Case report: survival of a type I transthoracic impalement.
The care of a patient who became impaled on a large aluminum pipe is presented. A review of the literature reveals that most patients with a type I injury either do not survive or present with an unpredictable pattern of injury. Preoperative care requires rapid stabilization, assessment, and interventions based on the pattern of injury. Perioperative management may involve multiple surgeons performing simultaneous surgical procedures.
Wick
J M
JM
Legacy Emanuel Hospital and Health Center, Portland, Oregon, USA.
D000058:Accidental Falls; D003422:Critical Care / Q000379:methods; D004638:Emergency Treatment / Q000379:methods; D005547:Foreign Bodies / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods; D011859:Radiography; D013898:Thoracic Injuries / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D013909:Thorax; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*