An Impaled Potential Unexploded Device in the Civilian Trauma Setting: A Case Report and Review of the Literature

Lane C. Thaut, Andrew S. Murtha, Anthony Johnson, Jamie L. Roper

Research output: Contribution to journalArticle

Abstract

Background: The management of patients with impaled unexploded devices is rare in the civilian setting. However, as the lines of the traditional battlefield are blurred by modern warfare and terrorist activity, emergency providers should be familiar with facility protocols, plans, and contact information of their local resources for unexploded devices. Case Report: A 44-year-old male sustained a close-proximity blast injury to his lower extremities while manipulating a mortar-type firework. He presented to the regional trauma center with an open, comminuted distal femur fracture and radiographic evidence of a potential explosive device in his thigh. His management was coordinated with the local Explosive Ordinance Disposal and the fire department. Why Should an Emergency Physician Be Aware of This?: Explosive devices pose a grave threat when encountered. Familiarization with protocols to manage these patients can mitigate disaster. Emergency providers should expect and be prepared to coordinate care for these patients.

LanguageEnglish (US)
Pages645-650
Number of pages6
JournalJournal of Emergency Medicine
Volume54
Issue number5
DOIs
StatePublished - May 1 2018

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Equipment and Supplies
Emergencies
Wounds and Injuries
Blast Injuries
Trauma Centers
Disasters
Thigh
Femur
Lower Extremity
Patient Care
Physicians
Warfare

Keywords

  • UXO
  • explosive
  • firework
  • firework
  • foreign body
  • pyrotechnic
  • unexploded ordinance

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

An Impaled Potential Unexploded Device in the Civilian Trauma Setting : A Case Report and Review of the Literature. / Thaut, Lane C.; Murtha, Andrew S.; Johnson, Anthony; Roper, Jamie L.

In: Journal of Emergency Medicine, Vol. 54, No. 5, 01.05.2018, p. 645-650.

Research output: Contribution to journalArticle

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