List Archives

Fri Aug 31 13:46:14 BST 2007

Chest tube placed, 500 ml of blood drained. Still stable

repeat chest xray attached showed persistent hemothorax and BOTH  FILMS  
showed left sided subcutaneous emphysema . Not shown, the top of the  second chest 
film showed a bullet in Zone II on the LEFT.

 In a message dated 8/31/2007 5:58:50 A.M. W. Europe Daylight Time,  
wildmedic at gmail.com writes:

I'm in  the same boat as K in both regards - I'm on my mobile and can't
see the  bullet, and would do nothing else immediately other than put
in a chest  drain, repeat XR and monitor carefully.

I'm sure there's more to  come...

Ross.

On 31/08/2007, kmattox at aol.com  <kmattox at aol.com> wrote:
> I'm on BB.  Quality of image on BB  not crisp.  I do not see bullet.   Would
> put in chest  tube and reassess.   Depending onwhere bullet is and amount  
of
> blood out of ct. I might do nothing else
>
>  K
>
>
> Sent via BlackBerry by AT&T
>
>  -----Original Message-----
> From: SJASMD at aol.com
>
> Date:  Thu, 30 Aug 2007 22:47:22
> To:trauma-list at trauma.org
>  Cc:sclafans at nychhc.org
> Subject: GSW TO RIGHT CHEST. WHAT IS THE WORKUP  OF THIS CASE
>
>
> We seem to be having a run of interesting  gunshot wounds of the chest at
> our
> hospital. I have been in  disagreement with the management of many of them
> and look to this site  to give me a reality check. Here is another chest
>  case.
>
> This case is a 35 year old male who sustained a single  gunshot wound of the
>
> right chest posterolaterally with no exit  wound. He presented alert, but
> short of breath . On exam he was  normotensive and diminished breath  sounds
> in the
> right  chest.. There was an entry wound in the postero lateral area  of  his
> right thorax around the seventh intercostal space. but no  exit  wound.
>
> He was sent for a chest xray which i share  with you.
>
> next step?
>
>  sal

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GSW TO RIGHT CHEST. bullet found in left neck