Lap Seat Belt Injuries
What’s all the fuss about?
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History
Lap seat belt syndrome
Crash type: Frontal impact
PPT Slide
Head vs dashboard or seat back
Near-Hemicorpectomy in 11 y.o. Girl
Near-Hemicorpectomy Injuries
Spinal Seat Belt Injuries.
Biomechanics.
Patterns of Injury.
Chance Injuries.
Clinical diagnosis
Chance injuries.
Chance injuries
Flexion Distraction.
Flexion Distraction
Initial Management.
Natural History.
So we fix ‘em
Seat belt Thoraco-Lumbar Junction Injuries.
Seatbelt use in NZ
Reductions in mortality from the use of rear seat belts vs no seat belts (NHTSA June 1999) All Crashes
Reductions in mortality from the use of rear seat belts vs no seat belts (NHTSA June 1999) Frontal Crashes Only
Reduction in serious injury from the use of 3-point rear seat belts vs lap only (NHTSA June 1999)
Conclusions
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Email: philb@adhb.govt.nz
Home Page: www.trauma.co.nz