Patients with an SBS but without abdominal pain or tenderness appear to be at low risk for IAI. 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. 3 The first report of intra-abdominal injury attributed to a seat-belt was in 1956. Patients with the seat belt sign (SBS) from motor vehicle crashes (MVCs) are prone to specific regional injury patterns. Patients with an SBS after an MVC are more likely to have IAIs than patients without an SBS, predominately due to a higher rate of gastrointestinal injuries. Previously, bladder rupture due to trauma had been viewed as an associated injury. None of the six patients (0%, 95% CI = 0 to 39%) with an SBS, but without abdominal pain or tenderness, had IAIs. There was no difference in the prevalence of solid organ injuries between those with and without an SBS (4/46 vs. Pancreatic injuries were also more common among patients with an SBS (3/46 vs. Patients with an SBS were more likely to have gastrointestinal injuries than those without an SBS (12/46 vs. IAIs were more common in patients with, versus without, an SBS (14/46 vs. Three hundred ninety children, of whom 46 (12%, 95% CI = 9% to 15%) had an SBS, were enrolled. The presence of a seatbelt sign must raise the suspicion of an intra-abdominal injury. Seatbelt-related injuries include spinal, abdominal or pelvic injuries. The authors compared patients with and without SBS, and those with and without abdominal pain or tenderness for the presence of IAI. There was a very highly significant negative correlation between the seatbelt compliance and road traffic death rates (R - 0.77, F 65.5, p < 0.00001). Patients were divided into two cohorts based on the presence or absence of an SBS, then further subdivided based on abdominal tenderness or pain. The SBS was defined as an area of erythema, ecchymoses, and/or abrasions across the patient's abdominal wall resulting from a seat belt restraint. Physical examination findings were recorded prior to abdominal imaging or surgery. Seatbelt sign following blunt trauma is associated with. The authors performed a prospective, observational study of children at risk for IAI who presented to a Level 1 trauma center following a motor vehicle collision (MVC) during a two-year period. The characteristic subcutaneous hemorrhage along the seat belt in motor vehicle accidents is called the seat belt sign (SBS). Per EMS, patient was found in police cruiser on arrival, patient states he walked at scene. Patient was the restrained front seat passenger in a head on collision. To determine the association between an abdominal "seat belt sign" (SBS) and intra-abdominal injury (IAI) in children presenting to the emergency department (ED) after blunt trauma. male with no past medical history who presents as trauma activation after MVC.
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Masthead: Masthead is the most important section of the newspaper that contains the name of the newspaper, publish date, place, name of the editor, etc.Dateline: It is a printed line appearing in the story that describes the date when this story is written and the name of the place where this is written.Classified: The classified is a form of advertisement run in the newspaper, and the traders pay for this advertisement.Caption: A printed line under the image printed in the newspaper is called a caption.Byline: The name of the article writer is printed between the article text or headlines.Box: A printed box is used to publish an essential and unusual story.The news or story that is most important appears beneath the masthead of the newspaper. Banner: Banner is a headline that appears on the top newspaper.Usually, the front page of the newspaper contains the headlines of the best news, but the headline style of this story is different from the other hard stories. 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