Unresponsive After Gunshot Wound To Head

Walking Thoughts

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  What is the current GCS and neurological exam?

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  Is the patient hemodynamically stable?

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  Are there any additional injuries or other gunshot wounds (GSW)?

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  Is the patient on anticoagulation? If so, have reversal agents been given?

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  Are coagulation labs available or pending?

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  What is the appropriate imaging modality to determine extent of injury to the superior sagittal sinus?

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  What interval imaging needs to be performed?

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  Would the patient benefit from emergent surgical decompression or an intracranial pressure monitor (ICPm)?

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  What is the patient’s prognosis?

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  What medical management needs to be initiated?