After transportation was provided in a seated position for 4 hours, the bread knife, which was located between the esophagus and the aorta, was removed via right thoracotomy, followed by intubation in the same position.
📌 3 Key Takeaways
🎯
Objective & Hypothesis:Penetrating thoracic injury is a major medical problem due to the high mortality incidence in thoracic surgery practice.
📊
Key Findings & Data:Proper and effective resuscitation and prompt transfer decreases mortality in this patients.
💡
Conclusion & Impact:After transportation was provided in a seated position for 4 hours, the bread knife, which was located between the esophagus and the aorta, was removed via right thoracotomy, followed by intubation in the same position.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:thoracic · trauma · penetrating
Abstract
Penetrating thoracic injury is a major medical problem due to the high mortality incidence in thoracic surgery practice. Proper and effective resuscitation and prompt transfer decreases mortality in this patients. In this study, we presented a patient who was injured with a bread knife. After transportation was provided in a seated position for 4 hours, the bread knife, which was located between the esophagus and the aorta, was removed via right thoracotomy, followed by intubation in the same position.
İşevi, C., Pirzirenli, M., Öten, B. C., Büyükkarabacak, Y. (2024). 5mm Before Death:İmportant of Transport in Thoracic Stab Wounds. Journal of Emergency Medicine Case Reports, Cilt: 15 Sayı: 3, 68–70. https://doi.org/10.33706/jemcr.1461210
Penetran Toraks Travmaları. Çubuk S.,Yücel O.S:837-843 Ed:. Prof. Dr. Mustafa Yüksel, Prof. Dr. Akın Araslan Balcı Nobel Tıp Kitabevi, 2015 –
Taslak Şengül A, Bekdemir ÖS, Öztürk DC Başoğlu A.Kazara posterolateral torakotomi Accidentally posterolateral thoracotomy. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2013;21(3):833-835 doi: 10.5606/tgkdc.dergisi.2013.5348
Spoelder EJ, Slagt C, Scheffer GJ, van GeffenGJ. Transport of the patient with trauma: a narrativereview.Anaesthesia. 2022 Nov;77(11):1281-1287. doi: 10.1111/anae.15812
Lidal IB, Holte HH, Vist GE. Triage systems for pre-hospital emergency medical services - a systematic review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine2013; 21: 28.
World Health Organization. Global status report on road safety 2018. 2018. https://apps.who.int/iris/bitstream/ handle/10665/ 277370/WHO-NMH-NVI-18.20-eng.pdf (accessed 17/06/ 2022).
Mehmood A, Rowther AA, Kobusingye O, Hyder AA. Assessment of pre-hospital emergency medical services in lowincomesettingsusing a health systems approach. International Journal of EmergencyMedicine 2018; 11: 53
Lim J. Y., Wolf A. S., Flores R. M Thoracic vessel injury Minerva Chirurgica 2013 June;68(3):251-62