Traumatic neck injury: An accidental impalement by a Needlefish

Encounters between marine animals and humans can result in critical injury and fatal complications. We highlight a 20-y-old male who sustained a penetrating injury to the neck as a result of impalement by needlefish (Tylosurus sp) while snorkeling. He sustained a penetrating injury in the posterior...

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Main Authors: Aishath Azna Ali, Rajan Gurung, Firdaus Hayati, Andee Dzulkarnaen Zakaria, Irfan Mohamad, Ching Fui Fui @ Faihana Ching Abdullah
Format: Article
Language:English
English
Published: Elsevier 2021
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/32602/1/Traumatic%20neck%20injury_%20An%20accidental%20impalement%20by%20a%20Needlefish%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/32602/3/Traumatic%20neck%20injury_%20An%20accidental%20impalement%20by%20a%20Needlefish.pdf
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author Aishath Azna Ali
Rajan Gurung
Firdaus Hayati
Andee Dzulkarnaen Zakaria
Irfan Mohamad
Ching Fui Fui @ Faihana Ching Abdullah
author_facet Aishath Azna Ali
Rajan Gurung
Firdaus Hayati
Andee Dzulkarnaen Zakaria
Irfan Mohamad
Ching Fui Fui @ Faihana Ching Abdullah
author_sort Aishath Azna Ali
collection UMS
description Encounters between marine animals and humans can result in critical injury and fatal complications. We highlight a 20-y-old male who sustained a penetrating injury to the neck as a result of impalement by needlefish (Tylosurus sp) while snorkeling. He sustained a penetrating injury in the posterior triangle of the neck. On presentation, he was stabilized and received empirical antibiotics, analgesia, and anti-tetanus toxoid injection before being transferred to a tertiary center. On presentation to the tertiary hospital, the patient was hemodynamically stable with no clinical evidence of injury to surrounding neck structures, and this was confirmed using computed tomography. The patient underwent local wound exploration and retrieval of the needlefish beak under general anesthesia. The wound was left open to heal by secondary intention. The patient was discharged with oral antibiotics and went on to make a complete recovery.
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spelling ums.eprints-326022022-05-18T07:15:13Z https://eprints.ums.edu.my/id/eprint/32602/ Traumatic neck injury: An accidental impalement by a Needlefish Aishath Azna Ali Rajan Gurung Firdaus Hayati Andee Dzulkarnaen Zakaria Irfan Mohamad Ching Fui Fui @ Faihana Ching Abdullah R5-920 Medicine (General) RD59 Surgical shock. Traumatic shock Encounters between marine animals and humans can result in critical injury and fatal complications. We highlight a 20-y-old male who sustained a penetrating injury to the neck as a result of impalement by needlefish (Tylosurus sp) while snorkeling. He sustained a penetrating injury in the posterior triangle of the neck. On presentation, he was stabilized and received empirical antibiotics, analgesia, and anti-tetanus toxoid injection before being transferred to a tertiary center. On presentation to the tertiary hospital, the patient was hemodynamically stable with no clinical evidence of injury to surrounding neck structures, and this was confirmed using computed tomography. The patient underwent local wound exploration and retrieval of the needlefish beak under general anesthesia. The wound was left open to heal by secondary intention. The patient was discharged with oral antibiotics and went on to make a complete recovery. Elsevier 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32602/1/Traumatic%20neck%20injury_%20An%20accidental%20impalement%20by%20a%20Needlefish%20_ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/32602/3/Traumatic%20neck%20injury_%20An%20accidental%20impalement%20by%20a%20Needlefish.pdf Aishath Azna Ali and Rajan Gurung and Firdaus Hayati and Andee Dzulkarnaen Zakaria and Irfan Mohamad and Ching Fui Fui @ Faihana Ching Abdullah (2021) Traumatic neck injury: An accidental impalement by a Needlefish. Wilderness and Environmental Medicine, 32. pp. 517-521. ISSN 1545-1534 https://www.sciencedirect.com/science/article/pii/S1080603221001514 https://doi.org/10.1016/j.wem.2021.07.006 https://doi.org/10.1016/j.wem.2021.07.006
spellingShingle R5-920 Medicine (General)
RD59 Surgical shock. Traumatic shock
Aishath Azna Ali
Rajan Gurung
Firdaus Hayati
Andee Dzulkarnaen Zakaria
Irfan Mohamad
Ching Fui Fui @ Faihana Ching Abdullah
Traumatic neck injury: An accidental impalement by a Needlefish
title Traumatic neck injury: An accidental impalement by a Needlefish
title_full Traumatic neck injury: An accidental impalement by a Needlefish
title_fullStr Traumatic neck injury: An accidental impalement by a Needlefish
title_full_unstemmed Traumatic neck injury: An accidental impalement by a Needlefish
title_short Traumatic neck injury: An accidental impalement by a Needlefish
title_sort traumatic neck injury an accidental impalement by a needlefish
topic R5-920 Medicine (General)
RD59 Surgical shock. Traumatic shock
url https://eprints.ums.edu.my/id/eprint/32602/1/Traumatic%20neck%20injury_%20An%20accidental%20impalement%20by%20a%20Needlefish%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/32602/3/Traumatic%20neck%20injury_%20An%20accidental%20impalement%20by%20a%20Needlefish.pdf
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