Stab wound chest management. Treat underlying condition .
Stab wound chest management Treat underlying condition Asymptomatic thoracic stab wound Repeat CXR in 4-6hr; if no delayed pneumothorax seen, patient can be discharged; Disposition otherwise home, to OR, to ward, or to ICU Penetrating neck injuries (PNIs) refer to neck injuries resulting from gunshot wounds, stab wounds, or penetrating debris (eg, glass or shrapnel) that penetrate the platysma. The appearance of the external wound may be deceptive, because pneumothrax, hemothorax, lung contusion, cardiac temponade, ,along with severe and continuing hemorrhage, can occur from any small wound. c6769 Catastrophic bleeding is a common result of stab wounds but is not just confined to crime. We present a case of a 39-year-old man with multiple chest stab wounds inflicted by a makeshift knife that led to multiple cardiac injuries. 2006 Dec. Posterolateral thoracotomy is appropriate for the intrathoracic trachea, intrathoracic esophagus, and retained hemothorax . With a sucking chest wound, the chest wall defect is so large (at least 2/3rd the diameter of the trachea) that inspired air takes the path of least resistance and enters the chest cavity through the wound instead of through the trachea. For example, a stab to the chest can cause a laceration to the trachea and subclavian artery. The persistent diagnostic challenge of thoracoabdominal stab wounds. 2,4,26 While stab wounds are sharp edged cut injuries, shot wounds are caused by different projectiles capable of destroying tissues in irregular cross Surgical operations were performed on 193 (89%) patients with stab wounds and 24 (12%) patients with gunshot wounds. It can happen any time and anywhere. CT is the main imaging modality used in the Stabbing is the most common type of homicidal violence worldwide, causing disability and mortality [1]. His blood pressure is 80/50 mmHg, pulse is 120/min, and respirations are 22/min. Surg Gynecol Obstet. Attending to a stab wound requires quick Painful, gory, and potentially deadly, a stab wound requires immediate treatment to alleviate the bleeding and pain and stabilize the STEIN A. The penetrating injury should also be taken into consideration; for example, stab Management of penetrating stab wounds of the chest: an assessment of the indications for early operation. It may be from an open wound left by an object, such as a stab wound or Purpose: The management of chest stab wounds necessitates to perform an efficient imaging strategy. Ultrasound Echocardiography. Karin E, Greenberg R, Avital S, Aladgem D, Kluger Y. Chest X-ray (CXR) studies may identify additional patients requiring emergency surgery on the basis of free air under the diaphragm, or abdominal organs seen in the chest The research aims to analyse the stab wound on chest through the lungs. Nevertheless, the utility of diagnosing occult injuries remains controversial. The report presented a 20-year-old male case with multiple stab wounds on the right lateral chest wall, and a latent heart injury was found during the right lateral thoracotomy. Stab wound of chest with bemotborax and cardiac tamponade, treated initially by pericardio- centesis with improvement, and later l)y tboracotomy for control of bleeding from internal The management (5) of chest injuries depends on the clinical condition of the patient on presentation to the Emergency Department and the type of injury ( gunshot vs stab) injury, the prehospital time and the Penetrating thoracic injuries occur most commonly from gunshot wounds and stab wounds, while motor vehicle collisions account for the majority of blunt thoracic injuries. Ann Thorac Surg. (TV) perforation. 5. However, the vast majority of these deaths occur in the pre-hospital phase. Thoracoscopically guided Stab wounds to the lower chest are associated with abdominal visceral injury in 15% of cases, whereas gunshot wounds to the lower chest are associated with abdominal visceral injury in nearly 50% of cases. J Thorac Surg. Initial evaluation and management of abdominal stab wounds in adults; Initial evaluation and management of blunt cardiac injury; Initial evaluation and management of blunt thoracic trauma in adults; The procedure is most effective for victims of stab wounds to the chest who have pulses or other witnessed signs of life (eg, voluntary movement) initially. 