Emergency Transport, Diagnosis and Resuscitation of Penetrating Injury Caused by Iron Rod: A Case Report

Authors

  • Jukel Shrestha Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
  • Hemanta Bastola Department of Pediatric Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
  • Dinesh P Koirala Department of Pediatric Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
  • Jasmine Shakya Department of Pediatrics, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Institute of Medicine,Kathmandu, Nepal
  • Rabin Bom Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
  • Ramesh K Maharjan Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
  • Yogendra M Shakya Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
  • Pratap N Prasad Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu

Keywords:

Fall injury, iron rod, penetrating injury, perineal impalement injury, prehospital care

Abstract

Foreign bodies with their long edges that penetrate the body are potentially life-threatening, owing to the resulting hemorrhagic shock and visceral damage. In an under-resourced environment, the outcome after major impalement injury can be improved by (a) rapid transport with the impaled object in situ (b) quick assessment and resuscitation in the emergency room (c) transport to operating room for definitive care. We report here the successful management of penetrating long iron rod injury from the perineum to the loin of pediatric patient, including transport from rural to tertiary hospital, diagnosis and, resuscitation.

Published

2021-08-31

How to Cite

Shrestha, J., Bastola, H., Koirala, D. P., Shakya, J., Bom, R., Maharjan, R. K., Shakya, Y. M., & Prasad, P. N. (2021). Emergency Transport, Diagnosis and Resuscitation of Penetrating Injury Caused by Iron Rod: A Case Report. Journal of Institute of Medicine Nepal, 43(2). Retrieved from http://www.jiomnepal.com.np/index.php/jiomnepal/article/view/177