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Bullet Can Cause Remote Injuries
- A patient with a low-caliber gunshot wound had multiple internal injuries away from the entry site.
- This illustrates that penetrating trauma can cause widespread and unpredictable internal damage.
Position for Comfort Over Immobilization
- Position penetrating trauma patients in the most comfortable position rather than rigid spinal immobilization.
- Avoid collars unless neurological deficits are present to maximize respiratory effort and comfort.
Bilateral Finger Thoracostomy For Arrest
- In traumatic cardiac arrest, perform bilateral finger thoracostomy immediately.
- This can relieve tension pneumothorax, which is reversible, unlike other causes of traumatic arrest.