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Management of a Pediatric Type 3C Open Femoral Fracture Following a High-Velocity Gunshot Wound at an Adult Level II Trauma Center.

Grisoli, Anne; Dynako, Joseph; Zimmer, David; Zackariya, Nuha; Shariff, Faadil; Walsh, Mark; Mamczak, Christiaan N; Peterson, Charles; Boyer, Bryan; Hurwich, Maurice; Duprat, Gerard.

Pediatr Emerg Care ; 37(9): e574-e578, 2021 Sep 01.

Article in English | MEDLINE | ID: mdl-33170577

ABSTRACT

ABSTRACT: We present a case of a 10-year-old girl shot in the thigh by a stray bullet who had a favorable outcome when treated with a multidisciplinary approach at the nearest nonpediatric level II trauma center. Point-of-care thromboelastography facilitated effective resuscitation based on her coagulation profile, minimized blood product use, and allowed for damage-control surgery to stabilize and revascularize her complex femur fracture.

Subject(s)

Femoral Fractures , Wounds, Gunshot , Adult , Child , Female , Femoral Fractures/diagnostic imaging , Femoral Fractures/surgery , Humans , Thigh/injuries , Trauma Centers , Wounds, Gunshot/complications , Wounds, Gunshot/surgery

ABSTRACT

Subject(s)

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