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A study published in the Journal of Pediatric Surgery (2001,36,1115- 1117) strongly recommends that blunt injury from dog bites, frequently not visable or apparent, in addition to more typical, visible, penetrating type of bite lacerations and puncture wounds, should not be ignored because such injuries can be extremely devastating.
Thirty-five patients were studied, all children with a mean age of 5 years from the Denver’s Children Hospital. All were hospitalized because of life-threatening dog bites. From the population of 35, 17% sustained blunt injury that was life-threatening. Blunt injury consisted of vascular damage, neurological damage, crush injuries to the skull, and chest wall destruction.
The authors make recommendations for dog bite prevention such as public education directed towards children and parents, animal control at the community level, strict penalties for chronically irresponsible dog owners, and respect for common sense rules.
Frequently in dog bites cases, penetrating laceration injury occurs without accompanying blunt injury, but even in the absence of obvious wounds, blunt injury might occur, and for treatment purposes this needs to be attended to by physicians, and in personal injury lawsuits this kind of injury, which may not be obvious, should be factored into awards for damages.