Abstract
Background
The management of patients with impaled unexploded devices is rare in the civilian
setting. However, as the lines of the traditional battlefield are blurred by modern
warfare and terrorist activity, emergency providers should be familiar with facility
protocols, plans, and contact information of their local resources for unexploded
devices.
Case Report
A 44-year-old male sustained a close-proximity blast injury to his lower extremities
while manipulating a mortar-type firework. He presented to the regional trauma center
with an open, comminuted distal femur fracture and radiographic evidence of a potential
explosive device in his thigh. His management was coordinated with the local Explosive
Ordinance Disposal and the fire department.
Why Should an Emergency Physician Be Aware of This?
Explosive devices pose a grave threat when encountered. Familiarization with protocols
to manage these patients can mitigate disaster. Emergency providers should expect
and be prepared to coordinate care for these patients.
Keywords
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Article info
Publication history
Published online: January 22, 2018
Accepted:
December 1,
2017
Received in revised form:
November 5,
2017
Received:
August 17,
2017
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
