Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí hóa hoc quốc tế đề tài : Visual diagnosis: Enucleation status post gunshot wound to the head: A visual diagnosis/case report | Desai and Mahon International Journal of Emergency Medicine 2011 4 61 http content 4 1 61 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Visual diagnosis Enucleation status post gunshot wound to the head A visual diagnosis case report Bobby Desai and Benjamin Mahon Abstract We present the case of a patient who attempted to commit suicide via a gunshot to the head. However instead of ending his life he destroyed both of his eyes. Computed tomography scans are shown. Background Patients that attempt suicide are common in the Emergency Department. Suicidal gestures such as intentional medication or illicit drug overdose and attempted laceration of arteries are frequently seen. True intent to commit suicide includes gunshot wounds to the head. These typically are non-survivable injuries but there occasionally are those that survive these injuries and we present such a case. A 55-year-old male presented to our Emergency Department after reportedly shooting himself through the left temple with caliber handgun in a purported attempt to commit suicide. Per report the patient was found in his house by a friend but was easily arousable with intact mentation approximately 20 h after the event allegedly occurred. Upon arrival he reported only moderate facial pain and complete absence of vision including light and shadow. He denied dizziness lightheadedness or confusion. In the Emergency Department the patient s vital signs were temperature C pulse 82 beats per minute respiratory rate of 20 per minute and blood pressure 126 60 mmHg. His airway was patent with bilateral breath sounds that were clear and he had unlabored breathing. He had equal pulses present and strong bilaterally with regular rate and rhythm on cardiac exam. His abdomen was non-tender and non-distended. He had extensive bandaging placed by EMS and after it was removed from around the wound area his Correspondence bdesai@ University of
