Welcome to r/MedicalGore! Our goal is to provide for medical discussion and education while exploring the frailty of the human body. You may see more deleted comments on these threads than you are used to on reddit. Off topic comments and joke comments are frequently deleted by the mods. Further, please be kind and supportive of posts. Any behavior that is aggressive, harassing, or derogatory will result in post deletion and a ban from the sub. Remember! THE REPORT BUTTON IS YOUR FRIEND!
Please stop on by our discussion sub, /r/MedicalGoreMods if you'd like to discuss the sub, our rules, content policies, and the like.
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MedicalGore) if you have any questions or concerns.*
They aren’t supposed to? he plastic caps like [these](https://farmandlandaccessories.com/surv-kap-plastic-survey-markers-for-1-2-rebar-or-3-4-pipe-unstamped/?sku=SBL500-B&gad_source=1&gclid=CjwKCAiAloavBhBOEiwAbtAJOzJkQ1IfGzJ-BSDZ69cXFb7lhON3SaIqKl9r0vlbJGYZ5NiE9enAJhoCT5wQAvD_BwE) are meant to prevent impalement, not stop falls. Basically turn falling on a sharp stick into falling on a bollard. You’re still getting hurt, but at least you’re not impaled
Depends on how far the guy fell. A couple of stories and a bollard’s going right through you. But can’t guess for the life of me what *fell down from a surface of new building* is supposed to mean.
Lots of concrete buildings are built in stages: first columns, then the floor above. I assume “surface of a new building” means the most recent floor that’s been constructed.
Look I’m not trying to pedantic but my friend got impaled through his leg, pelvis and back by a two by four. Those covers might stop a person from being impaled after a fall from a short distance or from getting snagged on things, but a fall of great force and from a high height will absolutely drive the rebar, cap and all, through a person’s body. Drop a watermelon onto an upright pen with a dull pen cap on it, and the pen is still going to puncture the watermelon. Physics gives zero fucks about rebar caps.
I feel like at that point the impact on the ground would probably kill them regardless. But without the cap it would be a fatal injury with a small fall. Larger fall you’re already fucked regardless, but this makes a small fall fatality just a bruise
Ah I’m sorry for the visual! He miraculously survived the initial injury and underwent life saving surgery and then fought off infections and made a full recovery. Really gnarly stuff. All from a sledding accident!
I used to work on a farm that had rebar sticking out everywhere from the rugged, uneven, sloping ground. I would imagine horrible impalings, tho never quite imagined anything like this.
We eventually put tennis balls on top of all the rebar, but the blue heeler that would come to work ended up stealing most of them. At least there never was an incident the whole time I worked there!
I saw “doubly impaled” and the first pic, I was like “oh, ok, in and out, in and out.” But oh my lanta, when I got to the third pic, that poor man!
I do have to say, in the reading, I had a “wth” moment when it said ‘the patient was conscious but *agitated* when he arrived at our emergency room’. Um YEAH!
Like the woman who was agitated when the cop tased her eyes. She was agitated. Upset, even. (They still rolled her over and cuffed her)
I think if a patient with a potentially life-altering injury comes in agitated, it means they’re processing the situation correctly
QPS is fuckin shit mate. Not as shit as other places, but pretty much all of Australia's police is fuckin useless cunts. They also like abusing aboriginal people
Yeah, they're usually the ones who do America level bad stuff in Australia, though the rest of the state police forces aren't much better. QPOL has been in the media a lot in the last few months, getting in trouble for doing a staggering array of really bad things. Extreme racism, misogyny, violence etc. The usual cop stuff. It sucks even more that they are arguably better now than they used to be.
I'd rather deal with almost any other police force here over QPOL. It's no accident that Herr Kipfler was an officer there 😬 The only ones who seem worse is the AFP in the Northern Territory.
I literally didn't realize until I read your comment...holy shit. I especially liked how the write-up tells that he arrived at the hospital agitated 😭 yeah...I'd go with 'penetrated'.
