Citation

Smeulders MJC, Gorter RR, Cense HA, van Trier A. Ned. Tijdschr. Geneeskd. 2013; 157(49): A6827.

Vernacular Title

Onverwacht buiktrauma bij een vuurwerkexplosie.

Affiliation

Academisch Medisch Centrum, afd. Plastische, reconstructieve en handchirurgie, Amsterdam.

Copyright

(Copyright © 2013, Erven Bohn)

DOI

unavailable

PMID

24299629

Abstract

BACKGROUND: Fireworks injuries are common and often affect children. Such injuries should be considered high energy trauma in the emergency room and taken care of according to the principles of the Advanced Trauma Life Support (ATLS).

CASE DESCRIPTION: A 7-year-old boy was a victim of an explosion when he set off illegal fireworks. During evaluation in the emergency department he presented with a superficial laceration on the belly and extensive hand injury. Upon examination he had small-intestinal perforation that required immediate resection. The patient recovered well, but suffered permanent damage to the hand.

CONCLUSION: Potentially life threatening injuries may accompany hand injuries after modern illegal fireworks. Hand injuries are serious. Despite prolonged treatment, they often result in permanent disability. The structured approach to trauma according to ATLS was important in detecting an accompanying abdominal trauma in this case.

Language: nl