Bernard Matthew, Dahlhausen Christine M, Kirk Andrew M, Bernard Andrew
Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Department of Surgery, The University of Texas Rio Grande Valley School of Medicine, Harlingen, Texas, USA.
Trauma Surg Acute Care Open. 2024 Feb 17;9(1):e001355. doi: 10.1136/tsaco-2023-001355. eCollection 2024.
Innovations in projectile design present unique challenges for trauma surgeons when treating gunshot victims. The G2 Radically Invasive Projectile (G2 Research, Winder, Georgia, USA) (G2RIP) is a frangible, rapidly expanding bullet resulting in a distinct pattern of injury consisting of diffuse hemorrhage with multicavity trauma as well as unique radiographic features of the projectile. To efficiently manage patients injured by the G2RIP, trauma surgeons must be aware of these distinct characteristics, and of previous patterns in effective management such as liberal damage control and extensive use of CT. Understanding previous presentation and management of patients injured by the G2RIP can aid in improving patient care in the trauma center.
射弹设计的创新给创伤外科医生治疗枪伤受害者带来了独特的挑战。G2 型极具侵入性射弹(G2 研究公司,美国佐治亚州温德)(G2RIP)是一种易碎、迅速膨胀的子弹,会造成独特的损伤模式,包括弥漫性出血伴多腔创伤以及该射弹独特的影像学特征。为了有效治疗受 G2RIP 伤害的患者,创伤外科医生必须了解这些独特特征,以及以往有效治疗模式,如宽松的损伤控制和大量使用 CT。了解以往受 G2RIP 伤害患者的表现和治疗情况有助于改善创伤中心的患者护理。