Penetrating pediatric trauma owing to improper child safety seat use.
We present a case of a 15-month-old child with a history of thoracic impalement after improper safety seat restraint. The foreign body was stabilized with bulky dressings in the field before transport. Imaging revealed possible pulmonary artery involvement; and consequently, a thoracotomy was done to obtain vascular control before removal. We use this case to highlight prehospital care and operative management of a patient with foreign body impalement.
Riggle
Andrew
A
University of Minnesota Medical School, MN 55805, USA.
Bollins
John
J
Konda
Subbarredy
S
Aggarwal
Rahul
R
Beiswenger
Ashlei
A
D000063:Accidents, Traffic; D017732:Air Ambulances; D002648:Child; D057207:Child Restraint Systems / Q000009:adverse effects*; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D004868:Equipment Failure; D005547:Foreign Bodies / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012622:Seat Belts / Q000009:adverse effects*; D013898:Thoracic Injuries / Q000209:etiology* / Q000601:surgery; D013908:Thoracotomy / Q000379:methods; D014187:Transportation of Patients; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000209:etiology* / Q000601:surgery