Injuries sustained from high velocity impact with water: an experience from the Golden Gate Bridge.

摘要: Over 720 persons are reported to have died jumping from the Golden Gate Bridge. A review of 100 consecutive autopsies showed that, in majority cases, massive pulmonary contusion, pneumothorax, laceration or perforation heart, great vessels, lungs by displaced ribs were causes immediate death. Irreparable fractures liver spleen most common abdominal injuries. The fatally injured appeared entered water a horizontal position, experiencing maximal deceleration. In contrast, six survivors feet first with more gradual These remained conscious but sustained similar injuries lesser degree; only one rib fractures. Fifty per cent had requiring operative therapy. lung contusions and subsequent pneumothoraces. Suspicion underlying liver, spleen, is essential during resuscitation those who survive impact water.