Thoraco- abdominal impalement injury
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Impalement injury is an uncommon presentation in the emergency department (ED), and penetrating thoraco-abdominal injuries demand immediate life-saving measures and prompt care. Massive penetrating trauma by impalement in a paediatric case represents a particularly challenging presentation for emergency providers in non-trauma center settings.We report a case of 10-year-old male who presented in our ED with an alleged history of fall from an approximately 15-foot tall coconut tree, landing over an upright bamboo stake approximately 50 centimeters long, resulting in a trans-abdomino, trans-thoracic injury. In addition to prompt resuscitation and hospital transfer, assessment of damage to vital structures in conjunction with surgical speciality consultation was an immediate goal...


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