Shot in the face

…and lived to tell about it.

Recently, there was a patient who was exhibiting that classic risk factor for assault, “minding their own business”, when ‘some dude’ shot said patient.  At very close range, with a pistol.

Patient arrives alert and talking, so some scout films are taken:

Follow the little metal fragments: they go in the left maxillary sinus, turn 90 degrees when the base of the skull is hit, and track down the neck.

 

Nothing vital was transected.  Patient lived, despite literally being ‘shot in the face’.