EM Cases CritCases 3 - GSW to the chest in a rural setting. In this CritCases we discuss preparation for penetrating trauma in a rural setting, the ABC score, massive transfusion protocol, clamshell thoracotomy, trauma intubation and more. The Case... You are the transport physician on call. A 50-year old male with a history of depression allegedly shot himself in the chest with a rifle. A bystander called 911. The local paramedics are en route and the air transport team is activated with a plan to rendezvous at the nearest hospital, Janus General, which is 90 minutes by ground from the nearest tertiary care centre. You contact the rural hospital for a status update but all they can tell you is that his GCS is 14 and he has a GSW to the central chest.
By Anton Helman|2016-12-19T16:46:12-04:00June 6th, 2016|Categories: CritCases, Emergency Medicine, Medical Specialty, Resuscitation, Trauma|Tags: ABC score, Dave MacKinnon, massive transfusion, Michael Misch, penetrating trauma, permissive hypotension, thoracostomy, thoracotomy, trauma intubation|0 Comments