@article{ref1,
title="Blunt trauma with bullet-proof vests : skin lesions are no reliable predictor of injury severity",
journal="Chirurg: Zeitschrift fur alle Gebiete der Operativen Medizen",
year="2009",
author="Doll, Dietrich and Illert, B. and Bohrer, S. and Richter, C. and Woelfl, C.",
volume="80",
number="4",
pages="348-351",
abstract="It is well known that so-called bullet-proof vests offer protection against a wide range of penetrating trauma, but their protection against blunt trauma is less well understood. Fast projectiles may result in hematomas and contusions behind the armour. We report a traffic accident involving a young soldier wearing a ballistic protection vest resulting in a right thoracoabdominal blunt trauma leading to a confined liver compression rupture. As nearly no skin marks were detectable, we point out that every emergency department surgeon should be very suspicious if a patient wore a ballistic vest at the time of the accident - there may be no skin marks despite severe intra-abdominal trauma. Our patient recovered following hypotensive ICU treatment, thrombocyte mobilization, and factor VIIa substitution. <p>Language: de</p>",
language="de",
issn="0009-4722",
doi="10.1007/s00104-008-1635-2",
url="http://dx.doi.org/10.1007/s00104-008-1635-2"
}