Injury Severity Lecture ExerciseConsider the paper [Patton, et. al.; Head and neck injury risks in heavy metal. BMJ 2008;337;a2825]. See the electronic journals at the library for access to this paper.1. What aspect of injury severity is used by the investigators as the basis of the report?a. Anatomicb. Physiologicc. Host factorsd. Anatomic & physiologice. Anatomic, physiologic & host factors2. What AIS value is predicted to result from a head injury from head banging at a 75 degree range of motion to the song “Tonight I’m Gonna to Rock You Tonight”?3. Calculate the ISS measure for this same song and range of motion.4. Which of the following injury severity measures could also be considered in a future study of head banging [based on the guidelines in this report]?a. Revised Trauma Scoreb. Anatomic Profilec. Glasgow Coma Scaled. Injury Impairment Scalee. B & DNext, consider the case history where a 41 year old man was kitesurfing, lost control of his kite after a gush of wind, was lifted into the air, and slammed into the ground from a height of 10 meters. This person sustained a dislocated right shoulder (AIS: 2), a laceration on his right elbow (AIS: 1), and a patellar (knee) fracture (AIS: 2). He also sustained an amputation of the third and fourth toe on his right foot (AIS: 2), and cuts on his frontal scalp (AIS: 1). 5. Calculate the ISS measure for this case. Show how you arrived at this number.6. Calculate the NISS measure for this case. Show how you arrived at this number.7. What is the basis for considering injury severity in a clinical outcome study of thisinjury.Finally, consider this case history of a 40 year old man who was out to go kitesurfing on astormy morning. While walking to the water, his kite was caught by a sudden gush of wind. He was thrown face first into a wooden pole, and sustained serious injury to his fact and skull. Because of the extent of his injuries, no attempts were made at resuscitation and the man was pronounced dead at the scene.8. On the limited information available, how would you score the AIS measure for this person?9. What is the ISS value for this person?10. Considering Haddon’s principles, name a prevention measure that could be used to reduce the risk of injury from
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