Shrestha, JukelBastola, HemantaKoirala, Dinesh PShakya, JasmineBom, RabinMaharjan, Ramesh KShakya, Yogendra MPrasad, Pratap N2026-03-222026-03-222021https://hdl.handle.net/20.500.14572/5316Jukel 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, NepalABSTRACTForeign 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 careen-USFall injuryiron rodpenetrating injuryperineal impalement injuryprehospital careArticle