title: [Mechanism of injury--trauma kinetics. What happend? How?].
abstract: BACKGROUND
  Understanding the mechanism of injuries represents a key element in blunt and penetrating trauma management.
  
  
  METHODS
  Systematic review of the main types of the modem trauma mechanisms, using Medline, Cochrane Library and Embase databases.
  
  
  RESULTS
  To properly understand the road car accident injuries, trauma surgeon should know as many details from the scene: the speed of cars, impact direction, if the car rolled over, if occupants were restrained, if airbags exploded, vehicle telemetry, extrication time. Motorcyclists are 20 to 30 times more at risk for severe injuries or death than the four-wheel vehicle occupants. Current evidence shows a significant decrease in injuries severity by increasing use of seat-belts, motorcycle helmets, childrestrains and speed limit. Despite this, few countries around the world have road safety laws relating to key factors that can be considered sufficiently comprehensive in scope. Many modern trauma systems use for prehospital triage mechanism of injury criteria.
  
  
  CONCLUSIONS
  The trauma surgeon should know the mechanism of injury. This allows a high suspicion for potential injuries, their early diagnosis and increased quality in the care of trauma patients.
authors.affiliation: Spitalul Clinic de Urgenţă Bucureşti, România. drmirceabeuran@yahoo.com
authors.forename: M
authors.initials: M
authors.lastname: Beuran
authors.forename: I
authors.initials: I
authors.lastname: Negoi
authors.forename: S
authors.initials: S
authors.lastname: Paun
authors.forename: A
authors.initials: A
authors.lastname: Runcanu
authors.forename: B
authors.initials: B
authors.lastname: Gaspar
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D017278:Air Bags; D001336:Automobiles; D019317:Evidence-Based Medicine; D006260:Head Protective Devices; D006801:Humans; D015601:Injury Severity Score; D018986:Motor Vehicles; D009049:Motorcycles; D012383:Romania / Q000453:epidemiology; D012449:Safety; D012622:Seat Belts; D014218:Triage; D014947:Wounds and Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology*