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#1
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04-09-2023, 01:40 AM
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 These are the rooms Poster Rank:25 of ruin. Join Date: Sep 2014 Posts: 54,011 Mentioned: 145 Post(s) Quoted: 30403 Post(s)
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Car Tire Explosion
Source: A 63-year-old-male presented to our level I trauma center after the car tire he was inflating exploded. Upon arrival, his airway was intact, he was breathing spontaneously, and he had good peripheral circulation. He sustained a right globe rupture and evisceration of the right eye with uncontrollable arterial hemorrhage from the orbit (Figure 1). CT maxillofacial showed fractures of the right zygoma, lateral orbit, and nasal bones (Figure 2). Due to the uncontrolled arterial hemorrhage from the injury, he was taken emergently to the angiographic suite for possible embolization. Digital subtraction angiography of the right external carotid artery showed active extravasation of the right meningo-ophthalmic artery. Superselective angiography was used to directly catheterize the hemorrhage from the right meningo-ophthalmic artery. The right meningo-ophthalmic artery was embolized with Onyx® (ev3, Irvine, CA) without further extravasation. The following day, the oculoplastic team performed open reduction and internal fixation of the zygomaticomaxillary complex fracture and orbital wall fractures with closed reduction of the nasal bone fractures. Ophthalmology was also consulted, but unfortunately was unable to preserve the eye. The patient remained neurologically intact after both procedures. He was discharged home on post injury day 5.  ·  · |
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#2
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04-09-2023, 02:01 AM
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 ★ Legacy Member ★ Poster Rank:248 So many choices now Join Date: Jul 2015 Posts: 5,548 Mentioned: 15 Post(s) Quoted: 2120 Post(s)
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Re: Car Tire Explosion
I think he may have been a little loose with his tire bead seating pressures. My machine (Coates 9024) has a decal on it “WARNING - DO NOT EXCEED 45PSI WHEN SEATING BEAD!”  |
