In most cases, people who are injured in a vehicular accident do not feel the pain and would not have any symptoms of internal injury. It is only after 24hours that they would feel pains here and there.
Thus, it is very dangerous for a patient to insist on going home after an initial physical examination in the emergency room. Pneumothorax for example, accumulation of air inside the thorax but outside the lungs, manifest only after 24 hours in a regular Chest x-ray. Injuries to the liver and spleen would show immediately by the drop of blood pressure and pain in the abdomen. But in cases of injuries to the thorax, they manifest late. Accumulation of blood near the heart is often missed if not for a thorough diagnostics.
Thus, it is very dangerous for a patient to insist on going home after an initial physical examination in the emergency room. Pneumothorax for example, accumulation of air inside the thorax but outside the lungs, manifest only after 24 hours in a regular Chest x-ray. Injuries to the liver and spleen would show immediately by the drop of blood pressure and pain in the abdomen. But in cases of injuries to the thorax, they manifest late. Accumulation of blood near the heart is often missed if not for a thorough diagnostics.
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