1965 Jul 3; 39:548–553. Surgical judgment in the management of abdominal stab wounds: utilizing clinical criteria from a 10-year experience. Management of war wounds of the chest. Committee on Trauma Practice management guidelines for emergency Algorithmic approach to thoracoabdominal stab wounds. A laceration on the right ventricle was verified by a median sternoctomy and repaired using an Inforce suture. A penetrating (sucking) chest wound is characterised by having a hole open to the chest that can lead to a collapsed lung. The paramedics report that he had been writhing in pain in the ambulance. Hemodynamically unstable patients should be operated without delay after performing a chest X-ray and ultrasound Focus assisted sonography for trauma (FAST) to guide the The current management of abdominal stab wounds is based on selective nonoperative management and serial abdominal examination 17, 30, 31. Read on to find out what to do for treating Management of patients with soft signs of injury who are haemodynamically stable remains an area of controversy. CT. 2. The chest wall becomes only the first section of a tunnel before the object enters the pleural space and damages inner organs. [Google Scholar] Articles from Thorax are provided Stab wounds can cause various internal and external injuries. It is A 20-year-old male is brought in by paramedics after suffering two stab wounds to his chest. Gunshot and stab wounds Anticipate Shock, evisceration, and peritonitis warrant immediate laparotomy following penetrating abdominal trauma. 1. The management of stable patients was either surgical exploration or selective non-operative interference with the optimal management of patients is yet to be fully elucidated for abdominal stab Penetrating abdominal trauma typically involves the violation of the abdominal cavity by a gunshot wound (GSW) or stab wound. The patient was diagnosed by chest ultrasonography and operated on successfully after 45 min of the stab without complications. Intrathoracic wounds in battle casualties. The in-hospital mortality rate can be as staggering low at 2% of admissions, this obviously being relative to the proportion of gunshot (GSW) to stab wounds (SW) encountered. Curr Opin Crit Care. 1. The management of stab wounds to the heart with laceration of the left anterior (a) Penetrating trauma (e. Chest trauma remains an issue for health services for both severe and apparently mild trauma management. Posterior thoracic stab wound with retained knife (handle and blade) Management protocol. A corpse known by the initials BS which based on the visum request letter dated September 08, 2020, No It is the most common cause of penetrating trauma. Thoracoabdominal stab wounds should be further evaluated with chest X-ray, ultrasonography, and laparoscopy or thoracoscopy. The direct effects of these injuries on pulmonary and cardiovascular function can be life threatening, accounting for 25% of all deaths from trauma. 12 Tetanus toxoid is administered routinely. Stab Wound to the Chest. James M Badger. doi: 10. Sometimes, this can be accomplished by mobilizing the surrounding tissues. Moreover, mild trauma is also associated with significant morbidity especially in patients with preexisting conditions. At the scene, Focused Assessment with Sonography in Trauma (FAST) showed an important left pleural We studied 324 patients admitted to Harlem Hospital Center from July 1981 to June 1986 with stab wounds of the thoracoabdominal region (area limited by a coronal circle through the fifth Determine if there has been posterior facial penetration by directly visualizing the wound tract. W. A retrospective study was conducted at a major trauma in South Africa over a 15 Case 1: You are working a shift and EMS arrives with a 22-year-old man with a stab wound to the right chest. 5% of them are self-inflicted [7]. Life or limb-threatening injuries can also result from stab wounds to other anatomical locations if neuro-vascular structures are affected. Nursing Standard. 23, 21, 51-57. The left part of the chest where it is familiar the heart management of stab wounds to the chest: sixteen years’experience. The most common organs injured are the small bowel (50%), large bowel (40%), liver (30%), and intra-abdominal vascular (25%). Severe chest trauma is associated with high mortality and is considered liable for 25% of mortality in multiple traumas. It describes the immediate approach to assessment. Occult diaphragmatic injury from stab wounds to the lower chest and abdomen. As surgical experience This article discusses the assessment, management and treatment of patients with stab wounds on arrival in the emergency department. All patients that receive a needle thoracostomy for tension pneumothorax should undergo tube First Aid Management for Stab Wound. (including gunshot wounds and stab Thus, early exami- nation and treatment are probably more important in the management of penetrating wounds of the chest than in management of injuries to other areas of the body. They may also use an ultrasound scan to look inside the chest. 1996;41(16):379-81. Tube thoracostomy is performed in the left chest at the fifth intercostal space. The most common cause is a stab or gunshot. Watch Out Always order a chest x-ray after inserting a central line to In left thoracoabdominal stab wound patients who are hemodynamically stable and without peritonitis, laparoscopy is conditionally recommended rather that computed tomography (CT) to decrease the incidence of missed diaphragmatic injury. R. Management of asymptomatic patients following stab wounds to the chest J Trauma. 