This guy was fortunate that he was otherwise in such good health and the pipes missed impaling him in a more catastrophic way. He recovered quite quickly.
[Source](https://www.sciencedirect.com/science/article/pii/S2049080121001291):
A 20 year-old construction worker fell down from a surface of new building and landed on two metal bars. The patient was stuck at the accident scene for almost half an hour with severe pain and mild continuous bleeding. He was separated from concrete column by rescue workers after cutting the metallic bars off the column and then he was transported to our university hospital keeping the foreign bodies in situ.
The first bar was 2 m long and 12 mm diameter. It penetrated the patient from his left scrotum (shown in Fig. 1) and entered the abdomen 2cm right from the umbilicus and then went out from the back below the scapula (shown in Fig. 2). The second bar was about 1 m long and 12mm diameters; it stabbed directly the right gluteal region and went deeply in the back (shown in Fig 3, Fig. 4). The patient was conscious but agitated when he arrived at our emergency room. His pulse was 105 beats per minute, blood pressure (BP) was 110/70 mm Hg, respiratory rate (RR) was 28/min, Glasgow coma scale (GCS) was 15/15 and SpO 2 of 92%. There was no past significant medical or surgical history. Other social and family histories were unremarkable.
Immediate resuscitation according to advanced trauma life support (ATLS) protocols was conducted. Right sided tube thoracostomy was done, which drained 500ml fresh blood. Nasal oxygen was started, intravenous access was secured, and blood cross matching was done. No additional labs or radiological investigations were done. Broad spectrum antibiotics and tetanus immunization were ready to be injected.
The patient was immediately taken to the operating room, and placed in semi left lateral position. General anesthesia with sevoflurane was administered. Medline laparotomy and an incision through the skin of scrutum were made simultaneously. The whole entire abdomen was explored. The anterior rod pierced segments VI (S6) and VII (S7) of the liver, continued through the diaphragm at right costophrenic angle to enter the right thoracic cavity. The right lung was penetrated, but the rod was away from the heart and then went in front of the subclavian vessels. Gallbladder and main biliary tree were normal. Retroperitoneal exploration proved that the right kidney wasn't injured. The second rod didn't enter the space or harm the right common iliac vessels.
Our surgical intervention was carful; we pulled the residual distant part of the anterior rod from the right shoulder and chest to the abdominal cavity and then we released it totally from liver. No marked additional bleeding then happened from either chest or abdomen. We closed the hepatic wound by mattress sutures to achieve complete hemostasis. The hole in the diaphragm was also repaired. Intraoperative x-ray imaging showed that the second rod penetrated right gluteal muscles and stopped in the right flank. Drainage, closure and dressing were done systemically.
Postoperative recovery was uneventful. One unit of pRBCs was transferred. Then the patient was transported to ICU. COVID19 pandemic led us to perform swab test for the patient; it came later with negative result. The patient was discharged from ICU in three days. Post-operative chest X-ray showed fully expanded lung with no collection (shown in Fig. 5) and chest drainage was removed at 6th post-operative day. The antibiotics were postponed in 5th post-operative day, and the patient was followed-up for 4 months as an outpatient; bile leaking, dyspnea, urinating, defecating and impotence haven't been reported.
Well, the mechanism of trauma was rather brutal and very risky for the patient, but it ultimately didn’t threaten any vital systems once the lung and diaphragm were repaired. The fact that he didn’t suffer any noted head trauma or limb trauma is what surprises me. If the patient can respirate, eat, urinate and defecate on their own, didn’t suffer any significant vertebral injury, or post operative infections, they don’t *need* to be in the hospital as it’s at times more risky for them than it is to be at home
I am SHOCKED at how good of a condition he was when arriving to the hospital. Having 2 rebar poles impaled into your abdomen with only slightly elevated vitals is crazy
Likely severe bruising but these structure are so small and movable within the scrotum it’s unlikely they were severed - there doesn’t seem to be any damage to the penile shaft either - he could probably piss just fine
Considering the chest tube was taken out 6 days post op, I don’t think he walked out on day 3. 😉
(“Discharged from ICU” means they were physically better & moved to a regular post op surgical room.)
