Gsw to head

☑️@gsw_to_head · 3295 subscribers · Content 18+ 🔞
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Actual: A GSW to the head or neck may cause damage to your brain, skull, spine, eyes, or major blood vessels.
4.3 rating 2025-04-24
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A twenty two year old male presented to the trauma service in cardiac arrest following a GSW to the LUQ of the abdomen.

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This topic review will discuss the evaluation and management of abdominal GSWs. Abdominal stab wounds, blunt abdominal trauma, and other aspects

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Fig. 27.1 Patient No. 1: a 22-year-old female crime victim, who sustained multiple GSW with a single non-penetrating GSW to the head. Entry wound at R cheek, exit wound on R supraorbital forefront. Plates 1 and 2: scout images A/P and lateral without evidence of bullet. Plates 3 and 4: preoperative images (bone windows) demonstrating

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CT of a GSW (gun shot wound) to the abdomen with resultant bilateral renal injuries.

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Patients with GSW who suddenly deteriorate with mass lesions on CT should have immediate surgery . In patients with craniocerebral GSW, if there is an intracranial mass lesion, unequal pupils or reacting pupils, we recommend urgent craniotomy unless there is brainstem or bilateral thalamic, basal ganglia injury.

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However, I believe the NHTSA standards (from which state protocols may choose to deviate) calls for spinal immobilization with trauma to the head, neck, or spine. A GSW to the head sounds like trauma to the head. I would immobilize to be safe rather than sorry unless I had protocols to the contrary.

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