gunshot wound to the brain

Introduction

Also see head injury.

Management

• limit use of crystalloid in favor of red blood cells & fresh frozen plasma
• use hypertonic saline to reduce intracranial pressure
• reverse coagulopathy
• obtain early neurosurgical consultation

Notes

• as a gunshot wound, provider is mandated to report this to the police

More general terms

• traumatic brain injury (TBI)
• gunshot wound