Gunshot Wound Management

Course overview

Objectives Explain the various components of gunshot wound management Describe the pathophysiology of pneumothoraces and penetrating trauma Content Mandatory reporting requirements 1 Abuse and assault 1 Child abuse neglect 2 Elder abuse 3 Domestic Violence 2 Criminality 1 Sexual assault 2 Penetrating Trauma 1 Gunshot 2 Stab wounds 2 Simple Pneumothorax 1 Pathophysiology 1 Review knowledge from previous levels 2 Defect in chest wall allow air to enter pleural space 3 Most common from gunshot wound 4 Some low velocity wounds self seal not allow atmospheric air into the chest but air from inspiration into the chest can occur in the same patient 5 If chest wall hole is 2 3 size of trachea more air will enter from the atmosphere sucking sound will be present 6 With large holes air enters both the trachea and the hole rapidly collapsing the lung 7 Delayed or improper treatment will lead to tension pneumothorax with large open wounds 3 Penetrating trauma 1 High velocity 2 Medium velocity 3 Low velocity Includes general overview of how to manage a gunshot wound Reviews different types of bandages that are currently being used to treat these wounds