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Unique pediatric penetrating cardiac trauma caused by a palm tree frond: Case report
Zainab Alshanqiti1, Rafa Alotbi2, Mohammad Younus2
1Emergency Medicine Department, King Fahad Medical City, Riyadh, Saudi Arabia.
Insights
Severe cardiac trauma can be fatal in children. This case highlights a rare pediatric penetrating cardiac injury from a palm frond, successfully treated with prompt surgical repair and emergency team coordination.
Area of Science:
- Cardiology
- Pediatric Trauma
- Emergency Medicine
Background:
- Severe cardiac trauma significantly impacts mortality in adult and pediatric populations.
- While rare in children, substantial cardiac injuries can be fatal.
Observation:
- A 5-year-old girl sustained a penetrating cardiac injury from a palm tree frond during a domestic accident.
- The patient was rapidly transferred to a tertiary care center, and emergency life-saving measures commenced.
- A pediatric emergency medicine team leader proactively delegated tasks an hour prior to the patient's arrival.
Findings:
- The patient underwent immediate surgical repair for the penetrating cardiac injury.
- The child experienced an uncomplicated recovery following the intervention.
Implications:
- This case underscores the importance of rapid response and coordinated care in pediatric cardiac trauma.
- Prompt surgical intervention is critical for favorable outcomes in severe pediatric cardiac injuries.
- Highlights the potential for severe domestic accidents to cause critical pediatric injuries.
Abstract:
Mortality rates are significantly affected by severe cardiac trauma in both adult and pediatric patients. Although rare in children, cardiac injuries of significant magnitude can lead to fatal outcomes. We report the rare case of a 5-year-old girl who sustained a penetrating cardiac injury from a sharp palm tree frond in a home accident. Immediately, the patient was transferred to a tertiary care center, and life-saving measures were initiated. To ensure prompt optimal care, the pediatric emergency medicine team leader delegated team tasks 1 hour before arrival. The patient underwent immediate surgical repair and experienced a smooth recovery with appropriate management.
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