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Abstract
A focused assessment with sonography in trauma examination was attempted, which did not show any hypoechogenicity in the right upper quadrant, but was ultimately limited by the patient's positioning. Because of the angle of the extracavitary superior portion of the rebar, the patient could not be placed supine or the rebar would have been placed under tension; therefore, he remained in the left-lateral decubitus position. The transporting paramedics and their supporting team of Chicago Fire Department personnel offered the use of their equipment if needed (including an electric rebar cutter and a pneumatic saw); however, because the nature and severity of the impaling injury were not yet known, the decision was made to take the patient to the operating room rather than delay to trim the rebar.