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Citation |
Jitsuiki K, Ishikawa K, Koike K, Yanagawa Y. J. Emerg. Trauma Shock 2017; 10(2): 84-85. |
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Affiliation |
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Shizuoka, Japan E-mail: yyanaga@juntendo.ac.jp. |
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Copyright |
(Copyright © 2017, INDO-US Emergency and Trauma Collaborative, Publisher Medknow Publications) |
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DOI |
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PMID |
28367015 |
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PMCID |
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Abstract |
A 34-year-old male soldier, worried about instructing his subordinates, shot himself by inserting the muzzle of a Howa Type 89 assault rifle with an adapter attachment for continuous fire into his mouth with a blank cartridge. When emergency medical technicians checked him, he was in a restless state and was transferred to our hospital. His medical and family history was unremarkable. Upon arrival, his Glasgow Coma Scale score was 15. He had a blood pressure of 144/98 mmHg, a heart rate of 74 beats/min, and a SpO2 of 100% with mask of 6 L/min of oxygen. The physiological findings revealed the presence of soot and multiple sites of minor bleeding at the soft and hard oral palate. Oral computed tomography (CT) demonstrated residual material from the blank shot [Figure 1]. Conservative treatment with an antibiotic agent was selected for residual material such as grenade fragments. There were no complications such as abscess formation, and he was discharged on the seventh hospital day ... Language: en |