Abstract
An 18-year-old male sustained an isolated gunshot wound to the abdomen with an entrance wound in the right lower quadrant. He was transported to a level 1 trauma center from an outlying hospital. He received tranexamic acid (1 gram) during transport. At the time of admission, he was alert and able to follow commands. The initial vital signs revealed Blood pressure - 136/110 Pulse-90 Respirations -21 and a temperature-97.9 degree. An initial FAST was positive. The CXR was clear. An arterial blood gas was performed with a base deficit of 0. The hemoglobin was 11.3 with a platelet count of 138,000. The patient was taken to the operating room for exploration with a unit of packed cells infusing.
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