Adonis

Took over from another crew and they left this ecg lieing around. Any thoughts on what's going on here. Just plain 12 lead reading. trying to improve on my reading.

Loved the input. I left out most of the info on the exact part of the neck and the type of gun so as to get varying info . It was actually my first GSW to the neck sadly this guy made it all the way through surgery but he died exactly 7 days later. We had a very short transport time with this guy. Which you can see happing here most of the time on an Island this size. and the area i work is closer to the major hospital. (I don't normally work far areas). The time was about 10 mins. This guy had it Simple to some extent but with his injury and not being to far away he had: C spine, an oral airway suction and BVM. large Bore Iv access We actually got the bleeding under control with pressure and BP after quickly running a line in up to 110/70. Not sure to what extent the vascular damage was but something did hit his airway causing the bubbles. and he did bleed out a lot before we got to him. The person who shot him did so accidentally or was a total waste at trying to aim. seem this was a shotgun blast from right over his shoulder. most of the shot only grazed him. a little more to the left and he would have been dead on the spot. But what did hit him was enough to damage his airway and some of vascular structure and tear away a small chunk to the right side of his neck. ( still bad I know) . He regained consciousness about the time we hit the doors at the ER. he was quickly put back down and intubated and actually was in a more stable state. thats why i thought he had a good chance if he made it that far. They did manage to repair the damage to his neck but it seems he died of complications. Thanks for the input.

ALS Call to an armed robbery. 35yr Male GSW to neck. Police at scene. On arrival you find the pt slumped to his left side in a chair next to an open safe (Blood and cash all over the Floor) Pt is unresponsive. Fire is holding pressure on the wound. you take over quick assessment : Res 12, pulse 100, bp 80/40 you noticed bubbles from the neck wound.