TY  - CHAP
M1  - Book, Section
TI  - Impaled Foreign Body
A1  - Barlotta, Kevin S.
A1  - Stack, Lawrence B.
A1  - Knoop, Kevin J.
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
PY  - 2021
T2  - The Atlas of Emergency Medicine, 5e
AB  - Stab  wounds  cause  injury  to  tissue  in  their  path.  Stab  wounds  to  the  chest,  in  addition  to  causing  pneumothorax  or  hemothorax,  may  also  cause  life-threatening  injuries  to  the  heart  and  major  blood  vessels.  One-quarter  of  anterior  abdominal  stab  wounds  do  not  penetrate  the  peritoneum.  Half  of  those  that  do  penetrate  require  no  surgical  intervention.  For  these  reasons,  local  exploration,  focused  assessment  with  sonography  for  trauma  (FAST),  contrast-enhanced  CT,  and  serial  examinations  are  typical  management  strategies.  Penetrating  flank  injuries  are  evaluated  with  contrast-enhanced  CT.  The  size  of  the  external  wound  frequently  underestimates  the  internal  injury.  Impaled  foreign  bodies  to  the  chest  or  abdomen  pose  a  complex  problem.  The  object  inflicting  the  injury  may  also  be  preventing  significant  blood  loss  and  therefore  should  be  removed  by  the  trauma  surgeon  in  the  operating  room.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1181040919
ER  -