Doctor insights on:
Gunshot Wounds In The Hand
My question is as follows a adult man in good health, 170lbs, was shot with a 45 cal. Bullet from a hand gun, and the gunshot entered the thorax in the anterolateral 6th intercostal space. The projectile proceeded slightly medially, slightly superiorly, a
Not : Not very long. The problem would not be bleeding on the outside, which might be manageable by two rescuers, but rather the bleeding on the inside. In all likelihood, the bullet would tear major arteries in the lung itself, filling the chest cavity with blood; in fact, it is well known that a person can bleed to death internally--into the chest cavity--with little or no blood visible externally. This large volume of blood would also compress the heart and keep it from beating effectively. Even if there was no injury to lung vessels, this kind of injury would almost certainly let air into the space between the lung and the chest wall, a condition called pneumothorax. When enough air gets into that space, it becomes a "tension pneumothorax, " which again compresses the heart to the extent that it cannot function. ...Read more
Gunshot wound infn: That depends where gsw occurs. Through a clean area (hand/arm/leg) w/no clothing should be sterile (bullets are hot). Staph ; other skin bugs may cause infn. Shot through clothing pulls fibers ; whatever is on those fibers through ; allows those bacteria access (staph, strep, dirt bugs, gut bugs). Shot to belly can rupture bowel ; gut bacteria (e coli, klebs, enterococcus, pseudomonas, yeast..). ...Read more
Gunshot: Gunshot wounds can increase the inflammatory levels, just as would any injury to the body. Unable to ascertain how high those levels would go; and its possible that the inflammatory markets would not show much elevation when tested. It is injury and patient specific. ...Read moreSee 1 more doctor answer
Depends on…: Size & depth of wound, amount of internal damage, location of wound, whether blood supply to area was compromised, individual healing patterns, presence of comorbid conditions like diabetes, infection. Surgeon that treated wound should be best source for healing time estimate. ...Read more
Yes!: It just depends on where you got hit! ...Read more
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