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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Chances Of Survival Of A Person With Stuck Bullet In Artery?

I had thought that my husband was shot with a hand gun and the bullet ended up in his aorta. What happened is that he was shot through his mouth and the bullet lodged in a carotid artery - not sure which one. I know it took him over 20 minutes to bleed out because he died on route to the hospital after we waiting between 18 and 19 minutes for the ambulance that was around the corner sitting waiting for the OK to come in. My question is if he had been attended to more quickly - in the 4 minutes that he should have been with the ambulance there rather than around the corner, could he have survived the gun shot wound. No one gave him first aid while we waited for the ambulance. He was alert and lifted himself on the ambulance bed when they finally got there. They were asking him questions and he was communicating with his hands and with his head nodding for yes or shaking for no questions. So he had oxygen going to his brain enough that he was still alert after 20 minutes from the gun shot wound. The bullet didn t go all the way through. It got lodged in the artery. What are the odds that with rapid response to get him to the hospital that he would have survived?
Thu, 21 Jan 2021
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Anesthesiologist 's  Response
Hello,

He would have survived if the response was quick i.e., within minutes of being shot. He must have died of bleeding causing fall in blood pressure resulting in unstable heart. If we started a immediate large bore intravenous cannula and given fluids and blood till he reached the hospital we could have brought more time. Once in hospital we could have put him on a cardiopulmonary bypass machine immediately and repaired the artery after doing the imaging investigations.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Meera Rajeev, Anesthesiologist
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What Are The Chances Of Survival Of A Person With Stuck Bullet In Artery?

Hello, He would have survived if the response was quick i.e., within minutes of being shot. He must have died of bleeding causing fall in blood pressure resulting in unstable heart. If we started a immediate large bore intravenous cannula and given fluids and blood till he reached the hospital we could have brought more time. Once in hospital we could have put him on a cardiopulmonary bypass machine immediately and repaired the artery after doing the imaging investigations. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Meera Rajeev, Anesthesiologist