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Attempted Suicide With Massive Facial Trauma

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Attempted Suicide With Massive Facial Trauma 

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  #1  
Old 06-21-2009, 03:56 AM
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A forty-four year old male with massive facial trauma from a self-inflicted wound presented to the emergency department.

-Hey Zeus Guevara-
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  #2  
Old 06-21-2009, 04:04 AM
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That's what the bastard gets for trying to take the cowards way out. What a dumb fucking idiot!
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Old 06-21-2009, 04:04 AM
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A nasal endotracheal tube was inserted in the field for airway protection and its position was confirmed by auscultation. He was then air-lifted from his hunting camp to our Level I trauma center. On arrival, a pulse of 80 beats per minute, a blood pressure of 170mmHg over 60mmHg, and an oxygen saturation of 75% were obtained. An initial arterial blood gas revealed a pH 7.34, a carbon dioxide level of 47mmHg, and a partial pressure of oxygen of 35mmHg. A lateral head and neck radiograph revealed a nasal esophageal tube and multiple foreign body fragments.

The nasally-placed was removed and the patient was successfully orally intubated using lidocaine and sedation without paralysis. Tube position was confirmed with directed laryngoscopy, capnography, and a chest radiograph. Subsequent physical examination revealed a left facial nerve palsy of the mandibular, buccal, and zygomatic branches. The patient remained hemodynamically stable throughout his emergency department course. Computeized tomography of the head and facial bones revealed loss of bony integrity including fractures of the mandible, zygomatic arch, orbital floor, and maxilla with multiple metallic fragments throughout the soft tissues. There was not an appreciable intracranial injury. An angiogram of the neck confirmed internal carotid vessel integrity while revealing a lacerated facial artery. He was taken to the operating theatre for tracheostomy, debridement, and closure of the facial laceration. His mid-face fractures were subsequently plated and a bar was placed to bridge the bone loss of the mandibular body.

The patient has required serial debridements but continues to do well while awaiting definitive bone grafting and coverage.
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Old 06-21-2009, 06:41 AM
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maybe in their hearts they don't want to die, and they are given a second chance
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Old 06-21-2009, 07:04 AM
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WHY DID HE SHOOT HIMSELF THEN INSTALL THAT BREATHING APPARATUS ON HIMSELF?
?
'
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Old 06-21-2009, 08:46 AM
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Quote:
Originally Posted by juggalo_josh View Post
That's what the bastard gets for trying to take the cowards way out. What a dumb fucking idiot!
Cowards way out? That's a myth, the guts these poor souls have to be able to top themselves is immense.
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Old 06-21-2009, 08:48 AM
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That informative section was brilliant, what a great post
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Old 06-21-2009, 09:37 AM
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To kill ones self is a cowards way of getting out of problems. BUT as the person being a coward FUCK NOOOOOOO you have to have immense amounts of balls to off your self!
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Old 06-21-2009, 09:38 AM
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No necessarily with a gun but like stab your self to death or light your self one fire or bandsaw lol..............massive balls if you ask me.
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Old 06-21-2009, 10:31 AM
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Maybe he was terminaly ill,might of had cancer.If I had a wife and kids would not want to burden them.
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