International Emergency Nursing Vol. 44 May 2019 Combined penetrating trauma of the head, neck, chest, abdomen and scrotum caused by falling from a high altitude: A case report and literature review
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Title
International Emergency Nursing Vol. 44 May 2019 Combined penetrating trauma of the head, neck, chest, abdomen and scrotum caused by falling from a high altitude: A case report and literature review
Subject
Multiple injury ,Penetrating injury, Rebar, Falling, Emergency care
Description
This report describes an extremely rare case of combined penetrating trauma that includes the head, neck, chest, abdomen and scrotum. A 46-year-old male construction worker fell from a 5-metre-high platform, and a rebar that was fixed vertically on the ground penetrated the scrotum into the pelvic and abdominal cavities, passing through the chest, neck, mouth, and nose to the outside of the body through the left side of the head. The rebar penetrated the oral cavity and was palpable on the anterior side of the neck and abdomen. The head, neck, chest and abdominal CT scan and reconstruction showed brain contusion, fractures of the skull and skull base, sub- arachnoid haemorrhage, palate injury, tongue injury, injury to the right lobe of the thyroid, pleural effusion,
pulmonary contusion, cardiac contusion, injury to the left lobe of the lung, neck and mediastinal emphysema, and pneumothorax. Emergency green channels provide a rescue process for urgent and severe cases and smooth and timely diagnostic and treatment process to save patients’ lives. The medical staff worked together as a team for the initial evaluation and rescue. Emergency nurses played an important role in communicating, cooperating, managing insulation and pain, and providing psychological counselling, which greatly enhanced the efficiency and quality of the nursing. After the patient underwent surgery, anti-infection treatment, sedatives, analgesics, nutritional therapy, psychological support, and other intensive treatment measures, he recovered well two
months after the injury. Follow-up at 5 and 11 months after discharge showed good recovery.
pulmonary contusion, cardiac contusion, injury to the left lobe of the lung, neck and mediastinal emphysema, and pneumothorax. Emergency green channels provide a rescue process for urgent and severe cases and smooth and timely diagnostic and treatment process to save patients’ lives. The medical staff worked together as a team for the initial evaluation and rescue. Emergency nurses played an important role in communicating, cooperating, managing insulation and pain, and providing psychological counselling, which greatly enhanced the efficiency and quality of the nursing. After the patient underwent surgery, anti-infection treatment, sedatives, analgesics, nutritional therapy, psychological support, and other intensive treatment measures, he recovered well two
months after the injury. Follow-up at 5 and 11 months after discharge showed good recovery.
Creator
Min Zhang, Qing He, Yalin Wang, Sizhuo Pang, Wenjun Wang, Dandan Wang, Ping Shi, Wei Zhao, Xiaorong Luan
Publisher
Elsevier Ltd.
Date
May 2019
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 44 May 2019
Files
Citation
Min Zhang, Qing He, Yalin Wang, Sizhuo Pang, Wenjun Wang, Dandan Wang, Ping Shi, Wei Zhao, Xiaorong Luan, “International Emergency Nursing Vol. 44 May 2019 Combined penetrating trauma of the head, neck, chest, abdomen and scrotum caused by falling from a high altitude: A case report and literature review,” Repository Horizon University Indonesia, accessed March 12, 2025, https://repository.horizon.ac.id/items/show/1514.