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In patients with seatbelt sign, the incidence of a clinically significant injury is markedly higher compared with those without one.
But they get those darned abrasions... seat belt sign-ish.....hate it because probably a different mechanism/spectrum of injury.....yet likely get overtested.
Totally agree with you!!! When It's more of an abrasion than an ecchymosis should we really be calling it a seatbelt sign? It's hard...but. I think for those clinical scenarios- gestalt & MOI should play into decision making.
What you do matters.