1 Knife-related crime and incidence of gunshot wounds together We present a case of a 39-year-old man with multiple chest stab wounds inflicted by a makeshift knife that led to multiple cardiac injuries. [Google Scholar] VALLE AR. The management of penetrating abdominal trauma has evolved greatly over the last A 20-year-old male is brought in by paramedics after suffering two stab wounds to his chest. It describes the immediate approach to Kish G, Kozloff L, Joseph WL, Adkins PC. Previous studies reported very different rates of management modifications induced by CT-scan. CT is the main imaging modality used in the In penetrating chest trauma, 14% of stab wounds and 15–20% of gunshot wounds will require thoracotomy . Haemothorax, haemopneumothorax, and pneumothorax were the most common In left thoracoabdominal stab wound patients who are hemodynamically stable and without peritonitis, laparoscopy is conditionally recommended rather that computed tomography (CT) Current management of penetrating chest trauma (PCT) is a hurried, brute-force approach necessitated by the life-threatening nature of many of these injuries. 21. Prolonged periods of hospitalization almost invariably were related Open chest wall injuries are usually penetrating thoracic wounds. , stab wounds, gunshot wounds, and impalement on a foreign body) primarily injure the peripheral lung, producing both a hemothorax and pneumothorax in more than 80% of all penetrating chest wounds. The management of penetrating abdominal trauma has evolved greatly over the last century. 3. Lee WC, Uddo JF, Nance FC. Wound Care Management, Non Friedmann P. In cases of a stab wound, it is best to assess the situation before giving any help. Even though most gunshot Chest: clear on right, single stab wound to the left chest in the mid-axillary line in the 4 th intercostal space, no crepitus, no bleeding, decreased breath sounds at the left base Cardiac: regular rate and rhythm (RRR), normal S1 and S2 Abdomen: present bowel sounds, soft, non-tender, non-distended Extremities: warm, present distal pulses Neuro: awake, GCS 15, no In a retrospective review of 16 years of admissions to a regional cardiothoracic unit, 76 patients were admitted with stab wounds to the chest. In the emergency department, the patient is awake but combative. A patient who is otherwise stable, should have a chest radiograph performed in the trauma room. Anter Anterior Abdominal Stab Wound Management – Hemodynamically Normal Upper quadrant or epigastric wounds require a FAST to rule out pericardial fluid. This individually The treatment for a sucking chest wound consists of immediate emergency care, which involves covering or sealing the wound, and then surgery at a hospital. 2017;48(9):1884–7. Aspiration of hemothorax is preferable to catheter drainage. 512 46 connects directly to the atmosphere. 1952 Nov;24(5):457–481. Chest injury wound site was variable and most common was the left front-lateral (juxtacardiac zone) side of the chest was injured in 202 patients, and in 15 patients was on the right side of the chest. Multiple stab wounds are present in 18 to 34 percent of patients, and as many as 30 percent of penetrating chest injuries may traverse the diaphragm, potentially harming abdominal tissues and organs Penetrating abdominal trauma is seen in many countries. His vital signs show a HR of 109, BP 107/63, RR 24, Management of penetrating stab wounds of the chest: an assessment of the indications for early operation. He responds to questions by stating his name but is flailing his arms and shouting to everyone to leave Where is the stab wound? Flank / Back – requires DI; Anterior – LWE, SCE, or DI depending on local resources / preference; Thoracoabdominal / Upper Abdominal – CXR, PoCUS for pericardial effusion, manage any thoracic injury, evaluate for diaphragm injury; Possible Management Pathways in Abdominal Stab Wounds. 1970 Apr;130(4):609–615. The following steps are recommended to help manage a stab wound to the chest: Chest: place a plastic bag over the wound and tape only three sides to Quite a number of patients with either stab or gunshot wounds of the chest had insertion of a thoracostomy tube with rapid pulmonary re-expansion and evacuation of blood, the tube was removed two or three days later, and the patient was discharged to be followed-up in the clinic on the 3rd or 4th hospital day. In pneumothorax, the lung may be expanded by thoracentesis; however, Plain film may be useful in chest and abdominal stab wounds to show the presence of pneumothorax, subcutaneous emphysema, pleural effusion and sub-diaphragmatic gas 1. , SCHNIER G. A case was reported. A simple stab wound, depending on location, can cause greater injury than does a peripheral gunshot wound. Stab wounds to the chest and abdomen often cause life-threatening injuries as both cavities contain vital organs and major blood vessels that can be disrupted. Stab wounds. 1976 Jul; 22 (1):23–28. 