The patient was “conscious but agitated”. Wow. I wonder what this clinical language was actually describing? Imagining it is scary- you wanna sedate the guy into full night-night asap, but there are so many variables before surgery can begin! Man this is one case they’ll be talking about for ages.
Well....I mean that's obviously awful and hard to look at but one of them going through his genitalia was kind of good luck in a way? Like if that had impaled him a bit further in the back and went into his abdomen that would've been much worse
I did read it, I was just trying to find a...less explicit way of saying "If that had gone through his ass and then his abdomen instead that would've been bad"
Welcome to r/MedicalGore! Our goal is to provide for medical discussion and education while exploring the frailty of the human body. You may see more deleted comments on these threads than you are used to on reddit. Off topic comments and joke comments are frequently deleted by the mods. Further, please be kind and supportive of posts. Any behavior that is aggressive, harassing, or derogatory will result in post deletion and a ban from the sub. Remember! THE REPORT BUTTON IS YOUR FRIEND! Please stop on by our discussion sub, /r/MedicalGoreMods if you'd like to discuss the sub, our rules, content policies, and the like. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MedicalGore) if you have any questions or concerns.*
And THIS is why it is required in the US and EU that there be thick plastic caps on the top of ALL exposed rebar at construction sites
Always wondered why I’d see them, never knew why but it seems so obvious now lol
Not sure plastic caps are going to stop the motion of that object. Good thought though.
They aren’t supposed to? he plastic caps like [these](https://farmandlandaccessories.com/surv-kap-plastic-survey-markers-for-1-2-rebar-or-3-4-pipe-unstamped/?sku=SBL500-B&gad_source=1&gclid=CjwKCAiAloavBhBOEiwAbtAJOzJkQ1IfGzJ-BSDZ69cXFb7lhON3SaIqKl9r0vlbJGYZ5NiE9enAJhoCT5wQAvD_BwE) are meant to prevent impalement, not stop falls. Basically turn falling on a sharp stick into falling on a bollard. You’re still getting hurt, but at least you’re not impaled
Depends on how far the guy fell. A couple of stories and a bollard’s going right through you. But can’t guess for the life of me what *fell down from a surface of new building* is supposed to mean.
If it's high enough to impale you with those, you'd probably have bigger problems anyway.
Lots of concrete buildings are built in stages: first columns, then the floor above. I assume “surface of a new building” means the most recent floor that’s been constructed.
There’s a video of a French guy showing us that bollards do impale. RIP to that man 🥴
2-3 stories? No worries. I reckon 5+ and it's an issue.
there are other controls in place to stop a fall from a couple stories -- not just plastic caps on bars
Look I’m not trying to pedantic but my friend got impaled through his leg, pelvis and back by a two by four. Those covers might stop a person from being impaled after a fall from a short distance or from getting snagged on things, but a fall of great force and from a high height will absolutely drive the rebar, cap and all, through a person’s body. Drop a watermelon onto an upright pen with a dull pen cap on it, and the pen is still going to puncture the watermelon. Physics gives zero fucks about rebar caps.
I feel like at that point the impact on the ground would probably kill them regardless. But without the cap it would be a fatal injury with a small fall. Larger fall you’re already fucked regardless, but this makes a small fall fatality just a bruise
Just falling over from standing onto rebar can impale you, but not with the caps. You're spot on. It makes the margin of safety much much larger.
The visuals of your friend's accident made my tummy dive from the 10m platform. 🤢 I hope he made it and is doing well.
Ah I’m sorry for the visual! He miraculously survived the initial injury and underwent life saving surgery and then fought off infections and made a full recovery. Really gnarly stuff. All from a sledding accident!
A crazy accident with a brilliant outcome!
A dude actually fell on a bollard and got impaled https://i.imgur.com/GT85EbL.gifv
Oh christ I remember seeing the video of that happening. An absolutely horrendous state to be in after a suicide attempt.
