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Sat Sep 12 21:39:56 BST 2009

Likely a hollow point.? 

He would have never went to CT if he did not respond to the "brief" but very aggressive resuscitation.? I debated long and hard about opening the belly, and I guess when that happens, probably should.............the radiologist (intra-op reading) did not feel he had any intra-abd injury and I felt with an exploration from the L chest and an EGD (in addition to obvious esoph injury, was done because I thought I saw a fragment in the stomach on CT) that didn't show any obvious injury that I was pretty safe in ruling out intra-abd injury.

Dell..........

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