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Case report: penetrating cardiac injury secondary to a terrorism-related nail bomb explosion

Yasufumi Asai1, Masashi Yoshida, Yoshihiko Kurimoto

  • 1Department of Traumatology and Critical Care Medicine, Sapporo Medical University, Sapporo, Japan. asai@sapmed.ac.jp

Prehospital and Disaster Medicine
|May 15, 2004
PubMed

Insights

A nail bomb caused a rare penetrating cardiac injury, leading to cardiac tamponade and myocardial infarction. Prompt surgical intervention ensured the patient's full recovery from this unusual trauma.

Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Penetrating cardiac injuries are typically caused by ballistic or sharp force trauma.
  • Terrorism-related incidents present unique challenges in emergency medicine and trauma care.

Observation:

  • An unusual case of a penetrating cardiac injury caused by a nail from a nail-bomb explosion is reported.
  • The patient presented with pericardial tamponade, acute traumatic myocardial infarction, and a penetrating lung injury.

Findings:

  • The cardiac injury was a direct result of a nail propelled by a nail-bomb explosion.
  • Associated injuries included significant cardiac tamponade and myocardial damage, alongside a lung injury.

Implications:

  • This case highlights the diverse mechanisms of penetrating cardiac trauma, including unconventional explosive devices.
  • Aggressive surgical management is crucial for favorable outcomes in severe penetrating cardiac injuries.
  • Emergency departments must be prepared for rare but severe injuries resulting from terrorist attacks.

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