PRACTICE
POINTS:
The characteristic symptom profile differs
between patients with and without a history of trauma
Psychological
factors amplify symptoms but do not worsen treated prognosis
TRAPPED
NERVES
PRACTICE POINTS:
In cervical whiplash the 2 millimetre clearance
may be insufficient to prevent crushing of the second cervical nerve root
Medically-briefed counsel can and should
always challenge unsupported Authoritarian diagnosis with a specific checklist
Medical experts and witnesses
to fact should be required to address
1.injury
mechanism
2.contemporaneous history
3.anatomical distribution
4.clinical
provocation of symptoms
5.electrophysiological results
6.precisely localised
abolition
KINEMATICS
PRACTICE POINTS:
The medical kinematics literature is so rudimentary
that it can be largely ignored for purposes of establishing causation of MVA
personal injury
In low velocity motor vehicle impact, the potential
for occupant injury is in many circumstances INVERSELY proportional to the
amount of vehicle damage
Unpreparedness for impact is a hitherto
neglected factor which may explain the greater severity of symptoms after
rear-ending
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