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steering wheel syndrome

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steering wheel 'syndrome'
Emergency medicine A blunt chest injury to the driver in a 'head-on' MVA, which may cause acute MI-like signs and Sx; the heart bears the brunt of the injury with contusion of the anterior epicardium and myocardium, compression of the heart between the sternum and vertebral column, and an abrupt ↑ in intrathoracic pressure, potentially rupturing cardiac structures–eg, ventricular septum, chordae tendinieae or free wall. Cf Air bags, Dashboard fracture, Padded dash(board) syndrome, Seatbelt injury, Whiplash.


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