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MECHANISM OF INJURY Mechanism of Injury It can help explain the type of injury, outcomes and injury combinations. It indicates the need for additional diagnostic workup and reassessment. It is related to the type of injuring force and subsequent tissue response. The effect of injury depends on personal and environmental factors. Force = mass × acceleration Mechanism of Injury Blunt injury Penetrating injury Stab wound and impalement Blunt Injury They are caused by a combination of forces Multiple injuries are common with blunt trauma They are more life threatening than penetrating injuries It includes MVCs, falls, assaults and contact sports Types of forces Acceleration Deceleration Shearing Crushing Compressive resistance Penetrating injury Injury produced by foreign object penetrating the tissue Severity of injury is related to the structure damaged Stab wounds and impalements They are low velocity injury The main determinants of injury include: – Length, width and trajectory of penetrating object – Presence of vital organs in the area of wound