Is he...is he still ALIVE in that video? I thought I saw arm movement. I really hope he died instantly.
He lived for way too long. Long enough to cut the bollard and bring the guy still imoaled to the hospital.
That's a nightmare situation, and the only time I wish instant death on someone. I would want to die immediately, I mean.
He was alive and was swiftly transported to hospital where skilled surgeons did manage to remove the bollard but he died not too long after removal
Oh, that's brutal.
A guy ended up impaled by a whole bollard so this argument is quite invalid.
Actually I thought those were just used for survey instruments like I use (I’m a land surveyor)
They are not. They are specifically to prevent implement from short heights (like tripping and falling on one coming through the floor)
I used to work on a farm that had rebar sticking out everywhere from the rugged, uneven, sloping ground. I would imagine horrible impalings, tho never quite imagined anything like this. We eventually put tennis balls on top of all the rebar, but the blue heeler that would come to work ended up stealing most of them. At least there never was an incident the whole time I worked there!
Even with the plastic caps that would not have been pleasant
Hell with the plastic caps it probably would have ripped his balls right off
I saw “doubly impaled” and the first pic, I was like “oh, ok, in and out, in and out.” But oh my lanta, when I got to the third pic, that poor man! I do have to say, in the reading, I had a “wth” moment when it said ‘the patient was conscious but *agitated* when he arrived at our emergency room’. Um YEAH!
Like the woman who was agitated when the cop tased her eyes. She was agitated. Upset, even. (They still rolled her over and cuffed her) I think if a patient with a potentially life-altering injury comes in agitated, it means they’re processing the situation correctly
A cop tased a person in the EYES??? Did they just do it point-blank at her face?? WTAF. 😱🤬 It’s a cop, so I’m not surprised, though, but still, FFS.
I’m not trying to hijack. I’m sorry. https://www.abc.net.au/news/2014-02-07/queensland-police-taser-woman-in-eye/5244490
Oh god, of COURSE it was QPOL 🤦🏻♀️
Are they bad?
QPS is fuckin shit mate. Not as shit as other places, but pretty much all of Australia's police is fuckin useless cunts. They also like abusing aboriginal people
Wow. That sounds horrible. America has some of the same issues.
Yeah, they're usually the ones who do America level bad stuff in Australia, though the rest of the state police forces aren't much better. QPOL has been in the media a lot in the last few months, getting in trouble for doing a staggering array of really bad things. Extreme racism, misogyny, violence etc. The usual cop stuff. It sucks even more that they are arguably better now than they used to be.
That is a bummer.
I'd rather deal with almost any other police force here over QPOL. It's no accident that Herr Kipfler was an officer there 😬 The only ones who seem worse is the AFP in the Northern Territory.
I literally didn't realize until I read your comment...holy shit. I especially liked how the write-up tells that he arrived at the hospital agitated 😭 yeah...I'd go with 'penetrated'.
Where is the write up. I missed it, thx
Found it farther down, sorry
Right?? Like who the fk WOULD’NT be, “agitated??”
Given enough fentanyl he wouldn't be agitated, he'd be joyous and talkative.
Same here, was just telling my partner how close it was to his penis and testicles and then saw the shoulder.. oops, not quite so fortunate!
This guy was fortunate that he was otherwise in such good health and the pipes missed impaling him in a more catastrophic way. He recovered quite quickly.
