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To: Georgia Girl 2

Add 20 more pounds to that. That guy was damn near 300 pounds. That’s a lot o beef. And that’s why it took so many shots to take him down. Plus he was on drugs.


63 posted on 08/19/2014 8:42:22 AM PDT by ThomasMore (Islam is the Whore of Babylon!)
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To: ThomasMore

The officer had to be thinking if he manages to get to me, and get his hands on my service weapon, I’m in very serious trouble. Better drop him now.


110 posted on 08/19/2014 8:55:04 AM PDT by Starboard
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To: ThomasMore

Probably true but we need to stop muddying up the water with the facts. Blacks and Libtards especially Holder and Barky want to crucify this cop. They need chaos.


130 posted on 08/19/2014 9:02:28 AM PDT by Georgia Girl 2 (The only purpose o f a pistol is to fight your way back to the rifle you should never have dropped.)
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To: ThomasMore

FRACTURE, ORBIT

An orbital fracture refers to breakage of any of seven facial bones in the eye socket (orbit), a cup-shaped arrangement of bones surrounding the eye, which normally protect the eye from injury. The six orbital bones include the superior orbital ridge and upper medial orbital ridge of the frontal bone (superior orbital rim), the lateral orbital rim of the cheekbone (zygoma), the inferior and lower medial rims of the orbit’s floor (maxilla), the lacrimal bone between the orbit and nose, the ethmoid bone (lamina papyracea) that forms the orbit’s medial wall and part of its posterior wall, and the sphenoid bone of the orbit’s posterior wall. The entire outer rim of bone is fairly thick compared to the bony floor (maxilla) of the eye socket and the ethmoid bone, which are paper-thin and delicate.

Orbital fractures are caused by blunt trauma and may result from motor vehicle accidents, sports injuries, industrial accidents, falls, dog bites, assault with a blunt object, and explosions.

Fractures in the orbital area are of several types.

A blow-out fracture is an indirect fracture of the inferior or medial walls of the orbit occurring after a blow to the eye increases pressure within the orbit, literally blowing out, or fracturing, the weak floor of the orbit and roof of the maxilla sinus. This is the most common type of orbital fracture and may occur without other facial injury. Some blow-out fractures can entrap extraocular muscles, causing problems with eye movement or double vision (diplopia).

Trapdoor fractures occur in children and small-boned individuals whose bones are more flexible. In a trapdoor fracture, broken bones below the eye swing down at the instant of injury and then immediately swing back up, entrapping extraocular muscles that allow eye movement. The most frequently entrapped muscles are the inferior rectus (ocular depression) and the inferior oblique (ocular elevation). Fractures of this type can result in diplopia and, in acute cases, nausea and vomiting.

High-impact head injuries that cause multiple facial fractures with brain or spinal injury will often involve fracture of the frontal bone (superior orbital rim). High-impact injuries to the cheekbones (zygoma) can result in fracture of multiple orbital bones (tripod fracture, zygomaticomaxillary complex fractures) and may involve optic nerve entrapment or injury. Injury to the eye itself is the most serious consequence of orbital fractures.

Incidence and Prevalence: About 2.5 million eye injuries, including orbital fractures, occur each year as the result of trauma (Harvard Medical School). Eye and orbital area injuries occur most frequently between ages 10 and 40 and in individuals older than age 70 (Widell).

Orbital fracture is always the result of blunt trauma, placing males at greater risk because of their increased incidence of trauma (Widell); the risk among males is four times greater than among females (Harvard Medical School). Approximately 21.6% of injured riders of vehicles that provide no external protection (e.g., motorcycles and all-terrain vehicles) incur traumatic facial injury; similarly, 21% of sports injuries result in facial injury, primarily among individuals age 17 and younger (McKay). Among domestic violence victims, 81% suffer facial injuries, of which 30% are facial bone fractures (McKay).

The goal of fracture repair is to prevent loss of vision, persistent diplopia, and malpositioning of the globe by removal of all displaced tissue from the fracture site and restoration of the architecture of the orbit. Examination by endoscope (endonasal endoscope), a lighted telescopic device that can visualize the orbit’s interior, helps surgeons determine the most appropriate surgical approach. The traditional surgical procedure is open reduction of the fracture using a transcutaneous or transconjunctival approach. Endoscopic surgical repair is a new surgical method (Mohadjer) and is usually performed under general anesthesia.

Not all fractures will require surgical repair; this is determined by the presence of enophthalmos, persistence of diplopia, or relative size and severity of the fracture. Surgical repair is the recommended treatment for orbital fractures involving extraocular muscle or nerve entrapment and in most cases of facial disfigurement. Trapdoor fracture may require surgery, based on the CT scan and the presence of diplopia. Repair of other orbital fractures frequently occurs within 3 to 14 days after trauma. Surgical repair may involve insertion of metal, synthetic, or bony implants to replace bone and restore stability, and it may use small metal plates, screws, or wires to stabilize bone fragments. Steroid drugs are sometimes prescribed to reduce swelling prior to surgery.

If the eye itself has been injured, it may require separate specific treatment. The physician may prescribe antibiotics for related sinus infections or to prevent sinus infections from spreading into the orbit. The physician may advise the individual to elevate the head when lying down for several weeks after surgery.

http://www.mdguidelines.com/fracture-orbit


735 posted on 08/20/2014 7:29:28 AM PDT by KeyLargo
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