%#&

TRAUHA TRAUHA
W W Ce||u|ar d|srupl|or caused oy ar excrarge W|lr Ce||u|ar d|srupl|or caused oy ar excrarge W|lr
erv|rorrerla| erergy lral |s oeyord lre oody's erv|rorrerla| erergy lral |s oeyord lre oody's
res|||erce. res|||erce.
W W #era|rs lre rosl corror cause ol dealr lor #era|rs lre rosl corror cause ol dealr lor
a|| |rd|v|dua|s oelWeer lre ages ol 1 ard 11 a|| |rd|v|dua|s oelWeer lre ages ol 1 ard 11
years & lr|rd rosl corror cause ol dealr years & lr|rd rosl corror cause ol dealr
regard|ess ol age. regard|ess ol age.
# 0%
W W J.A. J.A.
W W 44 y|o 44 y|o ma|e ma|e
6h|EF 60HPLA|NT 6h|EF 60HPLA|NT
A|r gun shot A|r gun shot wound wound
h|8T0RY 0F PRE8ENT |LLNE88 h|8T0RY 0F PRE8ENT |LLNE88
W W N0|: A|r gun shot wound N0|: A|r gun shot wound
W W P0|: P0|: Cun 8tore Cun 8tore
W W 15 15 m|nutes p m|nutes pr|or to adm|ss|on r|or to adm|ss|on , pat|ent , pat|ent was work|ng was work|ng
|n a |n a gun gun store store when a customer acc|denta||y pu||ed when a customer acc|denta||y pu||ed
the tr|gger of the a|r gun the tr|gger of the a|r gun and h|t the pat|ent's abdomen. and h|t the pat|ent's abdomen.
PhY8|6AL EXAH|NAT|0N PhY8|6AL EXAH|NAT|0N
Ceneral 3urvey:
Pat|ent was consc|ous, coherent, stretcher bound, card|o-
resp|ratory d|stress
Vital 3igns:
P : pa|patory 0mmhg
6R : 110 bpm
RR : 24 cpm
T : 3.2 6
3kin: 3kin:
W W 6o|d 6o|d
W W c|ammy c|ammy
est & heart est & heart
W W 0nremarkable 0nremarkable
Abdomen:
W F|at
W A|r gun shot wound at RL0 approx 3cm above the m|d|ngu|na| po|nt
W Tendeness over |ower abdomen w|th rebound tenderness and musc|e
guard|ng.
PhY8|6AL EXAH|NAT|0N PhY8|6AL EXAH|NAT|0N
PhY8|6AL EXAH|NAT|0N PhY8|6AL EXAH|NAT|0N
#ectal: #ectal:
W W &rrerar|ao|e, &rrerar|ao|e, ((--) o|ood or ) o|ood or laclal|rg laclal|rg l|rgers. l|rgers.
tremities tremities: :
W W ross|y rorra| exlrer|l|es ross|y rorra| exlrer|l|es , , ard ard Wea| pu|ses. Wea| pu|ses.
%#'% %#'%
W !al|erl Was |rred|ale|y resusc|laled W|lr ' l|u|ds
W Fo|ey calreler|zal|or Was dore W|lr c|ear ur|re oulpul
W % |rserled W|lr ro o|ood |r lre asp|rale.
W 0|agrosl|cs Were requesled .
0$%C$ #$&% 0$%C$ #$&%
W Cresl X-ray Was regal|ve lor
preurored|asl|rur ror
preurolrorax.
0$%C$ #$&% 0$%C$ #$&%
W odorer X-ray sroWed a lore|gr
rela|||c s|ug |r lre r|grl pe|v|c cav|ly.
8URC|6AL |NTERVENT|0N 8URC|6AL |NTERVENT|0N
W %re pal|erl Was scredu|ed lor #CY X!#%#Y #CY X!#%#Y
!#%Y. !#%Y.
rlraoperal|ve l|rd|rgs: rlraoperal|ve l|rd|rgs:
1. 1. u|l|p|e perloral|ors |r d|sla| ||eur ( |r ruroer) u|l|p|e perloral|ors |r d|sla| ||eur ( |r ruroer)
2. 2. #elroper|lorea| leralora #elroper|lorea| leralora
3. 3. !erloral|or ol exlerra| |||ac arlery !erloral|or ol exlerra| |||ac arlery
1. 1. %re s|ug perelraled lre psoas rajor rusc|e %re s|ug perelraled lre psoas rajor rusc|e