A 45-year-old man was brought to the emergency room with multiple stab wounds. The weapon was reported to be a butcher knife with a 6” blade. There were 6 abdominal stab wounds. The patient was hemodynamically stable with moderate tachycardia. A focused abdominal ultrasound for trauma (FAST) exam (see splenic trauma, frames 5-7) was performed in the ER and no fluid was seen in the abdominal recesses. On probing with a sterile applicator, 4 of the abdominal wounds appeared to have penetrated the fascia.
There was a small midline neck wound at the junction of zones I and II (see nail gun injury.) The patient had no hemoptysis and NG aspirate was negative for blood. There was no crepitance or hematoma, and cervical pulses were normal.
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