Management of a Pediatric Type 3C Open Femoral Fracture Following a High-Velocity Gunshot Wound at an Adult Level II Trauma Center

Anne Grisoli; Joseph Dynako; David Zimmer; Nuha Zackariya; Faadil Shariff; Mark Walsh; Christiaan N Mamczak; Charles Peterson; Bryan Boyer; Maurice Hurwich; Gerard Duprat

doi:10.1097/PEC.0000000000001736

Management of a Pediatric Type 3C Open Femoral Fracture Following a High-Velocity Gunshot Wound at an Adult Level II Trauma Center

Pediatr Emerg Care. 2021 Sep 1;37(9):e574-e578. doi: 10.1097/PEC.0000000000001736.

Authors

Affiliations

¹ From the Indiana University School of Medicine, South Bend.
² Indiana University, Bloomington.
³ Saint Joseph Regional Medical Center, Mishawaka.
⁴ Memorial Hospital, South Bend, IN.

PMID: 33170577
DOI: 10.1097/PEC.0000000000001736

Abstract

We present a case of a 10-year-old girl shot in the thigh by a stray bullet who had a favorable outcome when treated with a multidisciplinary approach at the nearest nonpediatric level II trauma center. Point-of-care thromboelastography facilitated effective resuscitation based on her coagulation profile, minimized blood product use, and allowed for damage-control surgery to stabilize and revascularize her complex femur fracture.

Publication types

Case Reports

MeSH terms

Adult
Child
Female
Femoral Fractures* / diagnostic imaging
Femoral Fractures* / surgery
Humans
Thigh / injuries
Trauma Centers
Wounds, Gunshot* / complications
Wounds, Gunshot* / surgery