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Fri Aug 31 15:41:44 BST 2007

Scope him! 

-----Original Message-----
From: SJASMD at aol.com [mailto:SJASMD at aol.com] 
Sent: Friday, August 31, 2007 8:46 AM
To: trauma-list at trauma.org
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

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GSW TO RIGHT CHEST. bullet found in left neck