Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-27T16:16:57.807Z Has data issue: false hasContentIssue false

Isolated Intrathoracic Injury with Air Bag Use

Published online by Cambridge University Press:  28 June 2012

Andrew E. Sama
Affiliation:
Chairman, Department of Emergency Medicine, North Shore University Hospital-Cornell Medical Center, Manhasset, New York
Douglas P. Barnaby
Affiliation:
Paramedic, Department of Emergency Medicine, North Shore University Hospital-Cornell Medical Center, Manhasset, New York
Kevin J. Wallis*
Affiliation:
Administrative Director of Research and Development, Department of Emergency Medicine, North Shore University Hospital-Cornell Medical Center, Manhasset, New York
Dominick Gadaleta
Affiliation:
Attending, Division of General Surgery, North Shore University Hospital-Cornell Medical Center, Assistant Professor of Surgery, Cornell University Medical College, Manhasset, New York
Michael H. Hall
Affiliation:
Chief, Division of Cardiovascular and Thoracic Surgery, North Shore University Hospital-Cornell Medical Center, Associate Professor of Surgery, Cornell University Medical College, Manhasset, New York
Roy L. Nelson
Affiliation:
Attending, Division of Cardiovascular and Thoracic Surgery, North Shore University Hospital-Cornell Medical Center, Associate Professor of Surgery, Cornell University Medical College, Manhasset, New York
James Naidich
Affiliation:
Attending, Department of Radiology, North Shore University Hospital-Cornell Medical Center, Professor of Radiology, Cornell University Medical College, Manhasset, New York
Robert J. Ward
Affiliation:
Chief, Division of General Surgery, North Shore University Hospital-Cornell Medical Center, Associate Professor of Clinical Surgery, Cornell University Medical College, Manhasset, New York
*
Administrative Director of Research and Development, Department of Emergency Medicine, North Shore University Hospital, 300 Community Drive, Manhasset, New York 11030USA

Abstract

The restrained (air bag and seatbelt) driver of a vehicle involved in a high-speed motor-vehicle accident sustained a tear of the thoracic aorta with no signs of external injury. Air bag deployment may mask significant internal injury, and a high index of suspicion is warranted in such situations.

Type
Case Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Huelke, DF, Moore, JL, Ostrom, M: Air bag injuries and occupant protection. J Trauma 1992;33:894898.CrossRefGoogle ScholarPubMed
2. Partyka, SC: Air bag effectiveness in fatality prevention estimated from accident data. National Center for Statistics and Analysis; National Highway Traffic Safety Administration, 1984.Google Scholar
3. Recent Air Bag Field Performance. U.S. Department of Transportation, Research Notes. National Center for Statistics and Analysis, 1986.Google Scholar
4. Ziperman, HH, Cromack, JR, Clark, JM: Air bags and seatbelts in injury melioration. J Trauma 1976;16:688693.CrossRefGoogle Scholar
5. Newman, RJ, Jones, IS: A prospective study of 413 consecutive car occupants with chest injuries. J Trauma 1984;24:120135.CrossRefGoogle ScholarPubMed
6. Newman, RJ, Rastogi, S: Rupture of the thoracic aorta and its relationship to road traffic accident characteristics. Injury 1984;15:296299.CrossRefGoogle ScholarPubMed
7. Tolonen, J, Kivilvoto, O, Santavirta, S, et al. : The effects of vehicle mass, speed and safety belt wearing on the causes of death in road traffic accidents. Ann Chir Gynaecol 1984;73:1420.Google ScholarPubMed
8. Escobedo, LG, Chorba, TL, Remington, PL, et al. : A state law and the use of car safety seatbelts. N Engl J Med 1991;325:15861587.Google Scholar
9. American Medical Association: Increased safety-belt use United States, 1991. JAMA 1992;268:318.CrossRefGoogle Scholar
10. Lancaster, G, DeFrance, J, Borruso, J: Air bag associated rupture of the right atrium. N Engl J Med 1993;328:358.CrossRefGoogle ScholarPubMed
11. Reiland-Smith, J, Weintraub, R, Sellke, F: Traumatic aortic valve injury sustained despite the deployment of an automobile air bag. Chest 1993;103:1603.CrossRefGoogle ScholarPubMed
12. Lestina, DC, Williams, AF, Lund, AK, et al. : Motor-vehicle crash injury patterns and the Virginia seatbelt law. JAMA 1991;265:14091413.CrossRefGoogle Scholar
13. Orsay, EM, Dunne, M, Turnbull, TL, et al. : Prospective study of the effect of safety belts in motor-vehicle crashes. Ann Emerg Med 1990;19:258261.CrossRefGoogle ScholarPubMed
14. Reath, DB, Kirby, J, Lynch, M, Maull, K: Injury and cost comparison of restrained and unrestrained motor-vehicle crash victims. J Trauma 1989;29:11731177.CrossRefGoogle ScholarPubMed
15. Rutledge, R, Lalor, A, Oller, D, et al. : The cost of not wearing seat-belts. Ann Surg 1993;217:122127.CrossRefGoogle Scholar
16. Goldbaum, GM, Remington, PL, Powell, KE, et al. : Failure to use seat-belts in the United States. JAMA 1986;255:24592462.CrossRefGoogle ScholarPubMed
17. Peterson, TD, Royer, K: Motor-vehicle crash injury: Mechanisms and prevention. Am Fam Physician 1991;44:13071314.Google ScholarPubMed
18. The Human Collision, 2d ed. US Department of Transportation, 1976.Google Scholar
19. Arajarvi, E, Santavirta, S: Chest injuries sustained in severe traffic accidents by seatbelt wearers. J Trauma 1989;29:3741.CrossRefGoogle ScholarPubMed
20. Warrian, RK, Shoenut, YP, Iannicello, CM, et al. : Seatbelt injury to the abdominal aorta. J Trauma 1988;28:15051507.CrossRefGoogle Scholar
21. Daffner, RH, Deeb, ZL, Lupetin, AR, et al. : Patterns of high-speed impact injuries in motor-vehicle occupants. J Trauma 1988;28:498501.CrossRefGoogle ScholarPubMed
22. Lassonde, J, Laurendeau, F: Blunt injury of the abdominal aorta. Ann Surg 1981;194:745748.CrossRefGoogle ScholarPubMed
23. Anderson, PA, Rivara, FP, Maier, RV, Drake, C: The epidemiology of seatbelt-associated injuries. J Trauma 1991;31:6067.CrossRefGoogle ScholarPubMed
24. Campbell, DK, Austin, RF: Seatbelt injury: Injury of the abdominal aorta. Radiology 1989;92:123124.CrossRefGoogle Scholar
25. Sumchai, A, Eliastam, M, Werner, P: Seatbelt cervical injury in an intersection type vehicular collision. J Trauma 1988;28:13841388.CrossRefGoogle Scholar
26. Kallina, I, Schreier, H, Zeidler, F: Can the air bag efficiency be derived from real world accidents? Report of the Stapp Car Crash Conference, 1987.Google Scholar
27. Ingraham, HI, Perry, HD, Donnenfeld, ED: Air bag keratitis. N Engl J Med 1991;324:15991600.Google ScholarPubMed
28. Sinally, A, Binzer, A, Dolin, A, Viano, D: Alkaline chemical keratitis: Eye injury from air bags. Ann Emerg Med 1992;21:14001402.CrossRefGoogle Scholar
29. Larkin, GL: Air bag-mediated corneal injury. Am J Emerg Med 1991;9:444446.CrossRefGoogle Scholar