General Principles

Once a soft tissue foreign body is discovered, the physician must weigh the risk of leaving the foreign body in place against the potential harm of attempting to remove it. Not all foreign bodies must be removed, and not all that require removal must be extracted in the ED. However, every effort should be made to identify their presence during the initial visit. General indications for foreign body removal include potential for later infection, toxicity, injury, and functional problems ( T§bJ®.i2-2). Usually, objects that are small, inert, deeply embedded, and causing no symptoms can be left in place. A common question concerns bullets that come to rest deep within a muscle belly; they are usually not removed because the procedure can cause more damage than leaving the foreign object in place. Projectiles may drag bits of clothing or skin into the wound, so the entrance wound deserves cleaning and debridement. Bullet migration and embolization are rare but possible complications. Bullets near vessels can enter the systemic circulation. Bullets that cause distal ischemia, thrombus formation, or wall erosion or that lie within the lumen of a blood vessel require immediate removal in the operating room.

fiHMfliil ËM miluralui hart in BlCKlkA

vvp*iMTY4 «rchHwrfHy rwnv« mawul ISiuinMr In ^rm'liiir.i Inm h-PUbliMwdi lnf*c-iK»ft a qr 11*1" îï^^s1*


PujilItjiiI aid i « ilfcu pr-uvkaini

IiR|n■ ipa■ I.VT■ H vil ÉrilWh, -fwhIb. 0 Hmiuiii lUvruriM nf |.um iiu-*?.lu>

Was this article helpful?

0 0
Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook

Post a comment