A patient was involved in an automobile accident in which the car left the road and hit a bridge
Which information provided by the paramedics would the nurse evaluate as important in understanding the mechanism of injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The speed of the vehicle was estimated at 60 miles per hour when it hit the bridge abutment.
2. The passenger cabin of the vehicle showed no signs of intrusion.
3. It was raining at the time of the crash.
4. Airbags in the car deployed.
5. The patient was wearing a seatbelt.
1,2,4,5
Rationale 1: Speed is important in determining mechanism of injury. The more slowly the energy force is applied, the less the energy transference.
Rationale 2: The condition of the portions of the car immediately surrounding the patient helps to determine possible injuries. For example, shards of metal around the patient's seat would increase the likelihood of lacerations.
Rationale 3: Road conditions are not particularly pertinent to mechanism of injury.
Rationale 4: The amount of energy absorbed by protective devices such as airbags is important when considering mechanism of injury.
Rationale 5: The use of a seatbelt affects the mechanism of injury.
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