1097/00005373-198204000-00005. Mollberg NM, Tabachnik D, Farjah F, Lin FJ, Vafa A, Abdelhady K, et Interventional management of stab wounds RAD Magazine, 42, 497, 19-20 Tarig Adlan Interventional radiology fellow, Sheffield Vascular Institute Joseph Kaczmarczyk Foundation trainee, Sheffield Teaching Hospitals A 24-year-old male presented to the ED with multiple stab wounds to the chest and left thigh after an argument with a friend while allegedly under the Penetrating (sucking) chest wound. An evidence-based approach to patient selection for emergency department thoracotomy: a practice management Management of traumatic wounds in the Emergency Department: position paper from the Academy of Emergency Medicine and Care (AcEMC) and the World Society of Emergency Surgery (WSES) Straight stab wounds: low risk: Tears/bruises/contusion wounds: high risk: Puncture wounds: high risk: Wound with crush injuries: high risk: Bite wounds: high risk: Non-fatal suicide attempt by intentional stab wound: Clinical management, psychiatric assessment, and multidisciplinary considerations. 60,68–70 This also has the added Initial evaluation and management of abdominal gunshot wounds in adults. This article explains what a sucking chest wound is in more detail, including the causes and how to recognize and treat it. After this, there are several options for the evaluation of hemodynamically normal patients with anterior abdominal stab wounds: 1. The retained thoracic knife or blade is left in situ and no extraction is attempted in the resuscitation room regardless of clinical or radiological appearance. The incidence of stab wounds varies, predominately in Europe, the United States, and Australia, although gunshot Image 1: Organs of the lower chest (mid to lower thoracic cage) 15% of stab wounds to this area are associated with significant visceral damage Image 2: Organs of the anterior abdomen (between anterior axillary lines) 60% of injuries to this region penetrate the peritoneum and, of these, 4050% cause visceral damage Case presentation: This report presents a 28-year-old man with a stab wound to the chest, causing pericardial tamponade and a myocardial injury that presented with shock. This will require local anesthetic and extension the margins of the wound a few cm in each direction to allow for clear exploration of the tract. Small tube thoracostomy (20-22 Fr) in emergent management of chest trauma. 1 Stab Wounds. 7748/ns2009. Interventions The management of chest stab wounds necessitates to perform an efficient imaging strategy. The . Role of thoracoscopy in acute management of chest injury. 1982 Apr;22(4):291-4. Indeed, no Chest and abdominal ultrasonography: Focused assessment with sonography for trauma (FAST); includes 4 views (pericardial, right and left upper quadrants, pelvis) Penetrating abdominal trauma typically involves the violation of the abdominal cavity by a gunshot wound (GSW) or stab wound. 76 (2):418-23. Injury. When the injury is close range, there is more kinetic energy than those injuries sustained from a distance. g. Physiotherapy management of patients with major chest trauma: Results from a global survey Heleen van Aswegen, Julie Reeve, Lisa Beach, Romy Parker, Monika Fagevik Patients with stab wounds to the back who present with unstable vital signs, signs of peritonitis, or evisceration of omentum or other abdominal organs require immediate laparotomy 7, 13. 12 (6):584-9. 67 Multiple other series have demonstrated that VATS can be used as an accurate diagnostic study or to both diagnose and repair TDI safely and effectively. If there is a wound to the chest it should be covered with a dressing. The assessment of stab wounds to the chest, abdomen and limbs is also examined. The patient survived and remained hemodynamically stable for a few days before undergoing surgery. Only 15% of these patients require surgery. (b) Pneumothorax can be caused by a wound to the chest or lung, for example, the lung being punctured by a rib. VALLE A. CXR chest X-ray, FAST focused abdominal sonographic examination for trauma, DPL diagnostic peritoneal lavage, WBC (1969) Surgical judgment in the management of stab wounds of the abdomen: a retrospective and prospective analysis based on a study of 600 stabbed patients. Posterior (ie, back) and flank stab wounds have a greater risk of injury to retroperitoneal structures, including the colon, kidneys, and adrenals. Plain film may be useful in chest and abdominal stab wounds to show the presence of pneumothorax, subcutaneous emphysema, pleural effusion and sub-diaphragmatic gas 1. S Afr Med J. 14. J Trauma 1989; 29: In one series of thoracoabdominal stab wounds, video-assisted thoracoscopic surgery (VATS) identified TDI in 40%, although all identified injuries were subsequently repaired via laparotomy. These tools are instrumental in guiding the timely management of complications, which is crucial for This article discusses the assessment, management and treatment of patients with stab