Publication: Emergency Transport, Diagnosis and Resuscitation of Penetrating Injury Caused by Iron Rod: A Case Report
Date
2021
Article Type
Case Report
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 55 - 57
Publisher
Institute of Medicine
Abstract
ABSTRACTForeign bodies with their long edges that penetrate the body are potentially life-threatening, owing to the resulting hemorrhagic shock and visceral damage. In an under-resourced environment, the outcome after major impalement injury can be improved by (a) rapid transport with the impaled object in situ (b) quick assessment and resuscitation in the emergency room (c) transport to operating room for definitive care. We report here the successful management of penetrating long iron rod injury from the perineum to the loin of pediatric patient, including transport from rural to tertiary hospital, diagnosis and, resuscitation.
Keywords: Fall injury, iron rod, penetrating injury, perineal impalement injury, prehospital care
Description
Jukel Shrestha1, Hemanta Bastola1, Dinesh P Koirala2, Jasmine Shakya3, Rabin Bom1, Ramesh K Maharjan1, Yogendra M Shakya1, Pratap N Prasad1
1Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
2Department of Pediatric Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
3Department of Pediatrics, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Institute of Medicine,Kathmandu, Nepal
Keywords
Fall injury, iron rod, penetrating injury, perineal impalement injury, prehospital care