{
  "abstract": "A patient in their 30s was received in transfer after a motor vehicle collision in which they hit an oncoming car and were ejected from the vehicle. Emergency Medical Services (EMS) reported the patient was found suspended on a fence post entering at the right thigh and exiting the sacrum. A left lower extremity deformity was also noted. The patient and pole were separated from the rest of the fence and brought to a local Emergency Department (ED) where initially a Glasgow Coma Scale (GCS) score of 14 was noted. The patient subsequently became hemodynamically unstable, and massive transfusion was employed. The patient was then intubated, given broad-spectrum antibiotics and tetanus prophylaxis, and, once stabilized, transferred to our hospital for further care.",
  "authors": [
    {
      "affiliations": [
        "General Surgery, University of Michigan Michigan Medicine, Ann Arbor, Michigan, USA"
      ],
      "name": "Scott Levy"
    },
    {
      "affiliations": [
        "University of Michigan Department of Radiology, Ann Arbor, Michigan, USA"
      ],
      "name": "Robyn Wright"
    },
    {
      "affiliations": [
        "General Surgery, University of Michigan Michigan Medicine, Ann Arbor, Michigan, USA"
      ],
      "name": "Gary Vercruysse"
    }
  ],
  "title": "Challenges in acute care surgery: skewered on a fence post – a report",
  "uid": "bd1cdb87-fa61-5d5b-ac71-a57d1a782f62"
}