Reduction of morbidity and mortality both in adults and children in accidents
Prof' Yechiel Sweed argue that to the best of our knowledge, this manuscript is one of the few reports of multiple pediatric victims suffers from seat belt syndrome.Improper use of abdominal seat belt is associated in some cases with severe abdominal injuries.Investigation of the treatment outcomes of children who suffered complicated abdominal seat belt injuries between 1998 and 2013.
We have study 5 cases which described demonstrate a mechanism of seat belt compression as a result of motor vehicle collision. The results: Different intra-abdominal injuries, children were operated because of diagnosed as aortic injury and bowel obstruction, duodenal rupture, etc. . . .
In the case of a school aged car crash injuries, especially if safety belt was used – particularly in cases of two anchoring points, the physician should consider the complete spectrum of intra-abdominal injuries. Intensive care physicians must keep in mind that children are vulnerable to such injury because their gravity center is higher as compared to the adults' gravity center. This difference and the non-developed iliac crests are the main reasons behind abdomen car crash injuries in children. On time diagnosis and management of intra-abdominal injuries is critical to optimizing outcomes; thus, public health point of view might emphasize the prevention of such injuries. It is well documented that these injuries result from improper or incorrect seat belt use. Much of the literature in this regard focuses on the pediatric population, particularly with regard to the use of age-appropriate seat belts.
The evidence described here emphasizes the importance of abdominal seat belt signs in the context of complicated abdominal injury diagnosis. The occurrence of gastrointestinal tract injuries among these cases should be considered. Rare injuries, e.g., aortic injury, can easily be missed initially.
Yechiel Sweed
יעקב רוב
חוקר
Scientist
