2025 Trauma University: The Story of “Rebar-Man”-Video: The Story of "Rebar Man"

Video Transcription

Video Summary

The transcript details a complex trauma case involving a construction worker impaled by rebar after falling 18 feet on a building site with unfinished floors and temporary ladders, presenting unique challenges for emergency responders. Rescue teams carefully stabilized the patient, who was suspended on rebar penetrating his torso and hip, using specialized cutting tools to safely extricate him without exacerbating injuries. Coordination between fire rescue, paramedics, and hospital trauma teams was vital, with communication ensuring readiness for rapid transport and surgical intervention. At the hospital, surgeons managed penetrating thoracoabdominal injuries, performing thoracotomy, diaphragmatic repair, and abdominal exploration, while anticipating complications with cardiac and blood resources. Postoperative recovery included physical therapy and psychiatric support for PTSD. The case underscored the importance of multidisciplinary collaboration, detailed planning, training for rare high-risk events, and psychological care for responders and patients. Responders emphasized training on impalement scenarios, strategic resource allocation, and mental health awareness. The paramedics highlighted proactive communication and division of roles to manage patient care and logistics effectively. Overall, the case illustrates the critical need for preparedness, innovation, and coordinated care in managing low-frequency, high-acuity trauma cases to optimize patient outcomes and responder safety.

Keywords

complex trauma

construction accident

rebar impalement

emergency rescue

thoracoabdominal injury

multidisciplinary collaboration

psychological support

high-risk trauma management