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’.


Comments

  1. Blimey.

  2. Yep, was just sittin’ on my porch, readin’ my Bible, not botherin’ anybody, when some dude . . .

  3. I had a patient once who was also shot in the face in a shoot-me, shoot-you sort of thing with two women fighting over a boyfriend. One shot, the other grabbed the gun and shot back. A 22 pistol. In one, the slug was seen on xray nicely flattened against the skull. In the other, the entrance wound was in the cheek. Skull xray showed… nada. Took a belly film and there was the slug in her stomach. It had travelled into the sinus, back of throat, then swallowed. I was quite proud of myself for having thought to order the belly film.

  4. Goatwhacker says:

    You know, every place I’ve worked appears to have roving bands of dudes attacking people minding their own business. Often the victims are intoxicated at 2 AM and out on the street while minding their own business. We need to take this past the anecdotal stage and look for funding for a study. Not that it would solve anything but the funding would be good.

  5. Now there is a prefect example of letting you know…you don’t go until it’s really your time. A shot to the face, and still able to live to tell about it.

  6. TheNewGuy says:

    Great Xrays.

    And here we see, beautifully illustrated, the reason why the military and various SWAT schools teach one to shoot only at specific areas on the skull.

    The human skull is incredibly tough in certain spots, and I’ve seen many cases where rounds were deflected. Shooting at specific areas (which I won’t outline) greatly lessens the likelihood that you’ll encounter this problem. When your shot has to count, it helps to know what you’re doing.

  7. Tom Kearns says:

    Some Dude is a notoriously dangerous character. I always recommend that, for personal safety, one always drink more than 2 beers and intrude in other people’s affairs. Because, if you are minding your own busisness and have only had 2 beers Some Dude while undoubtly sucker punch you.

  8. That looks totally painful. (And Tom Kearns’ comment totally cracks me up!)

  9. I think Tom may be on to something here…

  10. Caliber?

  11. I don’t think they took it out, so I cannot say for sure. 9mm is very popular here, but the projectile shadow looks ‘longer’ than a 9; it may be that the jacket is sliding off backward off the center, elongating its shodow.

  12. TheNewGuy,

    You said

    And here we see, beautifully illustrated, the reason why the military and various SWAT schools teach one to shoot only at specific areas on the skull.

    Well NewGuy before getting all fancy with the headshots and what not you might want to focus on basic markmanship and fire discipline, take a look at the linked post below, look for entry on Monday, November 27, 2006- – – Proving the Colonel right

    One 12-year veteran fired his weapon 31 times, emptying two full magazines, [Police Commissioner Raymond] Kelly said.

    In total, it is believed 50 bullets were fired, Kelly said. It was the first time any of the officers, who all carried 9 mm handguns, had been involved in a shooting, Kelly said.

    FYI out of the 50 bullets fired 21 hit the suspects car, less then 50% of the shots fired

    Like you said

    When your shot has to count, it helps to know what you’re doing.

  13. Fixed link for my 8:17 post

    Proving the colonel right

  14. you might want to focus on basic markmanship and fire discipline

    I encourage anyone who carries a weapon to seek out as much professional training as possible.

    I think that bullet is probably from a revolver… a .38 if one wanted to play the odds, based on what’s most commonly used to commit crimes. If you examine that lateral skull film, the projectile appears to have two or three base rings, which is something you don’t see on many auto-pistol rounds.

    That’d be my gestalt, anyway.