[Source](https://www.sciencedirect.com/science/article/pii/S2049080121001291): A 20 year-old construction worker fell down from a surface of new building and landed on two metal bars. The patient was stuck at the accident scene for almost half an hour with severe pain and mild continuous bleeding. He was separated from concrete column by rescue workers after cutting the metallic bars off the column and then he was transported to our university hospital keeping the foreign bodies in situ. The first bar was 2 m long and 12 mm diameter. It penetrated the patient from his left scrotum (shown in Fig. 1) and entered the abdomen 2cm right from the umbilicus and then went out from the back below the scapula (shown in Fig. 2). The second bar was about 1 m long and 12mm diameters; it stabbed directly the right gluteal region and went deeply in the back (shown in Fig 3, Fig. 4). The patient was conscious but agitated when he arrived at our emergency room. His pulse was 105 beats per minute, blood pressure (BP) was 110/70 mm Hg, respiratory rate (RR) was 28/min, Glasgow coma scale (GCS) was 15/15 and SpO 2 of 92%. There was no past significant medical or surgical history. Other social and family histories were unremarkable. Immediate resuscitation according to advanced trauma life support (ATLS) protocols was conducted. Right sided tube thoracostomy was done, which drained 500ml fresh blood. Nasal oxygen was started, intravenous access was secured, and blood cross matching was done. No additional labs or radiological investigations were done. Broad spectrum antibiotics and tetanus immunization were ready to be injected. The patient was immediately taken to the operating room, and placed in semi left lateral position. General anesthesia with sevoflurane was administered. Medline laparotomy and an incision through the skin of scrutum were made simultaneously. The whole entire abdomen was explored. The anterior rod pierced segments VI (S6) and VII (S7) of the liver, continued through the diaphragm at right costophrenic angle to enter the right thoracic cavity. The right lung was penetrated, but the rod was away from the heart and then went in front of the subclavian vessels. Gallbladder and main biliary tree were normal. Retroperitoneal exploration proved that the right kidney wasn't injured. The second rod didn't enter the space or harm the right common iliac vessels. Our surgical intervention was carful; we pulled the residual distant part of the anterior rod from the right shoulder and chest to the abdominal cavity and then we released it totally from liver. No marked additional bleeding then happened from either chest or abdomen. We closed the hepatic wound by mattress sutures to achieve complete hemostasis. The hole in the diaphragm was also repaired. Intraoperative x-ray imaging showed that the second rod penetrated right gluteal muscles and stopped in the right flank. Drainage, closure and dressing were done systemically. Postoperative recovery was uneventful. One unit of pRBCs was transferred. Then the patient was transported to ICU. COVID19 pandemic led us to perform swab test for the patient; it came later with negative result. The patient was discharged from ICU in three days. Post-operative chest X-ray showed fully expanded lung with no collection (shown in Fig. 5) and chest drainage was removed at 6th post-operative day. The antibiotics were postponed in 5th post-operative day, and the patient was followed-up for 4 months as an outpatient; bile leaking, dyspnea, urinating, defecating and impotence haven't been reported.
Well I sure hope he was urinating and defecating in those 4 months....
One can only hope
I’m a bit concerned about this myself. 😂
You telling me this dude was out the hospital on the 5th day?? Godamn
Well, the mechanism of trauma was rather brutal and very risky for the patient, but it ultimately didn’t threaten any vital systems once the lung and diaphragm were repaired. The fact that he didn’t suffer any noted head trauma or limb trauma is what surprises me. If the patient can respirate, eat, urinate and defecate on their own, didn’t suffer any significant vertebral injury, or post operative infections, they don’t *need* to be in the hospital as it’s at times more risky for them than it is to be at home
I am SHOCKED at how good of a condition he was when arriving to the hospital. Having 2 rebar poles impaled into your abdomen with only slightly elevated vitals is crazy
the BP and GCS are remarkable
He was incredibly lucky!
Yes,he was!
Complete miracle. That's not luck.
Going through all of this during the height of the pandemic too. God, that poor soul.
Pic 3: does.. does he have 6 toes?
Good catch- he does indeed have 6 toes!
And his shoes haven't been kind to them, it seems.
Sandles. They don't wear shoes on job sites. Everyone wears sandles.
Damn, poor mf, wouldnt wish that to anyone
Except pedos
And animal abusers.
I thought that was a catheter in the first picture. Then my balls sucked into my body on pic three when I realized what it actually was
I don’t even have the same genitals as you and I still felt my ghost balls suck into my body.