wounds on arrival in the emergency department. Recognize that wounds within the thoracoabdominal cavity need to be evaluated for both chest and abdominal wounds due to diaphragm movement; Dayananda K, Kong V, Bruce J, Oosthuizen G, Laing G, Clarke D. However, no studies have evaluated the Clarke reports that of 1064 patients with stab wounds to the chest 104 were operated and 76 were found to have a cardiac injury . Such injuries include pneumothorax, haemothorax, pulmonary contusion, cardiac tamponade, flail chest and aortic laceration. Patient is in pain and mild to moderate respiratory distress. J Trauma Acute Care Surg. [Google Scholar] STEIN A, SCHNIER G. The mortality rate from a penetrating chest wound is a major contributor to non-natural deaths. In an effort to optimise the physio therapy management of patients with penetrating stab wounds to the chest, a comparative study was conducted at Hillbrow Hospital, Jo Painful, gory, and potentially deadly, a stab wound requires immediate treatment to alleviate the bleeding and pain and stabilize the victim until they can be examined by medical professionals. Stable patients with cardiac wounds may be Depending on the penetrating trauma, immediate operative intervention may be needed, making early diagnosis integral to survival. Compared to chest X-ray, computed tomography (CT) scan has a higher sensitivity. Selective management of stab wounds of the abdomen. 1 Department of Psychiatry, Warren Alpert School of Medicine, Rhode Island Hospital, USA. 1965 Jul 3;39:548–553. Stab injuries are capable of producing direct cardiac injury which can be evaluated using echocardiography 3. Authors J A Weigelt, C M Aurbakken, D E Meier, E R The prehospital management of chest trauma starts with a thorough primary and secondary assessment of the patient. 2% were managed as emergency r who receive chest physiotherapy immediately after insertion of the intercostal drain versus those pa tients who receive chest physio therapy nine to twelve hours later. Probing a wound with a finger, “Q-Tips” or hemostats is not sufficient and is discouraged. In a retrospective review of 100 consecutive cases of stab wounds to the chest, 44 patients were successfully treated with tube thoracostomy, 14 patients required thoracotomy, 17 patients with Penetrating chest wounds that lead to cardiac impalement are often fatal. Of these wounds, 75% were managed conservatively with tube drainage and observation and 25% required surgical intervention. He responds to questions by stating his name but is flailing his arms and shouting to leave him alone. In the UK, over 4000 deaths per year are due to the direct effects of these injuries on pulmonary and cardiovascular function, accounting for 25% of all deaths from trauma. J Roy Coll Surg Edinb. It is known that clinical examination fails to detect hemopneumothorax in penetrating trauma. The lower chest is defined as the area between the nipple line (fourth intercostal space) anteriorly, the tip of the scapula (seventh intercostal space) posteriorly, and Major trauma incidents, particularly motor vehicle accidents, frequently involve serious injuries to the thorax. Haemothorax, haemopneumothorax, and pneumothorax were the most common Haemothorax, haemopneumothorax, and pneumothorax were the most common complications in 85 patients with penetrating stab injuries of the chest. For patients with stab wounds or GSWs from low-caliber missiles who are apparently lifeless upon arrival, resuscitative thoracotomy is justified. The overall mortality was 10% giving an impression of low mortality in this particular group of cardiac injuries. This physician-based urban trauma service In an effort to optimise the physiotherapy management of patients with penetrating stab wounds to the chest, a comparative study was conducted at Hillbrow Hospital, Johannesburg. The patient survived and remained hemodynamically stable for a few days before Current management of penetrating chest trauma (PCT) is a hurried, brute-force approach necessitated by the life-threatening nature of many of these injuries. Immediate recognition and intervention are crucial for survival. 6, 7 Previous management algorithms recommending mandatory surgical exploration depending on zones of injury have now been replaced in some centres by a ‘no zones approach’ and use of early CT scanning with CT-angiography protocols. To reduce mortality following chest stab wounds, it is critical that basic resources to appropriately diagnose and treat patients, such as thoracostomy supplies and x-ray, are readily available in the casualty department. Background Some guidelines advocate for managing patients with penetrating thoracic wounds in trauma centres with cardiothoracic surgery. The differential diagnosis for this patient with a penetrating stab wound to the chest included cardiac contusion, pulmonary contusion, tracheobronchial injury, pneumothorax, cardiac tamponade, penetrating cardiac injury, hemothorax, diaphragmatic injury, esophageal injury, pneumomediastinum, pneumopericardium, and traumatic aortic dissection. [QxMD MEDLINE A 35-year-old man presents to the ED with a stab wound to the left chest lateral and above the nipple. 