Is mechanism of injury alone in the prehospital setting a predictor of major trauma – a review of the literature

Table 3 Mechanism of Injury Only – Simon et al [19]

Criteria	Patients n	Severe Injury	Sensitivity %	Specificity %
Rollover	59	15	25	59
Head-on > 30 mph (48 km/h)	130	50	38	61
Ejected	11	5	45	62
Intrusion	130	53	41	63
Prolonged extrication	17	11	65	63

Severe Injury is any one of the following criteria: hypotension; urgent interventions in the trauma room (airway control, chest tube, transfusion, diagnostic peritoneal lavage, central venous catheter or venous cutdown); transfer to ICU or OR; and an ISS > 5.

ISSN: 1752-2897