Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency room
Background: Although the Hybrid Emergency Room System (HERS) is a relatively novel method for treating severe trauma patients, there have been few reported cases of gunshot wound patients treated in HERS. Here we report our treatment of a unique gunshot wound case, with shock, in a HERS setting. Cas...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022000553 |
| _version_ | 1811322841392480256 |
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| author | Takeshi Nishimura Tatsuya Ochi Shinichi Ijuin Haruki Nakayama Shigenari Matsuyama Satoshi Ishihara Shinichi Nakayama |
| author_facet | Takeshi Nishimura Tatsuya Ochi Shinichi Ijuin Haruki Nakayama Shigenari Matsuyama Satoshi Ishihara Shinichi Nakayama |
| author_sort | Takeshi Nishimura |
| collection | DOAJ |
| description | Background: Although the Hybrid Emergency Room System (HERS) is a relatively novel method for treating severe trauma patients, there have been few reported cases of gunshot wound patients treated in HERS. Here we report our treatment of a unique gunshot wound case, with shock, in a HERS setting. Case presentation: A 72-year-old male was transferred to our hospital due to a gunshot wound (GSW). He presented with left chest injuries and vital signs consistent with shock. While resuscitating the patient, including massive blood transfusion and surgery to control the damage, a subsequent computed tomography in HERS revealed the internal distribution of the birdshot and damage to the abdominal organs. Lower lobectomy of the left lung and laparotomy for gastrointestinal repair were performed. After a planned repeat operation and reconstruction of the left chest wall, he was discharged uneventfully. Conclusions: HERS during resuscitation was useful for helping clinicians not only to find the bullets' distribution and judge the severity of injury caused by the gunshot, but also to develop subsequent therapeutic strategies for rescuing the gunshot wound patient from a life-threatening situation. |
| first_indexed | 2024-04-13T13:42:24Z |
| format | Article |
| id | doaj.art-6a4e5847548b4bee8240c88f7734fad6 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-13T13:42:24Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-6a4e5847548b4bee8240c88f7734fad62022-12-22T02:44:35ZengElsevierTrauma Case Reports2352-64402022-08-0140100659Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency roomTakeshi Nishimura0Tatsuya Ochi1Shinichi Ijuin2Haruki Nakayama3Shigenari Matsuyama4Satoshi Ishihara5Shinichi Nakayama6Corresponding author at: 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, Japan.; Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanBackground: Although the Hybrid Emergency Room System (HERS) is a relatively novel method for treating severe trauma patients, there have been few reported cases of gunshot wound patients treated in HERS. Here we report our treatment of a unique gunshot wound case, with shock, in a HERS setting. Case presentation: A 72-year-old male was transferred to our hospital due to a gunshot wound (GSW). He presented with left chest injuries and vital signs consistent with shock. While resuscitating the patient, including massive blood transfusion and surgery to control the damage, a subsequent computed tomography in HERS revealed the internal distribution of the birdshot and damage to the abdominal organs. Lower lobectomy of the left lung and laparotomy for gastrointestinal repair were performed. After a planned repeat operation and reconstruction of the left chest wall, he was discharged uneventfully. Conclusions: HERS during resuscitation was useful for helping clinicians not only to find the bullets' distribution and judge the severity of injury caused by the gunshot, but also to develop subsequent therapeutic strategies for rescuing the gunshot wound patient from a life-threatening situation.http://www.sciencedirect.com/science/article/pii/S2352644022000553GunshotGSWTraumaIVR-CTHybrid-ER |
| spellingShingle | Takeshi Nishimura Tatsuya Ochi Shinichi Ijuin Haruki Nakayama Shigenari Matsuyama Satoshi Ishihara Shinichi Nakayama Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency room Trauma Case Reports Gunshot GSW Trauma IVR-CT Hybrid-ER |
| title | Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency room |
| title_full | Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency room |
| title_fullStr | Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency room |
| title_full_unstemmed | Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency room |
| title_short | Treatment of a gunshot wound (birdshot) patient with traumatic shock in a hybrid emergency room |
| title_sort | treatment of a gunshot wound birdshot patient with traumatic shock in a hybrid emergency room |
| topic | Gunshot GSW Trauma IVR-CT Hybrid-ER |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022000553 |
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