Gunshot wounds... again!
Setting: Modern England
Searches tried: googled different combinations of "gunshot wound infection", "emergency triage", "emergency treatment surgery", "prepping emergency surgery" (I got a lot about ferrets, little about humans).
Problem 1:
Is this plausible: A boy (Kai) is shot in the leg at 20:00 day 1, the bleeding is stopped soon after and the wound stitched up by someone who knows what they are doing. But the bullet is still in the leg, and he has some nerve damage. He is drugged down on a combination of Xylocaine and morphine for two days before they bring him to the emergency room. Can he get an infection during those two days serious enough for him to have a fever? I'm giving the fever and him being unresponsive as the reason why he's brought to the ER, but I'm not sure if it can happen that fast...
Problem 2:
When he arrives at the ER, after the neccesary tests are taken and allergies cleared with his sister, how soon will he be operated on? He is drugged down, so they can't know how badly damaged the leg is, and he's got a fever.
More general; what will they do to him? Put him on fluids or IV (he hasn't eaten for the last day, and is becoming dehydrated)? Give him a catheter? Put him in a bed and let the infection clear before surgery or cut him open?
Searches tried: googled different combinations of "gunshot wound infection", "emergency triage", "emergency treatment surgery", "prepping emergency surgery" (I got a lot about ferrets, little about humans).
Problem 1:
Is this plausible: A boy (Kai) is shot in the leg at 20:00 day 1, the bleeding is stopped soon after and the wound stitched up by someone who knows what they are doing. But the bullet is still in the leg, and he has some nerve damage. He is drugged down on a combination of Xylocaine and morphine for two days before they bring him to the emergency room. Can he get an infection during those two days serious enough for him to have a fever? I'm giving the fever and him being unresponsive as the reason why he's brought to the ER, but I'm not sure if it can happen that fast...
Problem 2:
When he arrives at the ER, after the neccesary tests are taken and allergies cleared with his sister, how soon will he be operated on? He is drugged down, so they can't know how badly damaged the leg is, and he's got a fever.
More general; what will they do to him? Put him on fluids or IV (he hasn't eaten for the last day, and is becoming dehydrated)? Give him a catheter? Put him in a bed and let the infection clear before surgery or cut him open?