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A Gun Shot injury in COVID-19 Era

A 60 y old male patient comes to emergency around 8 pm with a gun shot injury to abdomen, he was shot around 5pm same day. Patient was drowsy, with tachycardia and shock. Entry wound left subcostal area, exit wound left lower lumbar area. We were expecting hemoperitoneum with small bowel and colonic perforation.

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As patient was not vitally stable, patient was prepared for emergency laparotomy after explaining all the risks, possibilities and prognosis. Abdomen was explored through a midline incision, around 1 ltr of blood and blood clots were present in the left side of the abdomen, bowel was explored for active bleeding and perforations. There were multiple perforation in the jejunum, proximal most was at 6 inch from the DJ, part of mesentery was actively bleeding, the vessel ligated.

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Why The Doctor Has Recommended Your Loved One/ Relative to be Admitted in Intensive Care Unit?

It is a common misunderstanding among people that those admitted in the intensive care unit, or ICU, are those that are facing some dire issues and situation is hopeless.

I always explain to my patients and relatives that “ILLNESS or MAJOR SURGERY” is like climbing Mt.Everest without the training and intensive care is the “SHERPA” which will make the mission/ recovery successfully.

ICUs are created in order to look after the welfare of patients that need ventilators, blood pressure support , medication, cutting edge treatments and close monitoring by doctors and other healthcare staff.

It is hardly the case that everyone admitted to the ICU is on the verge of losing their battle to survive. In fact, one study suggests that more than half the patients admitted to the ICU have an exceedingly low risk of dying during their hospital stay.

What is an ICU?

The intensive care unit of a hospital is usually where patients those are

Seriously ill, or those that require specialized care, or those need close monitoring or have undergone a major procedure or surgery are admitted.