Penetrating injuries by large objects. Presentation of three cases and review of literature
Haas, G.S.; Maloney, J.V.; Mulder, D.G.
American Surgeon 53(11): 654-657
1987
ISSN/ISBN: 0003-1348 PMID: 3318608 Document Number: 290532
Penetrating injuries with large objects are uncommon but dramatic. Immobilization of the patient and stabilization of the penetrating object during transport and administration of basic emergency support are essential to avoid increasing the damage already sustained. The object as well as the organs and vessels in its path should be exposed and controlled in the operating room prior to removal of the object. Thorough inspection, evaluation, and repair of injured structures can then be carried out. Aggressive prophylactic medication to prevent infection may further contribute to the improved survival of these patients.