Foreign Body Localization

Great case illustrative of the value of point of care ultrasound for suspected foreign body. 11 year old boy who yesterday caught his pant leg in a tree branch while running around the woods in his back yard. Today complains of leg pain and mother notes a small puncture wound to the leg. Brought to the ER "to get some antibiotics". Films did not demonstrate a foreign body (as you would expect given suspicion of wooden foreign body). Video demonstrates wound appearance, radiographs, ultrasound images, and use of ultrasound to localize foreign body with needle, cut down onto foreign body and extract. All that said, check out the size of that thing!!!