2014 Feb. A stab wound is caused by the thrust of a sharp or blunt pointed instrument that produces a wound with greater depth than length [2]. Wounds to the back and flank should be imaged with CT scanning. There are some very simple steps to follow that could help enormously and save lives. Bar I, Rivkind A, Deeb M, Simha M. This systematic approach is questionable. PENETRATING STAB WOUNDS OF THE CHEST. [QxMD MEDLINE Link]. All patients are managed according to Advanced Trauma Life Support (ATLS) principles. Case presentation: This report presents a 28-year-old man with a stab wound to the chest, causing pericardial tamponade and a myocardial injury that presented with shock. An upright positioned radiograph Hypotensive resuscitation in chest trauma may be beneficial; Clinical Features Inspection. Of 11 patients with stab wounds to the chest, 5 required operative interventions and all of these A patient with stab wounds to the chest may have negative physical findings, and normal radiologic examinations and still develop delayed pneumothorax or hemothorax. ABDOMINAL STAB WOUNDS WITH ORGAN OR OMENTUM EVISCERATION AT A TERTIARY CARE CENTRE Krishna Murari1, Arun Kumar Singh2 assessment involves chest and abdominal roentgenography, triple contrast computed tomography scans, retrograde urethrograms, and Initial evaluation and management of abdominal gunshot wounds in Penetrating trauma to the chest can result in significant injury to the person involved and a serious burden to the healthcare service. Article Google Scholar Kulvatunyou N, Erickson L, 13. Penetrating trauma - Knowledge @ AMBOSS Although stab wounds of the chest are a relatively common form of penetrating chest trauma, no more that 10. [Google Scholar] Virgilio R. Knives and switch blades cause most stab wounds. The ambulance team should check for symptoms of a pneumothorax, such as chest pain or shortness of breath. Particular attention should be focused on mental status, presence of equal chest A retrospective review of prehospital thoracotomy by a physician-led team for patients who sustained stab wounds to the chest and who suffered cardiac arrest on the scene between 1993 and 2008 in the UK revealed 13 out of 71 patients survived to hospital discharge with good neurologic outcome in 11 patients . Ann Surg 170:569–580. In the emergency department (ED), the patient is awake but combative. It can occur as a result of DIY injuries, accidents in the kitchen or even after a slip of a saw whilst cutting branches in the garden. The initial evaluation and management of PNIs is reviewed here. One hundred and one penetrating and perforating chest wounds seen in civilian practice since 1952 have been reviewed and factors common to the management of the acute phases and complications of these problems have been discussed. The first successful management of the cardiac injury is credited to Dr A 57-year-old man attempted a suicide self-inflicting multiple scissors stab wounds in the chest. et al. Dente CJ, et al. As previously mentioned, stabbing usually occurs out of violence, and the attackers may still be in the area. 23. Abdominal Exploration In hospital, management of a large open chest defects requires operative debridement with removal of devitalized tissue and foreign bodies, such as shotgun wadding materials and bone fragments and closure of the wound. Seat-belt sign indicates possible deceleration or vascular injury Management. 01. Stab wounds of the chest can be made by the different This issue offers an evidence-based approach to the management of pediatric patients who present with penetrating trauma to the torso (including gunshot wounds and stab wounds). Indications for early thoracotomy in the management of chest trauma. Arch Surg 1968; 96: 292-295. Medical management must be known because the vital risk is i Stab wounds represent the most common cause of penetrating wounds, occurring mainly in case of aggression or suicide attempt. These complications were amenable to This study reviews our experience with the management a retained knife in the setting of thoracic stab wounds. Observation a. 51. [6] The abdomen is the most commonly injured area from a stab wound. 5 Simple procedures such This report presents a 28-year-old man with a stab wound to the chest, causing pericardial tamponade and a myocardial injury that presented with shock. PNI can cause life-threatening injuries to the aerodigestive and neurovascular systems. They are generally caused by low-velocity weapons, meaning the injuries inflicted on a person are typically confined to the path it took internally, instead of causing damage to surrounding tissue, which is common of gunshot wounds. Hayashi M, Azuma H, et al. bmad pcomi nlruh avfhkb eyqdua rver soptsu gaosa iwxdddbk xyd