Page 123 - JSOM Fall 2019

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AUTHORS’ UPDATES

Since this article was accepted, the GHOST and SORT have received over 20 patients at the current MSS. The patients’ injuries
have ranged from GSW to IED blast injuries from mild-to-severe traumatic brain injury (TBI) to a catastrophic GSW to the head.
There were two occasions where the GHOST plus SORT received three or more patients at a time. Of note, the teams continue
to receive patients as this publication goes to press. This table lists the most serious injuries of the patients.

Wounds Intervention Disposition
GSW to R jaw Antibiotics Transfer to Role III
Shrapnel to face and eye Antibiotics and washout Transfer to Role III
Shrapnel to face with severe laceration Antibiotics, washout, and tissue repair Transfer to Role III
Exploratory laparotomy, chest tube, CVL,
GSW to abdomen with grade IV liver injury liver packing, transfusion Transfer to Role III
GSW to R foot, trans-metatarsal amputation Irrigation and debridement Transfer to local national hospital
GSW to L shoulder, proximal humerus fracture Pressure dressing and splinting Transfer to Role III
GSW to face with open globe, severe TBI, GSW RSI, chest tube, TBI management, ocular care Transfer to Role III, eye enucleation
to chest
GSW to head RSI, severe TBI management Transfer to Role III
GSW to chest Pressure dressings Transfer to Role III
GSW to leg, femur fracture Dressings and splinting Transfer to Role III
GSW to head, shoulder, arm, blast injury to RSI and dressings, supportive care, transfusion Transfer to local national hospital for
chest/face with traumatic globe rupture supportive care
GSW to flank Exploratory laparotomy Transfer to local national hospital
GSW to leg Removal of tourniquet, wound washout Transfer to local national hospital
CVL, central venous line placement; GSW, gunshot wound; L, left; R, right; RSI, rapid sequence intubation; TBI, traumatic brain injury.

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