This was a first for me.
The bullet entered his leg at about front midlevel on the tibia. The entrance wound was about 1/4 inch but the exit wound was far worse.
The bullet shattered the bone and broke the tibia. The exit wound was on the lateral side (outside). It was about 6 inches in diameter. When we were holding the leg to wash it, we had to hold it at the ankle and the calf because it was jiggling from being broken. It was like a piece of rubber. If we let go of either half, it would have completely severed itself!
When they say never move a broken bone without supprt, they mean it. You cause more damage. We ended up opening up a vessel and blood started oozing out. We set the leg back down and waited for extra help. During that time, the patient, who was already under anesthesia, started to bottom out. One nurse said he "was circling the drain", meaning he was on the verge of death. Blood pressure dropped to 58/23 (normal pressure is 120/80)! Not good!
I'll spare you all the gore but we put an external fixator on the leg to repair it, which is just a bar placed on the outside of the leg held by pins inserted into the bone. He woke up fighting. It took six of us to hold him down! I was knocked in the jaw from his flailing legs!
But all night that case weighed on me. I walked out of that room covered in blood. My mind couldn't stop thinking about the site of his leg, the verge of death, the blood soaked shoes I was wearing, the blood splatter on my eye shields and the way I walked down the hall to change (my arms hung in front and to the side of me to avoid anymore blood splattering, my legs hardly moving from fear).
All this made me thankful that I don't use guns or keep guns in the house, I don't live near gun violence and I try to shelter myself from it as much as I can by not going to those areas of town (or country). I know some will say guns don't kill people, people kill people. But until you've seen what can happen, I suggest you rethink. Because while you can turn the tv station or look away, I'm the one who helps repair it and there are many others who care for the wound, the psyche, and the spirit of those shot.



