Patient survival and limb salvage after shark attack with major vascular injury: A case report

Shark attacks are rare unique pathological processes. Some of them represent devastating injuries with a high morbidity and significant mortality. Related published articles are limited. The increased human interaction within the environment of sharks is the cause of rising incidence of such attacks...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autor principal:	Ayman Khalil
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Infections Shark attack Major vascular injuries Survival Limb salvage Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5d5a844486b04485aad4707831b177da
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5d5a844486b04485aad4707831b177da
record_format	dspace
spelling	oai:doaj.org-article:5d5a844486b04485aad4707831b177da2021-11-18T04:43:47ZPatient survival and limb salvage after shark attack with major vascular injury: A case report1008-127510.1016/j.cjtee.2021.08.002https://doaj.org/article/5d5a844486b04485aad4707831b177da2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1008127521001267https://doaj.org/toc/1008-1275Shark attacks are rare unique pathological processes. Some of them represent devastating injuries with a high morbidity and significant mortality. Related published articles are limited. The increased human interaction within the environment of sharks is the cause of rising incidence of such attacks. This study reported a case of level 4 shark injuries (shark-induced trauma scale) in a 33-year-old male patient, who presented with an extensive injury of the right lower limb with the characteristic features of shark bite. At admission the patient was in a state of shock with profuse bleeding that was controlled by tourniquet. The patient was resuscitated according to the advanced trauma life support. Clinical examination showed hard signs of vascular injury with absent pedal pulse, associated neurological deficits and severance at the knee joint. Prompt vascular intervention after resuscitation was performed to manage the major vascular injuries, together with proper washout and debridement of all the necrotic tissues under strong antibiotic coverage to prevent infection. After that, the patient underwent sequenced plastic, orthopedic, and neurological interventions. Strict follow-up was conducted, which showed that the patient was saved and achieved a functioning limb. This study aims to highlight the management of level 4 shark injuries, which are considered serious and challenging with a high fatality rate and a great risk of amputation due to the associated major vascular injuries. Immediate well organized management plan is crucial. Prompt resuscitation and surgical intervention by a highly-skilled medical team are required to improve the chance of patient survival and limb salvage.Ayman KhalilElsevierarticleInfectionsShark attackMajor vascular injuriesSurvivalLimb salvageMedicine (General)R5-920ENChinese Journal of Traumatology, Vol 24, Iss 6, Pp 401-403 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infections Shark attack Major vascular injuries Survival Limb salvage Medicine (General) R5-920
spellingShingle	Infections Shark attack Major vascular injuries Survival Limb salvage Medicine (General) R5-920 Ayman Khalil Patient survival and limb salvage after shark attack with major vascular injury: A case report
description	Shark attacks are rare unique pathological processes. Some of them represent devastating injuries with a high morbidity and significant mortality. Related published articles are limited. The increased human interaction within the environment of sharks is the cause of rising incidence of such attacks. This study reported a case of level 4 shark injuries (shark-induced trauma scale) in a 33-year-old male patient, who presented with an extensive injury of the right lower limb with the characteristic features of shark bite. At admission the patient was in a state of shock with profuse bleeding that was controlled by tourniquet. The patient was resuscitated according to the advanced trauma life support. Clinical examination showed hard signs of vascular injury with absent pedal pulse, associated neurological deficits and severance at the knee joint. Prompt vascular intervention after resuscitation was performed to manage the major vascular injuries, together with proper washout and debridement of all the necrotic tissues under strong antibiotic coverage to prevent infection. After that, the patient underwent sequenced plastic, orthopedic, and neurological interventions. Strict follow-up was conducted, which showed that the patient was saved and achieved a functioning limb. This study aims to highlight the management of level 4 shark injuries, which are considered serious and challenging with a high fatality rate and a great risk of amputation due to the associated major vascular injuries. Immediate well organized management plan is crucial. Prompt resuscitation and surgical intervention by a highly-skilled medical team are required to improve the chance of patient survival and limb salvage.
format	article
author	Ayman Khalil
author_facet	Ayman Khalil
author_sort	Ayman Khalil
title	Patient survival and limb salvage after shark attack with major vascular injury: A case report
title_short	Patient survival and limb salvage after shark attack with major vascular injury: A case report
title_full	Patient survival and limb salvage after shark attack with major vascular injury: A case report
title_fullStr	Patient survival and limb salvage after shark attack with major vascular injury: A case report
title_full_unstemmed	Patient survival and limb salvage after shark attack with major vascular injury: A case report
title_sort	patient survival and limb salvage after shark attack with major vascular injury: a case report
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/5d5a844486b04485aad4707831b177da
work_keys_str_mv	AT aymankhalil patientsurvivalandlimbsalvageaftersharkattackwithmajorvascularinjuryacasereport
_version_	1718425103201468416

Patient survival and limb salvage after shark attack with major vascular injury: A case report

Ejemplares similares