List Archives

Fri Aug 31 13:56:23 BST 2007

So now we have a transmediastinal GSW.  Still stable. Work up aerodigestive
tract.

Andrew

----- Original Message ----- 
From: <SJASMD at aol.com>
To: <trauma-list at trauma.org>
Sent: Friday, August 31, 2007 8:46 AM
Subject: Re: GSW TO RIGHT CHEST. bullet found in left neck

>
> 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
>
>
>
>
>
>
>
> ************************************** Get a sneak peek of the all-new AOL
at
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>

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GSW TO RIGHT CHEST. bullet found in left neck