Objective: The purpose of this article is to describe the injury patterns observed in the 2015 Philadelphia Amtrak train derailment.
Conclusion: Fractures accounted for most observed injuries, but uncommon and potentially serious injuries included posterior sternoclavicular dislocation and mesenteric contusion. Imaging plays a critical role in the triage of patients during mass-casualty events, and familiarity with the injury patterns associated with high-velocity unrestrained blunt force trauma will aid diagnosis in any future similar occurrence.
Keywords: blunt trauma; contusion; derailment; dislocation; fracture; laceration; triage.