Oh, Snap! (kutsuwamushi) wrote in little_details,
Oh, Snap!

ANON post: gunshot wound best case scenario

I know you guys get a lot of questions about gunshot wounds, but basically, I'm trying to come up with a best-case scenario to match existing details of an already-published story; I've googled lots and read previous entries on this comm, but the advice I'm getting tends toward "don't shoot him there", which is unfortunately out of the realm of possibility. Thank you in advance for any help you can offer.

The victim is a young male in excellent health (a marathon runner, at that). The injury is a through-and-through gunshot wound, entering through either the chest or the shoulder. Nothing else is established; I'm willing to put the shooting in the parking lot of a first-rate hospital if I need to.

What I'm looking to do is arrange the rest of details so the person's recovery (long-term) is as complete as possible. Significantly limited use of the arm won't work so I assume can't damage the shoulder joint. Passing through the lung or subclavian area is within the realm of possibility, but I'd like to know the best option to maximize his ability to recover lung capacity -- even nicking the subclavian artery, from what I understand, would cause the chest cavity to fill up with blood and lung to collapse, so I have no idea if that's any better than a bullet through the lung once survival is a given. Beyond that, I don't know what my options are, and I'm not sure what other factors I should be concerned about re: long term health.

Setting is near-future L.A. Current medical practices considered experimental are okay, but we're not far enough in the future to be making stuff up from scratch. Recovery time isn't an issue. I can accept that this isn't going to be without consequences to this person's long term health, I just want to do whatever I can do in terms of damage control.

----- Previous searches/research ------
Read wikipedia articles on ballistic trauma, pneumothorax, hemothorax, hemopneumothorax, chest trauma, scapular fracture, clavical fracture, shoulder, lung volume, subclavian artery.
Read articles tagged GSW on this comm and searched for relevant terms on the fanfic_med yahoo group
Googled extensively: GSW, "gunshot wound", "ballistic trauma" and sometimes "bullet" in combination with recovery, "lung capacity" "through shoulder", "through and through", "through lung";
Pneumothorax, hemothorax, hemopneumothorax, and "collapsed lung" in combination with "lung capacity", "lung volume" "long term", "recovery", with and without "tramatic" before the injury; Long term", "recovery", "physical therapy", "use of arm" in combination with scalpular and clavical; others.
Tags: ~medicine: injuries: gunshot wounds

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