Teen with 3-foot fishing spear in skull poses dilemma for doctors
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Teen with 3-foot fishing spear in skull poses dilemma for doctors
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Teen with 3-foot fishing spear in skull poses dilemma for doctors
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Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 20/6/2012 3:32 PM BST
on bmj.com
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Posts: 311
First: 7/5/2009 Last: 2/4/2013 |
http://www.latimes.com/news/nation/nationnow/la-na-nn-shot-fishing-spear-06092012,0,6300667.story?track=rss |
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Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 20/6/2012 6:55 PM BST
on bmj.com
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Posts: 2060
First: 12/3/2010 Last: 24/5/2013 |
A teeny, weeny three foot fishing spear? With a shaft about half an inch thick? Oh, what a loser, what a spectacular fail! When we have Mr.Phineas Gage:  With his three and half foot long, one and quarter inch thick, tamping iron (it looks bigger), that was shot through his skull when he screwed up the blasting process while building the Rutland & Burlington Railroad in Virginia, in 1848. It went right through and landed 25 meters away. And he lived. That is a dilemma for doctors! See:http://en.wikipedia.org/wiki/Phineas_Gage#Gage.27s_accident John |
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Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 20/6/2012 7:38 PM BST
on bmj.com
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Posts: 311
First: 7/5/2009 Last: 2/4/2013 |
In Response to Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors: A teeny, weeny three foot fishing spear? With a shaft about half an inch thick? Oh, what a loser, what a spectacular fail! When we have Mr.Phineas Gage: With his three and half foot long, one and quarter inch thick, tamping iron (it looks bigger), that was shot through his skull when he screwed up the blasting process while building the Rutland & Burlington Railroad in Virginia, in 1848. It went right through and landed 25 meters away. And he lived. That is a dilemma for doctors! See: http://en.wikipedia.org/wiki/Phineas_Gage#Gage.27s_accident John Posted by John D And he was managed around 200 years back without any sophisticated gadgets and monitoing devices of today. luck was stronger than Medical science in his case
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Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 20/6/2012 10:08 PM BST
on bmj.com
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Posts: 3045
First: 27/3/2012 Last: 20/5/2013 |
Great! It looks unbelievable & really poses a significant dilemma for doctors. With the help of power tools and industrial-grade vise grips, Miami doctors have successfully removed a 3-foot spear that pierced a teenager’s skull during a fishing accident. And Tuesday, 16-year-old Yasser Lopez left the intensive care unit. “It could be a complete recovery,” said Dr. Ross Bullock, a neurosurgeon at the University of Miami-Jackson Memorial Hospital. “That is so rare.” Lopez survived what should have been a fatal accident for two reasons, doctors said. First, the spear missed all the brain’s vital structures. Additionally, puncturing the skull took so much energy that by the time the spear reached brain tissue, it was moving relatively slowly, resulting in less tearing and bleeding. Lopez's X-Ray |
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Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 21/6/2012 1:16 AM BST
on bmj.com
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Posts: 2950
First: 10/3/2009 Last: 25/5/2013 |
Is this a variant on ice-pick headache? I managed a man in ICU once who was transfixed by a plank of 3 x 2 inch timber he was feeding into a saw at a saw mill.. It entered the right chest near his shoulder, went under his aortic arch and came our his left shoulder. He is still my patient. The plank was ten feet long which presented problems for the ambulance. His name was Max so I called him Max Plank. He did well. Why did he survive? Over to you.
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Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 21/6/2012 11:22 AM BST
on bmj.com
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Posts: 2060
First: 12/3/2010 Last: 24/5/2013 |
drrathore,
Just re-read my contribution above, and realised that you might easily have taken offence at 'loser' and 'fail'! I'm grateful that you didn't! John |
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Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 21/6/2012 11:41 AM BST
on bmj.com
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Posts: 2060
First: 12/3/2010 Last: 24/5/2013 |
drrathore, Re-reading my contribution above makes me realise that you could easily have taken offence at "fail" and "loser". I'm grateful that you didn't! FRom Mr.Gage to young Lopez, there seem to be many reports of similar transfixion accidentsinvolving head, neck or torso, with amazing lack of permanent injury. Searching online is complicated by a 'popular music group' that calls itself 'Transfixion' (nice!) so 'impalement' is a better search word, and there are many: http://www.amjoto.com/article/S0196-0709(01)35867-2/abstract http://www.blameitonthevoices.com/2009/03/six-year-old-indian-boy-impaled-on.html http://funkydowntown.com/bullfighting-accident-bull-horn-impaled-bullfighter-matador-julio-aparicio-throat-mouth-injure-scary-photos/ http://www.trauma.org/index.php/main/image/754/impalement,%20skull%20fracture,%20emergency%20department,%20neurotrauma,%20haematoma%20subdural,%20head%20injury,cranial%20ct%20scan http://www.news.com.au/world/woman-impaled-by-tree-branch-in-car/story-e6frfkyi-1225776529493 http://www.metro.co.uk/news/770250-driver-impaled-on-metal-rod-in-truck-accident Though survival is not always the case: http://www.sciencedirect.com/science/article/pii/S0379073810001829 The routes and instruments are so varied, and there has to be a survival bias on publication, but just how dangerous is this type if injury? John |
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Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors
posted at 23/6/2012 7:37 PM BST
on bmj.com
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Posts: 311
First: 7/5/2009 Last: 2/4/2013 |
In Response to Re: Teen with 3-foot fishing spear in skull poses dilemma for doctors: drrathore , Just re-read my contribution above, and realised that you might easily have taken offence at 'loser' and 'fail'! I'm grateful that you didn't! John Posted by John D Come on John. Why would i be offended by a colleagues comment. I look forward to reading more of your comments on my posts
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