[hermantheshocker]

Cincinnati, Ohio. An air ambulance was dispatched to a scene for a male patient in his 20s who was involved in a motor vehicle collision. Prior to arrival, first responders report that the patient was entrapped in his vehicle with a metal pole entering adjacent to his mouth and protruding out the back of his neck. EMS had successfully extricated the patient from his vehicle by cutting the metal pole on both sides. The patient had a 5 cm diameter pole entering the left side of his mouth, through his oropharynx and exiting the left posterior neck. He had ongoing intraoral bleeding but there were no other signs of head or facial trauma.





The patient was flown to the University of Cincinnati Medical Center and emergently to the operating room (OR) with the trauma team, otolaryngology, and vascular surgery. In the OR, a left neck exploration was performed which revealed intact carotid and jugular vessels. The metal pole was then removed with minimal bleeding. Additional injuries repaired in the OR included a left mandibular fracture, a right Le Fort I fracture, washout and closure of the posterior pharyngeal wound, and a complex facial laceration repair.





The remainder of the patient’s hospital course was uneventful. He regained consciousness and was discharged. His residual neurologic deficits at discharge included paralysis of his RUE secondary to the vertebral artery occlusion and ischemia. He was discharged to an inpatient rehab facility.
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This post is for educational purposes only and is nonprofit. Under Section 107 of the Copyright Act of 1976; Allowance is made for "Fair Use" for purposes such as criticism, comment, satire, news reporting, teaching, scholarship, and research. No copyright infringement intended. Images have been upscaled and sharpened/enhanced. Some of the text might have been shortened and simplified, and/or reorganized for online view. Original report by Murphy T. - Taming The SRU 2017.

[SingularTub]

Once again great posting!!!
Hardcore but lucky somewhat-

[LittleNightmare]

Damn!

[kellyhound]

wonder how he's doing at the moment
great post

[bagpuss]

Great post