Affordable Access

Publisher Website

Soft Tissue Foreign Body Removal Technique Using Portable Ultrasonography

Authors
Journal
Wilderness and Environmental Medicine
1080-6032
Publisher
Elsevier
Volume
23
Issue
4
Identifiers
DOI: 10.1016/j.wem.2012.04.006
Keywords
  • Ultrasound
  • Foreign Body
  • Removal
  • Radiolucent
Disciplines
  • Medicine

Abstract

Retained foreign objects account for as much as 2% of soft tissue injuries sustained in the wilderness. Subcutaneously embedded fragments are often missed during the initial medical evaluation and may result in morbidity secondary to delayed removal. Although the utility of ultrasonography in the emergency department for the detection of retained objects is established, the potential use of point-of-care ultrasound to aid with foreign body removal in the field has not been well described. We present 2 case reports that demonstrate the value of ultrasonography in detecting and successfully removing foreign bodies sustained in the wilderness, and outline a procedural technique that minimizes morbidity and uses equipment available in wilderness medical field kits. We propose that with the advent of portable and handheld ultrasound units, foreign body removal in the field has become feasible and may decrease the morbidity of soft tissue injuries, particularly in austere and wilderness environments with limited access to immediate medical care.

There are no comments yet on this publication. Be the first to share your thoughts.