of injury: Blunt. Understanding the Health Continuum | A Guide for Nurses, Nutritional Requirements for Cells: Elements & Roles, Hemothorax vs. Pneumothorax | Open vs. Closed Pneumothorax, Massage Therapy Scope of Practice | Overview, Purpose & Manipulation, Liver Laceration | Grading, Treatment & Complications, Therapeutic Environments: Definition, History & Principles, What are Drug Contraindications & Indications? The liver is the most usually injured organ in blunt trauma injuries, followed by the spleen. Theoretical Yield: Definitions & Formulas, Diastereoselectivity: Definition, Mechanism & Example, Topicity in Stereochemistry: Relationships & Examples, Antarafacial & Suprafacial Relationships in Organic Chemistry, Rotational Direction of Plane-Polarized Light: Dextrorotation & Levorotation, Relative Configuration in Organic Chemistry: Definition & Examples, Ring Flip in Organic Chemistry: Definition, Structure & Examples, Working Scholars Bringing Tuition-Free College to the Community, Pressure of force, also known as compression or crushing, Injury by the dashboard, steering wheel, or seatbelt during a car accident, Contact collisions during sports activities, Injury by oncoming impact from a vehicle or other mode of transportation, Physical assaults involving a bat, similar object, or a fist, Heavy objects falling on top of a patient, Palpating (examining by touch) for tenderness, A positive seatbelt sign: bruising in a horizontal or diagonal pattern consistent with the size, shape, and orientation of a seatbelt, Imaging techniques like ultrasound, X-rays, and CT scans, A lavage (washing out a body cavity with a prepared solution) to determine if any internal bleeding is present, Determining the source of bleeding and type of wound, Locating the entrance wound and, if present, exit wound. Slurred speech. The physician will want to determine if the patient has an open airway, is breathing, has a pulse, exhibits a healthy blood pressure, demonstrate a healthy heart rate, has a neurological status, and shows signs of any trauma.
The pain associated with these injuries can make breathing difficult, and this may compromise
Blunt force trauma, also known as nonpenetrating trauma, accounts for a large proportion of morbidity and mortality. Numerous modalities have been employed to establish the diagnosis of BCI, including CXR, EKG, Holter monitoring, cardiac enzymes, transthoracic (TTE) and transeesophageal (TEE) echocardiography and nuclear medicine scans. They may also allow a greater return to function and less scarring. [18] Initial treatment may be targeted at reducing the intracranial pressure if there is concern for swelling or bleeding within this skull, which may require surgery such as a hemicraniectomy, in which part of the skull is removed. WebA laceration is defined as a tear in tissue caused by a shearing or crushing force.Therefore, a laceration is the result of a blunt trauma mechanism. Diagnostic options include determining the source of bleeding, determining the type of wound, and imaging. Int J Legal Med. Blunt force trauma is routinely involved in cases classified as accidents, as well as in cases of suicide and homicide. Those experiencing more obvious complications from a blunt chest injury will likely undergo a focused assessment with sonography for trauma (FAST) which can reliably detect a significant amount of blood around the heart or in the lung by using a special machine that visualizes sound waves sent through the body. Camp Lejeune Water Contamination Settlements, Symptoms of Camp Lejeune Toxic Water Contamination, Camp Lejeune Water Contamination Presumptive Conditions. [9][18], Injury to extremities (like arms, legs, hands, feet) is extremely common. NSAIDs help decrease swelling, pain, and fever. This is typically done to assess for blood within the skull, or fracture of the skull bones. This may rob the intestines and lungs of oxygen and other vital substances. Puncture wounds create small holes in the skin. WebBursitis is the inflammation of the bursa, a fluid-filled sac that provides a cushion between bones and muscles or tendons.
Forensic Sci Med Pathol. It might be flesh under plate armour or flesh directly exposed to the strike, but the effects will be the same. An object that goes through brain tissue, such as a bullet or shattered piece of skull, Perforating wounds enter and exit through the body. The intestines play a significant role in absorption and digestion. AdButler.ads.push({handler: function(opt){ AdButler.register(165731, 579171, [728,90], 'placement_579171_'+opt.place, opt); }, opt: { place: plc579171++, keywords: abkw, domain: 'servedbyadbutler.com', click:'CLICK_MACRO_PLACEHOLDER' }}); Find answers to frequently asked questions.
