terrible trauma case

[odwire usa]

Advertisement - Members don't see this ad

When nine o'clock of this morning, a nurse told me a emergency was coming. I told my patient in hand to fetch medicine. The emergent patient with his right eye injured was sent to me on the movable bed. A big stick penetrated his eye with bleeding. I was thinking how deep the stick was. The young patient.....

click below link to get the CT scan images...

 

[Alcon]

Better to fail down and lose your mind than your eye.

 

[orbitsurgMD]

When nine o'clock of this morning, a nurse told me a emergency was coming. I told my patient in hand to fetch medicine. The emergent patient with his right eye injured was sent to me on the movable bed. A big stick penetrated his eye with bleeding. I was thinking how deep the stick was. The young patient.....

click below link to get the CT scan images...

I had a case very much like this air evacuated to me as a first-year resident from a little country hospital ED when I was covering call for a regional eye trauma network. The difference was that there was no stick visible, the patient was a tree-cutter who fell more than 30 feet within a tall pine tree and was impaled by a twig on his way down. The twig penetrated the upper right lid, traversed the upper orbit and perforated the orbit roof to enter the calvarium, and then broke, leaving only the tip within the calvarium. He had a CSF leak (positive filter paper test). His vision was unaffected and there was no damage to the optic nerve or for that matter the brain.

His case was referred to neurosurgery. They weren't so happy to receive a penetrating head injury this way, but you can only get so much information from a referring center that has limited evaluation capacity.

The patient did fine.

 

[odwire usa]

one thing I have to mention is that have you noticed the ring of the eye is intact? I didn't notice it when I first glanced at the CT scan.
It is regret that I didn't go to operation room for a view.