A Case of Aggressive Resuscitation and Timely Surgical Intervention to Reverse Severe Acidosis After Multiple Gunshot Wounds to the Chest, Abdomen, and Left Shoulder With a Bullet Fragment Retained in the Heart

The lethal triad of coagulopathy, hypothermia, and acidosis is a well-known cause of severe deterioration and poor prognosis in trauma patients. The presence of this triad complicates the surgical management of a patient suffering from penetrating injury and hemorrhage. Here, we report the case and...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-07, Vol.13 (7)
Main Authors: Rosenberger, Michael, Lo, Jonathan, Hinika, Gudata, Shenouda, Monika, Salibian, Moses
Format: Article
Language:English
Subjects:
Anesthesiology
Cardiac/Thoracic/Vascular Surgery
Trauma
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Summary:The lethal triad of coagulopathy, hypothermia, and acidosis is a well-known cause of severe deterioration and poor prognosis in trauma patients. The presence of this triad complicates the surgical management of a patient suffering from penetrating injury and hemorrhage. Here, we report the case and management of a 44-year-old man with multiple high-caliber gunshot wound (GSW) injuries who became severely acidotic (pH
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.16362