title: Field airway management of a construction worker with an impaling rebar injury to the neck and brain.
abstract: This article discusses a case of airway management by air ambulance emergency medical services (EMS) providers in a 22-year-old man impaled through the neck into the brain with 0.5-inch rebar. Penetrating neck injuries (PNIs) with impalement are extraordinarily rare. It is important for EMS providers and emergency medicine physicians to have an understanding of the initial management of an impaled patient with PNI, including having an organized approach to establishing a definitive airway and recognizing the airway complications that PNI may cause. This article discusses out-of-hospital management of impaled patients.
authors: Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242, USA.
authors: Nicola
authors: N
authors: Nicolaisen
authors: Azeemuddin
authors: A
authors: Ahmed
authors: Toby
authors: T
authors: Hancock
authors: Rick
authors: R
authors: Ogren
mesh_terms: D000062:Accidents, Occupational; D017732:Air Ambulances; D004632:Emergency Medical Services / Q000458:organization & administration*; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D019838:Neck Injuries / Q000209:etiology / Q000628:therapy*; D012149:Restraint, Physical; D014950:Wounds, Penetrating / Q000209:etiology / Q000628:therapy*; D055815:Young Adult