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Originally Posted by PedOncoDoc
I was thinking the burns on the mouth and fingers were from a meth pipe, not torture. This guy's likely a user IMO and this was possibly a deal gone bad.
I also worry about tamponade causing the JVD as well as a hemothorax causing the left-sided breath sound abnormalities.
I'm not a trauma/field guy so I'll defer management to those who are. I enjoy reading these scenarios and hearing how they are stabilized prior to coming to the hospital. Thanks Sdiver!
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Thanks Doc, meth users and the effects are completely foreign to me. You probably nailed it. Changes my whole thinking on the manner. If this guy's a meth user then the wound is probably self-inflicted (He's not smart enough to do a head shot) and this would account for the bullet trajectory too. He's right handed and the trigger pull forced the barrel to the outside (patient's left). Voila- failed suicide attempt.