[decrepiteyes]

An internet journal of rescue and disaster medicine published an anonymized airway-management teaching case titled "GSW To The Face: Hunting Camp." The report's first sentence was reproduced verbatim elsewhere. It concerned a 44-year-old man who suffered massive facial trauma from a self-inflicted gunshot wound. He was flown from his hunting camp to a Level I trauma center. In the field, a tube was inserted through his nose, but a radiograph later showed it had entered the esophagus instead of the trachea. Oral intubation was subsequently performed successfully.

Consistent with standard practice for published case reports, the patient was not identified. His name, the date, and the location remain unknown and cannot be recovered. The available record has also been overstated in two respects. Although the injury was characterized as self-inflicted, it was not identified as a suicide attempt. Because it occurred in a hunting camp, an accidental discharge cannot be ruled out. Claims that the man survived are inferences rather than facts documented by the case. The report confirms only that he arrived alive at the trauma center and underwent intubation. It provides no information about his long-term outcome.

[juggalo_josh]

That's what the bastard gets for trying to take the cowards way out. What a dumb fucking idiot!

[decrepiteyes]

Found after post:

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.

[Faust]

maybe in their hearts they don't want to die, and they are given a second chance

[elitexhunting999]

WHY DID HE SHOOT HIMSELF THEN INSTALL THAT BREATHING APPARATUS ON HIMSELF?
?
'

[Sharon]

Originally Posted by juggalo_josh ↗

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.

[Sharon]

That informative section was brilliant, what a great post

[pyromancer555]

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!

[pyromancer555]

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.

[ZILLA]

Maybe he was terminaly ill,might of had cancer.If I had a wife and kids would not want to burden them.