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Interesting case!
Rock stable can hit rock bottom in no time. I'd like to have seen at least a second large bore IV early on pre-op.
The most impressive stab wound I ever saw was in a medium sized town in rural MS. Patient brought to the ED via ambulance with a 3 " knife firmly impedded, to the hilt, medial to the right eye, but within the socket. Patient was awake and responsive. Bleeding was about what you would expect with a facial laceration. The eye did not move and there was loss of vision od. Patient was hemodynamically stable...though a bit tachy with elvated BP. Visual impact was such that folks had a tendency to turn away, and had to be redirected to engage the patient; ED folks just had a tough time with this. Films suggested the blade had not penetrated into the cranial vault. Wound was explored in the OR at another facility. Patient lost the right eye but did well overall. Impressive wound!
My $.02 with a memorable stab wound.
RF 1
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