Critical care nursing clinics of North America
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The severity of injury in a gunshot wound is dependent on many factors, including the type of firearm; the velocity, mass, and construction of the bullet; and the structural properties of the tissues that are wounded. Knowledge of ballistics and an appreciation of the wounding potential of certain firearms and their ammunition can help clinicians anticipate the severity of a wound and raise the index of suspicion for occult but severe internal trauma.
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Advances in critical care practice have created entire groups of patients that have never before survived. Regardless of the subspecialty of critical care in which you practice, the concept and knowledge of the principles of brain resuscitation must be a core component of critical care practice. The concept of brain resuscitation extends beyond subspecialty boundaries and the boundaries of cardiopulmonary arrest, to include all states of no flow or low flow, which threaten the integrity of neurons.