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Since this one didn't generate much interest except desertmedic........
patient makes it uneventfully to forward field hospital and gets xrays.
On exam, air from anterior wound, no other wound, no carotid bruit.
Patient getting anxious and still coughing up blood, so intubated.
See xrays: paper clip over entrance wound to assist in determining trajectory (left side of paperclip over wound) .
Next Step?
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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