Randhawa Muhammad Afzal,Muhammad Armughan,Muhammad Waqas Javed,Usman Ali Rizvi,Sajida Naseem.[J].中华创伤杂志英文版,2018,21(6):369-372
Thoracic impalement injury: A survivor with large metallic object in-situ
  
DOI:10.1016/j.cjtee.2018.08.002
KeyWord: ImpalementInjuryThoracicMetallic objectTraffic accidentSequela
FundProject:
Author NameAffiliation
Randhawa Muhammad Afzal Department of Surgery, Bahawal Victoria Hospital, Quaid-E-Azam Medical College, Bahawalpur, Pakistan 
Muhammad Armughan Department of Surgery, Bahawal Victoria Hospital, Quaid-E-Azam Medical College, Bahawalpur, Pakistan 
Muhammad Waqas Javed Department of Surgery, Bahawal Victoria Hospital, Quaid-E-Azam Medical College, Bahawalpur, Pakistan 
Usman Ali Rizvi Department of Surgery, Bahawal Victoria Hospital, Quaid-E-Azam Medical College, Bahawalpur, Pakistan 
Sajida Naseem Department of Surgery, Bahawal Victoria Hospital, Quaid-E-Azam Medical College, Bahawalpur, Pakistan 
Hits:
Download times:
Abstract:
      Impalement injuries, is a severe form of trauma, which are not common in civilian life. These injuries rarely occurs in major accidents. Abdomen, chest, limbs and perineum are often involved due to their large surface area. Thoracic impalement injury is usually a fatal injury, due to location of major vessels and heart in the thoracic cavity. These injuries are horrifying to site, but the patients who are lucky enough to make it to hospital, usually survive. Chances of survival are larger in right sided impalement injuries while central injuries are always died at the scene. Our patient, 25 years old male, was brought to the emergency room (ER) with large impaled metallic bar (about 2.5 feet long) in situ, in right sided chest. The patient was immediately shifted to operation room (OR) and was operated, his recovery was uneventful without any sequelae. Such patients should be treated and resuscitated according to advanced trauma life support (ATLS) protocols and operated without any delay for further investigations. Such operations are carried out by the most experienced surgeon team available. The impaled objects should not be processed if not necessary to avoid major hemorrhage and damage to vital structures, until the patient is in operation room. Large size and unusual position of impaled objects, makes the job difficult for surgeons/anesthetists. Although horrifying at scene, patients with thoracic impalement injuries are mostly young and healthy, and those who survive the pre-hospital phase are potentially manageable with proper resuscitation. Usually these patients make recovery without any further complications.
View Full Text   View/Add Comment  Download reader
Close