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Abstract
Thirty-six injuries were missed in 35 casualties admitted to Basrah University Teaching
Hospital from the Iraqi-Iranian war. The errors were made particularly in patients
with severe multiple injuries. The incidence of missed injuries and the reasons for
the diagnostic failures are discussed. The injuries that were overlooked mostly involved
the peripheral nerves, and the factors leading to inadequate initial assessment were
poor clinical routine, failure to interpret correctly the physical signs and poor
use. of X-ray facilities. Casualties with head injury, and those who presented with
traumatic amputations, need particular care. Such patients are costly both in staff
time and in investigations.
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References
- Diagnostic failure in multiple injuries.J Trauma. 1980; 20: 684
- The management of multiple injuries.Br. J. Hosp. Med. 1978; 19: 219
- Missed orthopaedic injuries in the resuscitation room.J. R. Coll. Surg. Edinb. 1983; 28: 399
Article info
Publication history
Accepted:
March 13,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.
