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Removing Steel Pipe Penetrated Man's Head
Educational only: videos on MedicalVideos.com are for general information and are not medical advice. Always consult your own doctor about your health.
This emergency case video shows the removal of a steel pipe that penetrated a patient's head, managed by the treating surgical team. Presented as a trauma-care case record for clinical education. Educational only — not medical advice.
This video in 30 seconds
A clinician-narrated, reenacted emergency department story about a young man brought in after driving into a chain-link fence, with a pipe passing through his mouth toward the back of his neck. The narrator notes the patient was awake and conversing, describes concern about moving the pipe, and says the team planned airway control in the operating room, in clinical, neutral terms without graphic detail.
Key points
- A level one trauma activation is called for the incoming patient
- The patient is described as awake, alert and able to converse on arrival
- The team discusses the risk of the pipe moving or dislodging
- Specialist teams are contacted as the case is assessed
- The plan described is to move to the operating room for airway control
Chapters
- 0:10 — Reenacted emergency story introduced
- 0:43 — Level one trauma activation called
- 1:05 — Patient arrives awake and conversing
- 1:56 — Concern about moving the pipe
- 2:17 — Plan for airway control
Video Transcript
This clinician-narrated, reenacted ER story from 'Untold Stories of the ER' follows a trauma team receiving a 28-year-old man injured after driving into a chain-link fence, with a pipe through his mouth toward the back of his neck. The narrator notes he was awake and conversing, describes concern about moving the pipe, and says the team planned airway control in the operating room.
Read the full transcript
These are the untold stories of the ER. The extremes of medicine, really that's where trauma surgery lives. And the people that I see, I get to play such a pivotal role in their lives sometimes, in their lives of their loved ones. And that's really what makes the job worthwhile. Trauma, on your speaking? Aha, right. Through the head. How far out are you? Got it. We've got a level one activation. The team to the Trauma Bay level one incoming. ETA, seven minutes. I've seen a lot of head trauma come through the trauma center the last ten years, but frankly
when this came through, I didn't know what the hell I was going to do with this. I'd certainly never seen anything like this before. All right, what's going on? 28 year old male, heart rate 102, BP 100 over 60, drove into a chain length fence. About how long ago? For 40 minutes. What's his name? Andy. Andy? I'm looking to see somebody with an injury like this, with this pipe sticking through his mouth and really at the back of his neck. With me, give me a thumbs up.
How you doing? All right. What was really amazing in Andrew's case is that he was awake and alert, sitting up. All right, Julie, I want you to get the OR, tell him open up. We're coming back for an awake trach. Get Andrew on the phone too. We're going to come up to Andrew as soon as we're done with that. And then get me vascular ENT and OMS on the phone. All right. But he had his phone in his hand. He was using both hands and he was trying to text someone.
I don't know really who, but he was trying to use his phone to text somebody as we talked to him and conversed with him. Obviously, it was a great sign that he was awake and he was moving. But with this particular injury, that was also a big concern too because I saw one of the turn and smacked the end of this pipe on something and dislodged. If this is holding pressure or stopping something from bleeding, I don't want to mock that pipe around and move it around.
Give me just that. All right. Well, looks like it's missed a spine on the base of the skull, so we got that going for us. I think the next thing is just get him in the oar and get control of this airway. I just hope he has a little fighter in him. Now he should not be awake. He really shouldn't be alive.
Transcript auto-generated from the video’s audio for accessibility and study. Educational content only — not medical advice.
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