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Gunshot wound to chest

Michael Robert trauma-list@trauma.org
Thu, 19 Jun 2003 14:52:04 -0400 

Black, John wrote:
> Dear colleagues,
> 
> 30 year old male sustains single (hand gun) gunshot wound to left chest with

> 
> Patient arrives alive with essentially unchanged vital signs 46 minutes
> after the original emergency phone call alerting the emergency services:

46 minutes onscene with a 10 minute transport time to the surgeon???? 
There's a major problem right there.

> 
> Questions:
> 
> 1. What on scene interventions/packaging would you consider appropriate
> (resuscitation room interventional skills are available at the scene)?

Stretcher/gurney and a gas pedal, any interventions enroute. Facilitate 
FIXING the bleed/pneumo/hemo/tamponade, don't treat the symptoms of the 
bleed/pneumo/hemo/tamponade.

	-Mike R.