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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 7  |  Page : 3753-3755

Impaled roadside guardrail in the neck: Case of a failed motorcycle stunt


1 Faculty of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Trauma Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
3 Department of Medicine, Lady Hardinge Medical College, New Delhi, India

Correspondence Address:
Dr. Syed F Abbas
B4, Tower 6, Type VI, East Kidwai Nagar, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_573_20

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Trauma is currently the leading cause of death in the age group 15 to 44 years globally, with road trauma now representing the sixth leading cause of death worldwide. We present a case of a young male, who was brought to the apex trauma centre of the province with a metallic roadside guardrail impaled in his neck up to his oral cavity, which had to be cut to transport him to the hospital. A meticulous local exploration resulted in the successful removal of the spiked guardrail, with no damage to critical structures. We discuss the paradigm changes in and the expertise required for the management of such penetrating neck injuries (PNIs). For family physicians, this case represents one of the wide variety of cases they will be called to help upon and administer prehospital care. Thus, utilization of principles of basic life support, recognition of the severity of road trauma cases, and ensuring urgency of referral by general practitioners are all critical.


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