title: Penetrating pediatric trauma owing to improper child safety seat use.
abstract: 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.
authors.affiliation: University of Minnesota Medical School, MN 55805, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Riggle
authors.forename: John
authors.initials: J
authors.lastname: Bollins
authors.forename: Subbarredy
authors.initials: S
authors.lastname: Konda
authors.forename: Rahul
authors.initials: R
authors.lastname: Aggarwal
authors.forename: Ashlei
authors.initials: A
authors.lastname: Beiswenger
mesh_terms: 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