Citation

Nishimura T, Ochi T, Ijuin S, Nakayama H, Matsuyama S, Ishihara S, Nakayama S. Trauma Case Rep 2022; 40.

Copyright

(Copyright © 2022, Elsevier Publishing)

DOI

10.1016/j.tcr.2022.100659

PMID

unavailable

Abstract

BACKGROUND: Although the Hybrid Emergency Room System (HERS) is a relatively novel method for treating severe trauma patients, there have been few reported cases of gunshot wound patients treated in HERS. Here we report our treatment of a unique gunshot wound case, with shock, in a HERS setting. Case presentation: A 72-year-old male was transferred to our hospital due to a gunshot wound (GSW). He presented with left chest injuries and vital signs consistent with shock. While resuscitating the patient, including massive blood transfusion and surgery to control the damage, a subsequent computed tomography in HERS revealed the internal distribution of the birdshot and damage to the abdominal organs. Lower lobectomy of the left lung and laparotomy for gastrointestinal repair were performed. After a planned repeat operation and reconstruction of the left chest wall, he was discharged uneventfully.

CONCLUSIONS: HERS during resuscitation was useful for helping clinicians not only to find the bullets' distribution and judge the severity of injury caused by the gunshot, but also to develop subsequent therapeutic strategies for rescuing the gunshot wound patient from a life-threatening situation. © 2022 The Authors

Language: en

Keywords

Trauma; human; male; aged; resuscitation; case report; suicide attempt; hospitalization; mental disease; gunshot injury; clinical article; bleeding; emergency ward; Gunshot; computer assisted tomography; thorax injury; heart rate; blood transfusion; endotracheal intubation; sedative agent; laparotomy; thoracotomy; hematothorax; traumatic shock; blood pressure; erythrocyte; Article; fresh frozen plasma; abdominal bleeding; lung injury; diaphragm hernia; rib fracture; thorax wall; thoracic cavity; diaphragm injury; abdominal cavity; GSW; Hybrid-ER; IVR-CT; left lung; lobectomy