35 Year Old Female with a Gunshot Wound Essay

- Shoot the heart, the type of gun used, the position at the time of shooting, the distance of pt from the gun. The medical history should be collected from pt, existing witnesses and emergency medical providers

Signs of any penetrating and / or intraperitoneal lesions with hemodynamic instability are effectively treated at the beginning of management

History needs to determine the damage mechanism: the damage caused by slow pistol is very different from the hole explosion effect caused by fast hunting projectiles. AMPLE (Allergy, Medicine, Past Medical Uses, Last Meal, Events leading to the Presentation) You can gain insight into the observed physiology by consulting the past or past patients or their families. Overspeed

Physical examinations always explore the abdominal GSW. Paying attention to attempts to reconstruct the signs of abdominal invasion and damaged paths is skeptical of apparent damage. Two holes in which patients line up are not necessarily indicative of scar of the entrance and exit. Does the patient have abdominal pain? Patient tachycardia and hypotension are due to peritoneal bleeding or respiration is b / c of abdominal distention, restriction of diaphragm displacement, or missed pneumothorax. Check the NG tube after insertion. Bleeding of the blood nasogastric tube? In rectal examination you can see the intestinal blood. Do Foley catheters drain urine from the blood? All of these findings support the need for laparotomy and hemodynamics

Gun damage is defined as shot damage or penetration damage of a weapon using powder to fire a projectile. This definition does not include scratches caused by pistols, rifles, and shotgun bullets, but there are scarring by air guns, air guns, BB guns and bullet guns, non penetrating injuries associated with firearms (pistol whip Etc.) are not included. There is no new data collected for these analyzes

I was confused when I opened the CT scan last week and read the next case. History is simply saying "gun bruise". I have been a radiologist in the busiest trauma center in this country for 13 years and diagnosed thousands of pistol injuries in the brain, lungs, liver, spleen, intestines and other important organs. I thought I knew everything about gunshot wounds, but the specific damage pattern on the computer screen has been seen before. I was watching the CT scan of the victim of Marjory Stoneman Douglas High School who was taken to the trauma center during phone transfer. This organ is like a large amount of melon pulverized with a hammer and has a lot of bleeding. How can a gunshot cause such a big injury?

On September 23, 2015, 28-year-old Wilmington, Jeremy McDowell living in Delaware, was murdered by Wilmington police. The man was on a wheelchair and caused himself to scratch his gunshot. According to the report, in 1810, a cop at Lancaster Street fired two guns near the rear of the car, the woman pointing to McDowell, accusing McDowell, "He is still there, he is still there "A shot from a bystander's cell phone showed that McDowell became a shelter for a murder trial at the age of 18 and when Wilmington police approached their guns he He was sitting in a wheelchair that did nothing, he heard the shotgun explosion, but from the camera lens you can see if McDull hit.