Cardiac impalement injury by a steel rebar: A case report

Yoo, Byung‐Su; Shin, Young Kee

doi:10.1016/j.ijscr.2019.12.006

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…Because a great deal of energy is required to cause impalement, local tissue destruction can be quite extensive, hence adequate debridement of devitalized tissue and removal of all in-driven clothing must be done with copious lavage of the thoracic cavity. Cardiopulmonary bypass is often required for injuries involving the heart [ 10 ]. Broad-spectrum antibiotics and occasionally antifungal agents are mandatory to prevent infectious sequela.…”

Section: Discussionmentioning

confidence: 99%

Thoracic impalement injury by the barrel of a locally fabricated gun in 2 patients: case report

et al. 2022

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Thoracic impalement injuries are uncommon among civilians. When it occurs, it´s usually a severe and dramatic form of chest injury that requires immediate operative intervention. The common mechanisms usually encountered involves either a patient falling from a height onto a pole, being driven into a pole following ejection during a road traffic accident or being impaled when a spear/an arrow is thrown at the patient or from long fragments following a blast. Impalement by a retrograde ejected barrel of a gun during recoil is a very uncommon mechanism. We report 2 recently managed patients. The first patient presented with an overt impaling mass and an initially missed tension pneumothorax. The second patient had a covert impalement chest injury. Both patients had surgical interventions with satisfactory outcomes. Our report aims to highlight this unusual mechanism of thoracic impalement injury and the principles of management. We also want to emphasize the importance of adhering to the advanced trauma life support (ATLS) management algorithm, as immediately life-threatening conditions may be missed when exploratory thoracotomy is the only focus.

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Section: Discussionmentioning

confidence: 99%

Thoracic impalement injury by the barrel of a locally fabricated gun in 2 patients: case report

et al. 2022

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Updates in the Management of Complex Cardiac Injuries

Karmy-Jones

Lundeberg

Long

2023

The High-Risk Surgical Patient

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Cardiac Trauma: A Review of Penetrating and Blunt Cardiac Injuries

Lee,

Jebbia,

Morchi

et al. 2024

The American Surgeon™

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Cardiac injuries pose challenging diagnostic and management dilemmas. Cardiac trauma can be classified by mechanism into blunt and penetrating injuries. Penetrating trauma has an overall higher mortality and is more likely to require operative intervention. Due to the lethality of any cardiac injury, prompt diagnosis and treatment is critical for survival. The initial management of suspected cardiac injury should start with Advanced Trauma Life Support (ATLS) protocols followed shortly by directed diagnosis and management, which usually begins with a focused assessment with sonography in trauma (FAST) examination. In contrast to traditional ATLS protocols, some centers have adopted an assessment of “circulation before “airway” and “breathing”; however, this is an evolving concept. In this article, we provide an overview on the management of penetrating and blunt cardiac injuries, including use of physical exam, laboratory tests, imaging, and surgery.

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Cardiac impalement injury by a steel rebar: A case report

Cited by 4 publications

References 12 publications

Thoracic impalement injury by the barrel of a locally fabricated gun in 2 patients: case report

Thoracic impalement injury by the barrel of a locally fabricated gun in 2 patients: case report

Updates in the Management of Complex Cardiac Injuries

Cardiac Trauma: A Review of Penetrating and Blunt Cardiac Injuries

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