Rare case of impalement of two occupants of a vehicle by the same object: insights into the management of complex thoracic impalements.
Thoracic impalement injuries are very rare and the majority of patients do not survive to reach a medical care facility. In this case report, we describe the successful outcome of a case of double thoracic impalement by two steel tors, of which one steel tor had impaled two patients simultaneously. The case report highlights all aspects of managing such rare and complex cases right from prehospital care; extrication process which happened under controlled environment at the trauma centre itself, till the definitive management of the impaled thoracic objects. Thoracic impalement injuries are dramatic and appear very challenging. However presence of mind of the managing team, coordinated team effort and availability of adequate facilities can lead to a successful outcome.
JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi 110029, India.
Maneesh
M
Singhal
Madduri-Vijay
MV
Kumar
Prem
P
Prakash
Amit
A
Gupta
Subodh
S
Kumar
Sushma
S
Sagar
D006801:Humans; D013898:Thoracic Injuries; D014950:Wounds, Penetrating