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Names have been changed to protect the innocent.
An otherwise young, athletic, and healthy woman is brought to the trauma bay by EMS with GSW's to the neck and right leg.
Exam: Vitals 150/90, 100, 25, 99% on 100% O2. GCS=15. C-collar. One entrance/exit wound left lateral neck, one entrance/exit wound right neck, both oozing blood. Clear lungs, coarse upper airways sounds. Hoarse voice. Anterior neck and chest subcutaneous emphysema. Right leg bullet wound. No other positive findings.
Radiographic exam suggests tracheal injury at the level of the cricoid.
What to do? What to do?!
I'll post what was actually done later.
An otherwise young, athletic, and healthy woman is brought to the trauma bay by EMS with GSW's to the neck and right leg.
Exam: Vitals 150/90, 100, 25, 99% on 100% O2. GCS=15. C-collar. One entrance/exit wound left lateral neck, one entrance/exit wound right neck, both oozing blood. Clear lungs, coarse upper airways sounds. Hoarse voice. Anterior neck and chest subcutaneous emphysema. Right leg bullet wound. No other positive findings.
Radiographic exam suggests tracheal injury at the level of the cricoid.
What to do? What to do?!
I'll post what was actually done later.