The Pregnant Motor Vehicle Accident Casualty: Adherence to Basic Workup and Admission Guidelines

@article{Sela2011ThePM,
  title={The Pregnant Motor Vehicle Accident Casualty: Adherence to Basic Workup and Admission Guidelines},
  author={Hen Y. Sela and Carolyn F. Weiniger and Moshe Hersch and Arnon Smueloff and Neri Laufer and Sharon Einav},
  journal={Annals of Surgery},
  year={2011},
  volume={254},
  pages={346–352}
}
Objective: To investigate the workup/treatment provided to pregnant motor vehicle accident (MVA) casualties in a mature trauma system. Adherence to recommendations was used to measure quality of care. Background: MVAs affect approximately 3% of pregnant women. Trauma casualty outcome improves after implementation of guidelines. Methods: A 5-year audit of clinical practice in 2 university hospitals with a trauma call system where the general surgeon is the primary care physician. Trauma… 
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Reply to letter: "the pregnant motor vehicle accident casualty, adherence to basic workup, and admission guidelines"
O ur study1 was conceived following a sentinel case of a pregnant woman injured in a motor vehicle accident (MVA). This prompted a case presentation, with review of the literature, in the routine…
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The severity of injury and the mortality rate of pregnant patients involved in MVAs are significantly lower compared with non-pregnant patients and pregnant drivers had a significantly lower severity of trauma compared with pregnant passengers.
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Concerns about fetal radiation have resulted in a low compliance rate with recommended trauma guidelines at this institution, and adherence to recommended imaging guidelines in obstetric trauma patients is low.
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It is found that a pelvic fracture seems to be predictive of a high risk of obstetric complications, such as intrauterine death or the need for cesarean section, but the ATLS protocol in pregnant trauma patients was low in relation to radiographic studies but, in spite of this, no known significant injuries were missed.
GORING TRAUMA IN A PREGNANCY RESULTING UTERINE RUPTURE: A CASE REPORT
TLDR
Trauma in pregnancy is a common phenomenon; however, it is unusual to find goring injury in pregnancy, one of the penetrating types of trauma with catastrophic complication to the mother and fetus.
Trauma in pregnancy.
TLDR
There exists opportunity to identify patients who require admission and provide supportive measures that may reduce the complications of prematurity, including on-going care from obstetricians or maternal-fetal medicine physicians.
Guidelines for the Management of a Pregnant Trauma Patient.
  • V. Jain, R. Chari, +14 authors F. Sanderson
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2015
Chest compression of a pregnant woman by a seatbelt might affect fetal outcome, even in minor to moderate frontal vehicle collisions.
Management and outcomes of trauma during pregnancy.
Guidelines for the Management of a Pregnant Trauma Patient
TLDR
This clinical practice guideline has been prepared by the Maternal Fetal Medicine Committee, reviewed by the Clinical Practice – Obstetrics, Medico-legal, and Family Physician Advisory Committees, and approved by Executive and Board of the Society of Obstetricians and Gynaecologists of Canada.
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