Wednesday, May 05, 2004
MY CELEBRITY CLIENTELE...
One of the great things about trauma surgery is that you can read about your night's adventures the next day in the paper....
A 51-year-old man who was shot by police Monday night after firing at officers during a three-hour standoff outside his XXX Avenue home died of his wounds early Tuesday......(the patient) pronounced dead at 3:16 a.m. at Big Hospital of a gunshot wound to the abdomen, authorities said. Police Chief Officer Friendly said (the patient)...... was shot once after he emerged from his home with a gun in his hand pointed at officers.
Once officers arrived, they encountered (the patient) dressed in a robe, walking down the street as he opened fire on police.
A crisis negotiation team was called in and several attempts were made to coax (the patient) from the house. He had re-entered the house after firing the first shots.
About 9:30 p.m. (the patient), then nude, left his home again, walked toward the driveway and pointed a gun in the direction of officers. At that point, he was shot once by.... a SWAT team member.
He arrived with an entry wound at his mid-axillary line at the costal margin on the right... and a large exit wound at his left flank with omentum and colon protruding. His injuries:
Multiple wounds along length of transverse colon with spillage.....colectomy (transverse, distal ascending and proximal descending)
Small bowel injury at ligament of Trietz....debrided and stapled off the ends.
Tangential wound to posteror gastric wall....primary repair
Shattered left kidney...nephrectomy
Shattered inferior pole of spleen...splenectomy
Devacularized distal pancreas....distal pancreatiectomy
I also placed packs within the exit wound site to try to control the bleeding from rib fractures. Bag was sewn on to avoid compartment syndrome. Totals: 21 PRBC's, 6 FFP, and 10 units platelets. The plan was to get him to the ICU for the usual resuscitation and warming with a return in 24-36 hours for pack removal and try to restore continuity to his GI tract. But as you can see from the above he didn't make it.
Somedays you get the bear, somedays the bear gets you...
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One of the great things about trauma surgery is that you can read about your night's adventures the next day in the paper....
A 51-year-old man who was shot by police Monday night after firing at officers during a three-hour standoff outside his XXX Avenue home died of his wounds early Tuesday......(the patient) pronounced dead at 3:16 a.m. at Big Hospital of a gunshot wound to the abdomen, authorities said. Police Chief Officer Friendly said (the patient)...... was shot once after he emerged from his home with a gun in his hand pointed at officers.
Once officers arrived, they encountered (the patient) dressed in a robe, walking down the street as he opened fire on police.
A crisis negotiation team was called in and several attempts were made to coax (the patient) from the house. He had re-entered the house after firing the first shots.
About 9:30 p.m. (the patient), then nude, left his home again, walked toward the driveway and pointed a gun in the direction of officers. At that point, he was shot once by.... a SWAT team member.
He arrived with an entry wound at his mid-axillary line at the costal margin on the right... and a large exit wound at his left flank with omentum and colon protruding. His injuries:
Multiple wounds along length of transverse colon with spillage.....colectomy (transverse, distal ascending and proximal descending)
Small bowel injury at ligament of Trietz....debrided and stapled off the ends.
Tangential wound to posteror gastric wall....primary repair
Shattered left kidney...nephrectomy
Shattered inferior pole of spleen...splenectomy
Devacularized distal pancreas....distal pancreatiectomy
I also placed packs within the exit wound site to try to control the bleeding from rib fractures. Bag was sewn on to avoid compartment syndrome. Totals: 21 PRBC's, 6 FFP, and 10 units platelets. The plan was to get him to the ICU for the usual resuscitation and warming with a return in 24-36 hours for pack removal and try to restore continuity to his GI tract. But as you can see from the above he didn't make it.
Somedays you get the bear, somedays the bear gets you...
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