Document Detail

A case of dual thoracoabdominal impalement in vehicular trauma.
MedLine Citation:
PMID:  18705582     Owner:  NLM     Status:  MEDLINE    
Impalement injuries are relatively uncommon during vehicular trauma. We present a dual case report of patients sustaining simultaneous impalement injuries during a high-speed motor vehicle collision in a rural (austere) environment. After Institutional Review Board approval, we performed a review of the patients' medical records. Two young men were traveling in an automobile at high speed when the driver lost control of the vehicle, causing it to strike a wooden fence. Portions of the fence were dislodged, penetrated the windshield, and impaled both the driver and passenger. Both patients were extricated rapidly and transported to our trauma center. Multidisciplinary teams consisting of trauma, thoracic, plastic, and hepatobiliary surgeons addressed the injuries of both patients. Both survived their injuries and have since returned to their homes. This case of dual impalements highlights three key points: first, the principles of management of thoracoabdominal impalement injuries; second, the importance of rapid action of first responders in complex traumas; and finally, the value of using a multidisciplinary surgical team in complicated trauma cases.
Robert D Winfield; Alexander G Parr; Darwin N Ang; Tomas D Martin; Mike K Chen; M Brent Seagle; Steven N Hochwald; Alan I Reed; Lawrence Lottenberg
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The American surgeon     Volume:  74     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2008-09-16     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  757-60     Citation Subset:  IM    
Division of Acute Care, Department of Surgery, University of Florida College of Medicine, Gainesville, Florida 32610, USA.
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MeSH Terms
Accidents, Traffic*
Diaphragm / injuries
Liver / injuries
Lung Injury
Neck Injuries / surgery
Spleen / injuries
Surgical Flaps
Thoracic Injuries / surgery*
Wounds, Penetrating / surgery*
Grant Support
T32 CA-106493-02/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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