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Case report
Hidden shrapnel injury
  1. J McKenzie,
  2. E Tiernan
  1. Odstock Centre for Burns, Plastic and Maxillo Facial Surgery, Salisbury District Hospital, Salisbury, UK
  1. Correspondence to:
 Mr J McKenzie
 Department of Orthopaedic Surgery, Great Western Hospital, Marlborough Road, Swindon SN3 6BB, UK; watatubtinternet.com

https://doi.org/10.1136/emj.2003.007104

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    It has been stated that a “missed tertiary survey is a missed injury”.1 A missed injury is especially likely when a patient’s life threatening injuries and imminent transfer are a distraction to the attending doctors.

    We hope this case reinforces the importance of a thorough head to toe examination despite distractions.

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