Acute XXXX after @entity130 .

@entity1 @entity3510 @entity344 @entity358 @entity204 @entity360 @entity6676 @entity130
During a 2-year period, 248 consecutive @entity1 were admitted with multiple @entity130 . Acute @entity6676 was documented in 67 (27%) @entity1 by review of all admission roentgenograms. There were 51 (76%) males and 16 females. Ages ranged from 2 to 80 years (mean, 29.2 years). The incidence of acute @entity6676 in @entity1 was 44% vs. 25% for adults (p less than 0.05). The mechanism of injury was motor vehicle accident in 45 (67%), agricultural accident in 8 (12%), fall in four (6%), bicycle accident in four (6%), and miscellaneous in six (9%). There were 38 orthopedic, 35 craniocerebral, 34 abdominal, 31 thoracic, 27 maxillofacial, and 14 @entity3510 . Injury Severity Scores ranged from 4 to 66 (mean, 23.5). Thirteen (19%) @entity1 presented in shock and there were four (6%) hospital deaths. No @entity204 was attributable to @entity6676 . Nasogastric tubes were placed in 41 (61%) @entity1 and 26 were managed without tube placement. Complications associated with acute @entity6676 included @entity358 in three (4%) @entity1 , @entity360 in three (4%), @entity344 in one (1%), and prolonged ileus in 12 (18%). In addition, @entity6676 rendered abdominal examination difficult and delayed peritoneal lavage. Acute @entity6676 after @entity130 is frequent in our rural @entity130 center. Early placement of a nasogastric tube in the absence of a clear contraindication is strongly supported in the management of multiply injured @entity1 .
