The patient, Mr. T.V.S (49 years old, residing in Bac Ninh), was transferred to the emergency department, 108 Central Military Hospital in critical condition, with difficulty breathing, and a deep stuck in the left neck of a metal foreign object.
According to the family, about 2 hours before being admitted to the hospital, while stretching a rope to construct the project, the rope suddenly bounced back, causing a steel nail to stick strongly and stab the neck.
After receiving first aid at the grassroots health station, Mr. S. was transferred to the 108 Central Military Hospital. Here, doctors quickly performed initial emergency procedures, gave oxygen, relieved pain, fixed the wound, then performed a CT scan of the neck - chest to assess the extent of damage.
The imaging results showed that the steel nail had penetrated the airvesves and was close to the path of the left main vein, which could lead to acute respiratory failure, shock, blood loss and death if not treated promptly.
Doctors of the Emergency Department determined that this was an emergency emergency emergency surgical situation, and quickly consulted with the chest ngoaiural team and transferred the patient to the operating room.
After removing the foreign object, the patient had the step to restore the damaged tracheal lai, and at the same time treated the perforation of the internal internal internal venom, a large area of blood vessels. If broken, it would cause massive bleeding, which was very difficult to control.
After surgery, the patient was lucky to have overcome the critical stage, the blood pressure was stable, no shock, and is continuing to be treated.
Doctor Dam Dung, emergency department, 108 Central Military Hospital, said that the penetrating tracheal wound with foreign object was an extremely dangerous emergency situation.
The neck area has many vital organs such as the tracheum, large blood vessels, esophagus, spinal cord, etc., just a wrong operation or delay can cause death on the spot or on the way to the hospital.
Doctor Dung recommends the principle of first aid for people with foreign objects stabbed in the neck, people need to call 115 for emergency care immediately. Do not move the victim yourself if not necessary. Absolutely do not remove foreign objects on the spot.
The foreign object may be blocking the perforation of a blood vessel or tracheum. Improper withdrawal can cause massive bleeding, low blood pressure, respiratory failure or on-site death.
Phasing foreign objects in place with soft, non-bacterial materials to avoid causing foreign objects to move. Absolutely do not squeeze the airway.
Priority is given to transportation by specialized ambulances with medical staff. Bring the victim to a medical facility with the capacity to perform emergency surgery and intensive resuscitation.
