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Computer Simulation
A Powerful Tool for Injury Control
Arch Pediatr Adolesc Med. 2001;155:992-993.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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THE SCENE is familiar; you've been there before. You, the physician,
are in the emergency department examining a 2-year-old child with a femur
fracture who "fell down the stairs." The referring physician at an outside
clinic has already informed Child Protective Services that the injury is suspicious
for abuse. You wonder,
- Is this injury compatible with abuse?
- What is the evidence for this assertion?
As physicians caring for injured patients, our clinical thinking is
continually, if subtly, influenced by biomechanics. We take for granted our
relatively superficial understanding that 65-mph motor vehicle crashes carry
a high risk of occupant injury or that falls from a 7-story window will lead
to a critical injury. In these cases, our patients are on the extreme end
of the energy-injury curve, so we feel confident making fairly safe judgments
about the compatibility of the injury with the historical account. On the
other extreme, we . . . [Full Text of this Article]
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