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Sawhney C et al. – A 26 year old male was impaled through his chest and upper abdomen with an iron angle, one and half meter long and five centimeters thick. The iron angle entered the chest, through the epigastrium and exited posteriorly just inferior to the angle of left scapula. The patient was transported to hospital with the iron angle in situ. The challenges posed by massive impalement could be successfully managed due to rapid pre–hospital transfer and co–ordinated team effort.

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