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penetrating trauma definition

caesar ursic trauma-list@trauma.org
Tue, 08 Jan 2002 18:53:14 -0800 

"By your definition, a laceration of the scalp would not be a penetrating 
injury--which of course it is."

Hmmm...Dr. Frykberg, I wonder if your definition might not be a bit too 
broad.  Would you classify a patient with a stellate laceration of the 
forehead, caused by sudden deceleration onto an automobile dashboard, and 
accompanied by a subdural hematoma, as a victim of penetrating trauma?  I 
would call it a blunt head injury myself.  Unless we subdivide it into a 
blunt head injury with a penetrating scalp component.  That would be an 
interesting approach....and would significantly change most hospitals' 
blunt/penetrating mechanism ratios.

C. Ursic, M.D.
UCSF-East Bay
Oakland, California



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