Management Of Severe Thoracic Impalement Trauma Against Two-wheeled Horse Carriage: A Case Report And Literature Review

dc.creatorRuano R.M.
dc.creatorPereira B.M.
dc.creatorBiazzoto G.
dc.creatorBortoto J.B.
dc.creatorFraga G.P.
dc.date2014
dc.date2015-06-25T17:50:44Z
dc.date2015-11-26T15:36:19Z
dc.date2015-06-25T17:50:44Z
dc.date2015-11-26T15:36:19Z
dc.date.accessioned2018-03-28T22:44:50Z
dc.date.available2018-03-28T22:44:50Z
dc.identifier
dc.identifierIndian Journal Of Surgery. Springer India, v. 76, n. 4, p. 297 - 302, 2014.
dc.identifier9722068
dc.identifier10.1007/s12262-013-0825-4
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84907592305&partnerID=40&md5=a0d48712842be7952cf9cf0340b2124b
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/85899
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/85899
dc.identifier2-s2.0-84907592305
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1263418
dc.descriptionThoracic injuries in general are of great importance due to their high incidence and high mortality. Thoracic impalement injuries are rare but severe due to the combination of cause, effect and result. This study’s primary objective is to report the case of a young man who was impaled by a two-wheeled horse carriage shaft while crashing his motorcycle in a rural zone. An EMT-B ferry was called at the crash scene and a conscious patient was found, sustaining a severe impalement injury to the left hemithorax, suspended over the floor by the axial skeleton with the carriage shaft coming across his left chest. As a secondary objective, a literature review of thoracic impalement injuries is performed. Cases of thoracic impalement injury require unique and individualized care based on injury severity and affected organs. Reported protocols for managing impalement injuries are entirely anecdotal, with no uniformity on impaled patient’s approach and management. In penetrating trauma, it is essential not to remove the impaled object, so that possible vascular lesions remain buffered by the object, avoiding major bleeding and exsanguination haemorrhage. Severed impaled thoracic patients should be transferred to a specialist centre for trauma care, as these lesions typically require complex multidisciplinary treatment. High-energy thoracic impalement injuries are rare and hold a high mortality rate, due to the complexity of trauma and associated injuries such as thoracic wall and lung lesions. Modern medicine still seems limited in cases of such seriousness, not always with satisfactory results.
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dc.description297
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dc.languageen
dc.publisherSpringer India
dc.relationIndian Journal of Surgery
dc.rightsfechado
dc.sourceScopus
dc.titleManagement Of Severe Thoracic Impalement Trauma Against Two-wheeled Horse Carriage: A Case Report And Literature Review
dc.typeArtículos de revistas


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