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#1
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08-14-2011, 03:16 PM
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 My Rank: MAJOR Poster Rank:11 Join Date: Jun 2009 Posts: 93,130
Contributions: 226
Mentioned: 91 Post(s) Quoted: 2009 Post(s)
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Gunshot To The Face
A forty-four year old male with massive facial trauma from a self-inflicted wound presented to the emergency department.  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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#3
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08-14-2011, 04:27 PM
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 ★Wizard Of Gore★ Poster Rank:1 Join Date: Aug 2009 Posts: 126,245
Contributions: 1
Mentioned: 444 Post(s) Quoted: 30201 Post(s)
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Re: Gunshot To The Face
Whenever I see failed suicides like this, I can't help but think that this person didn't want to live when their face was intact. How the fuck are they gonna feel with half of their face missing?  |
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#4
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08-14-2011, 05:41 PM
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 My Rank: SERGEANT MAJOR Poster Rank:272 roneluv Join Date: Sep 2009 Posts: 4,775 Mentioned: 5 Post(s) Quoted: 674 Post(s)
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Re: Gunshot To The Face
look at two-face out of the dark knight. he couldn't cope with the life he led as a crime fighter...but after he almost died he became rejuvenated with his fucked up face.
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#8
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08-15-2011, 06:43 PM
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 So Fucking Banned Poster Rank:261 Join Date: May 2010 Posts: 5,346 Mentioned: 4 Post(s) Quoted: 41 Post(s)
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Re: Gunshot To The Face
My friend's brother did the exact same thing, but the brother pulled the gun away just as he shot himself and it resulted in him losing half of his face, but still living!! He did it all because A girl he had been dating ended it with him after only 3mo.!! Now they are married with children. Hmmmm......don't know if that was such A grand idea either, but to each his own!!  |