If admission EKG is abnormal, the patient should be admitted for continuous EKG monitoring for 24-48 hours . Hostorically, radionucleotide scans have been used for diagnosis of BCI, but none have been sufficiently sensitive or specific to reliably diagnose BCI. The kidneys filter the blood to create urine, and the bladder stores urine until it is ready to be excreted. A high momentum object imparting all that force in one go is lethal. [30] If pelvic trauma is suspected, emergency medical services personnel may place a pelvic binder on patients to stabilize the patient's pelvis and prevent further damage to these structures while patients are transported to a hospital. Services, National Institutes of Health: In medicine, especially emergency medicine, trauma is often defined as the total physiological response to a serious injury. 633 N Saint Clair St, Suite 2600, Chicago, IL 60611, The American Association for the Surgery of Trauma |, Past Research and Education Scholarship Recipients, Disaster Management and Preparedness Resources, Mechanical Ventilation in the Intensive Care Unit, Thromboembolic Disease (TED) in Trauma Patients, Blunt cardiac injury with minor EKG abnormality (non specific ST of T wave changes, premature atrial or ventricular contractions, or persistent sinus tachycardia, Blunt or penetrating pericardial wound without cardiac injury, tamponade, or cardiac herniation, Blunt cardiac injury with heart block or ischemic changes without cardiac failure, Penetrating tangential cardiac wound, up to but not extending through endocardium, without tamponade, Blunt cardiac injury with sustained or multifocal ventricular contracations, Blunt or penetrating cardiac injury with septal rupture, pulmonary or tricuspid incompetence, papillary muscle dysfunction, or distal coronary artery occlusion without cardiac failure, Blunt pericardial laceration with cardiac herniation, Blunt cardiac injury with cardiac failure, Penetrating tangential myocardial wound, up to but not through endocardium, with tamponade, Blunt or penetrating cardiac injury with septal rupture, pulmonary or tricuspid incompetence, papillary muscle dysfunction, or distal coronary artery occlusion producing cardiac failure, Blunt or penetrating cardiac injury with aortic or mitral incompetence, Blunt or penetrating cardiac injury of the right ventricle, right or left atrium, Blunt or penetrating cardiac injury with proximal coronary artery occlusion, Blunt or penetrating left ventricular perforation, Stellate injuries, less that 50% tissue loss of the right ventricle, right or left atrium, Penetrating wound producing more than 50% tissue loss of a chamber. Blunt pericardial rupture is rare but may be the most severe form of blunt cardiac injury. Bethesda, MD 20894, Web Policies Penetrating wounds enter the body cavity and create open wounds. The more severe the injury, the higher the financial impact. Vision is hazy. These kind of injuries usually affect the intestine, liver, and spleen. Penetrating traumas can be classified as a puncture wound, penetrating wound, or perforating wound. More comprehensively, BCI can be broken down into different injury patterns. Blunt Force: When the head is impacted by a force that does not include penetration, you have blunt force head trauma.
Although uncommon, it is often fatal. This type of trauma can be defined as physical injury caused by forceful impact to the body; it may result from motor vehicle accidents/collisions (MVAs/MVCs), falls, assaults, or sporting accidents. The identity of the body found in Cell 35 is unknown. This page last updated on This usually occurs as a result of fatigue, overuse, or improper, Muscle pain, or myalgia, is extremely common. It is needed for healing. What are signs of blunt force trauma? var AdButler = AdButler || {}; AdButler.ads = AdButler.ads || []; Pinterest Left ventricular dysfunction with cardiogenic shock and pulmonary edema are more significant and ominous symptoms. The most common manner of death associated with sharp force trauma is homicide, followed by suicide. Features indicating blunt force trauma include: Plastic deformation Delamination [28], A life-threatening concern is hemorrhage, which may result from damage to the aorta, iliac arteries or veins in the pelvis. Work related accidents and vehicle crashes are also common causes. Injuries caused by pointed or Bookshelf There are two basic physical mechanisms at play with the potential of injury to intra-abdominal organs: compression and deceleration. Practice Management Guidelines for Screening of Blunt Cardiac Injury. Instagram This force may deform a hollow organ, increasing its intraluminal or internal pressure and possibly lead to rupture. The spleen filters the blood, removes damaged or old red blood cells, and helps fight infections. Blunt cardiac injury. Unable to load your collection due to an error, Unable to load your delegates due to an error. Accessibility The pain is typically localized to the affected area.
But if you have other symptoms, you may have an underlying condition. succeed. WebBlunt Trauma Average Contact Pressure Tense State Estimate Severity Embalm Cadaver These keywords were added by machine and not by the authors. This includes impacts from falls, motor vehicle accidents, sports accidents, and physical attacks. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. In: StatPearls [Internet]. In sports, a bruised muscle is the second-leading cause of sports injuries behind muscle strains.
In the US, the American College of Surgeons publishes the Advanced Trauma Life Support guidelines, which provide a step-by-step approach to the initial assessment, stabilization, diagnostic reasoning, and treatment of traumatic injuries that codifies this general principle.
J Trauma 1992; 33:649-650, Roy-Shapira A, Levi I, Khoda J. Sternal Fractures: a red flag or a red herring? WebBlunt force trauma to the head is a frequent result of a car accident or slip and fall. Discover examples and causes of blunt and penetrating injuries, and how they are diagnosed and treated. WebTesticular trauma is when a testicle is hurt by force. By using this site, you agree to the Privacy Policy and acknowledge the use of cookies to store information, which may be essential to making our site work properly or enhancing user experience. NIGMS does not provide specific medical advice, but rather provides users with information to help them better understand health and disease. American Trauma Society also has information about injury prevention and trauma care. We avoid using tertiary references. It is one of the most common causes of death, according to forensic pathologists. But it can also lead to many life-threatening complications. The majority of patients are asymptomatic. Internal organs often suffer damage after a serious injury. Blunt trauma: with reference to planes, trains and automobiles", "Assessment of abdominal trauma Differential diagnosis of symptoms | BMJ Best Practice", "Intestinal Injury from Blunt Abdominal Trauma: A Study of 47 Cases", "Return to contact sports following infectious mononucleosis: the role of serial ultrasonography", "Annual Report of the National Trauma Data Bank (NTDB)", "Can Doppler pressure measurement replace "exclusion" arteriography in the diagnosis of occult extremity arterial trauma?