Mechanism of Injury – Clinical Case

You are a clinician attending as part of the prehospital team for a 12-year-old pedestrian hit by a car.

On arrival to the scene, the patient is lying on the ground with paramedics performing manual inline stabilisation of the cervical spine and trying to establish IV access.

The patient is GCS 9/15 according to the crew with obvious head injury. They have yet to ascertain the nature of the accident.

Who may be a good source in helping to understand the mechanism involved? (Select all that apply)

The police have interviewed bystanders and the driver whilst you have performed a primary survey

They report that the patient was witnessed stepping out onto the road and was struck by a small car. He was thrown onto the windscreen before rolling off to the side. The car was travelling on a 30mph road.

Which pattern of injury would be consistent with this mechanism?

Whilst your crewmate is setting up for further medical intervention, you have a chance to survey the scene and vehicle. You notice there is a bullseye to the windscreen and significant damage to the passenger side front bumper and bonnet.

What is the best way to convey this mechanism to the trauma team at the receiving hospital? (Select all that apply)