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A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
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Car versus bicycle: conclusion.

David W Ross1, Carol Wichman, Mike Mackinnon

  • 1Penrose Hospital. DRDR0682@aol.com

Air Medical Journal
|November 10, 2009
PubMed
Summary
This summary is machine-generated.

A cyclist sustained severe lower back and sacral pain after a car collision. Despite emergency medical services (EMS) intervention, the patient remained hemodynamically unstable, requiring air ambulance transfer to a trauma center.

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Area of Science:

  • Trauma care
  • Emergency medicine
  • Orthopedic trauma

Background:

  • A 58-year-old male cyclist was involved in a motor vehicle accident.
  • The patient experienced significant lower back and sacral pain following ejection from his bicycle.

Observation:

  • Emergency medical services (EMS) found the patient pale, diaphoretic, alert, and in distress.
  • Initial vital signs revealed tachycardia (heart rate 130 bpm) and severe hypotension (blood pressure 70 mmHg by palpation).
  • Despite 1 L normal saline administration, the patient's condition remained unchanged upon flight crew assessment.

Findings:

  • The patient presented with severe pain localized to the lower back and sacral region.
  • Hemodynamic instability persisted despite initial fluid resuscitation.
  • No other apparent injuries to the head, neck, chest, or extremities were noted.

Implications:

  • This case highlights the potential for severe internal injuries in seemingly isolated back trauma.
  • Prompt recognition and transport to a trauma center are critical for patients with hemodynamic instability after trauma.
  • The importance of advanced trauma life support protocols in managing critically injured patients in rural settings.