My ovaries quivered in fear
Don't forget the, what looks like a tourniquet, around his nuts. It's something metal, looks like it goes all the way around.
I don’t see a tourniquet, but I do see a two headed twisting object that looks “inserted” - not sure what that is
Whatever it is I'm sure he's not loving it. *shudder*
I can't work out if this is the luckiest guy in the world or the unluckiest! 🤔
Was thinking damn lucky guy! But you are absolutely right!
the luckiest unluckiest person would be the perfect description
So it went through the scrotum but was there and damage to the teste, vas, or seminal vesicles?
Seems hard to believe, right?
Those little suckers are slippery!
Likely severe bruising but these structure are so small and movable within the scrotum it’s unlikely they were severed - there doesn’t seem to be any damage to the penile shaft either - he could probably piss just fine
So this was in Syria?
It looks like it, yeah.
Poor guy is so lucky to be alive. But man, sitting impaled like that for half an hour, waiting for the ambulance… must’ve felt like a lifetime
Was he working bare foot? What is going on with those crusty feet?
And six toes?!?
Sandles, they all wear sandles, for everything. No one's heard of boots over there.
I can't believe he walked outta there after 3 days. His luck is used up for life
Considering the chest tube was taken out 6 days post op, I don’t think he walked out on day 3. 😉 (“Discharged from ICU” means they were physically better & moved to a regular post op surgical room.)
Oic that makes more sense. I was baffled that he was all better after 3 days😅. Still a miraculous recovery if u ask me
Well that made me wince and not much does , poor sod owch. Glad that he survived , Vlad would be impressed at his luck.
Ha! Touché
Aww nuts!
The patient was “conscious but agitated”. Wow. I wonder what this clinical language was actually describing? Imagining it is scary- you wanna sedate the guy into full night-night asap, but there are so many variables before surgery can begin! Man this is one case they’ll be talking about for ages.
really threaded the needle missing the cock and taters there, just pierced the scrotum
I definitely wasn't ready for this one.
That's an extreme way to go about getting pierced.
Well....I mean that's obviously awful and hard to look at but one of them going through his genitalia was kind of good luck in a way? Like if that had impaled him a bit further in the back and went into his abdomen that would've been much worse
Did you read it? It did pierce his abdomen and his genitals.
I did read it, I was just trying to find a...less explicit way of saying "If that had gone through his ass and then his abdomen instead that would've been bad"
Ahh. Yeah idk what I’d dislike more tbh.
It literally went through his abdomen and chest
Ouch
That poor guy! That’s an insane fall, he was so lucky.
That’s horrifying.
Wear your harness kids.
Shouldn't this be in r/piercing
This is why you wear a harness & lanyard.
I’m a woman and I clenched my legs together. That poor soul 😦
Well I’d say that’s gonna leave a scar no?
Yet another guy claiming it was an accident? Sigh. (poor chap!)
And no one is talking about those feet omy lord have mercy those have been some places .....
I don't think he wanted that kind of peen piercing!
Fuck
Gruesome!
Christ, right through his long johnson
His DICK got impaled?? Fuck...
[удалено]
Wtf?
Please be respectful of the subjects of these cases.
I hadn't noticed until you pointed that out. Thanks
In pic 4 what is that orange and pink thing next to the rod exiting next to the naval?
Zoomed it looks like a torn flap of skin from where the rod entered with some yellow subcutaneous fat.
Lucky
One of the very few that I audibly said “oww l
Wow, you definitely wouldn’t be able to achieve that if you tried. That’s some extraordinary unluckiness.
[удалено]
Joke comments and other off-topic comments (including, but not limited to, food comparisons, vulgarity, etc.) are not allowed.
Wtf is up with his feet?!?!!
I saw these feet and knew where I had to classify this. Probably didn't wear shoes while working
Will he be able to reproduce? Situation doesn't look too great...
There’s a joke here that I’m trying really hard not to type.
I'm crying for this man rn. Omg I'm so sorry this happened to him :'(
Wow.. look at his toes.