Trauma to an organ Essay
Trauma to an organ
Hi my name is spleen - Trauma to an organ Essay introduction. I experience a very high blood flow and this affects the nature of my color making it pale. I help the human body to creating lymphocytes to destroy and recycle old red blood cell, providing blood to the body in case it was depleted since I store blood and trapping micro organism by use of white blood cells which is a constituent of blood. On 10th, July, 2008 I encountered a very traumatic ordeal that am about to narrate. I have always believed to be the safest organ in the human body as am shaped as a loose fist. I console myself that neither a person nor an object can dare to attack me as am always ready to fight them back (am shaped like a fist). I am also situated on the left side of the diaphragm hidden under it. The diaphragm is found within a rib cage thus adding to my safety. 10th, July, 2008 was a Thursday I remember very well since we organs in human body have a clubs day every Thursday afternoon. This time round it was my turn to go with pizza for every organ, as we take turns on buying snacks for the day. As I was leaving Casey’s Carry Out Pizza, so were burglars leaving the Casey’s General Store and were shooting at the stream of police cars that were coming. Unfortunately a bullet hit me. Blood spattered everywhere covering me, my joy turned into agony, my laughter in to a wail and pain engulfed me leaving me helpless, since the bullet punctured me rupturing my fist. I was slowly loosing consciousness and all I could hear were voices calling out in the background, people screaming, running everywhere in every direction and phone calls being made to report an
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The ambulance’s sirens were all that could be heard as I was rushed to Calvary Hospital. I was carefully removed from the ambulance, placed in a gurney and taken to the trauma room. The paramedic team was again preparing to deal with the after-effects of what Harviel terms as “epidemic of gun violence and stupidity.” (qtd. in multiple gunshot wounds par. 6) as there was a lot of blood loss. The paramedics started measuring my vital signs and then reported their results to the chief surgeon.
It was necessary to check my blood pressure and vital signs that is temperature, pulse rate and respiratory rate before performing any medical procedure.
According to the University of Virginia health systems 2008, “the normal body temperatures ranges from 97.8°F (equivalent to 35.6°C) to 99°F (37.2°C). Normally a healthy adult’s pulse rate ranges from 60 to 100 beats per minute. Respiration rates for a normal adult person at rest range from 15 to 20 breaths per minute. Respiration rates over 25 breaths per minute or under 12 breaths per minute (when at rest) may be considered abnormal. While normal blood pressure ranges at less than 120mm Hg systolicpressure and less than 80 mm Hg diastolic pressure. ” (par. 2-14)
My vital signs were way out of control and the paramedics had to control them before helping me to change into the sterile drapes that were in the trauma room. I was then wheeled to the treatment bay where the paramedics started looking for bullet holes and found one at the center of my fist. My left side had just been grazed. A catheter was placed in to the hole. This helped to prevent the blood flow and eased the entry of other equipments that were used. “A catheter which is also called Arteriovenous Shunt Catheter, Peripheral Intravenous Catheter, Hickman Catheter, Coronary Perfusion Catheter, Swan-Ganz Catheter, Implantable Venous Catheter, Guiding Catheter is a thin, flexible, hollow plastic tube that can be used to perform various diagnostic and/or therapeutic procedures. (Elhendy, Slotnick and Petrossian)
A CAT scan was performed to determine the depth of the bullet hole and the location of bullet. Before the scan was performed I was given another clean drape to wear since the other one had blood over it. I then lay on a table with sliding tunnels where the x-ray tube and the electronic x-ray detectors were located opposite each other in a gantry ring. The images were sent into a computer processor which was located in the next room where the operator was.
The scan showed that the impact of the bullet had ruptured my walls and the bullet was seen to be attached on my left wall. I had a severe rupture and the paramedics needed to detach me from the human body to prevent further complications, a procedure referred to as splenectomy.
According to Mark and Berkow, to perform a splenectomy the patient is administered an anesthetic which constitute polyvinyl alcohol foam, polystyrene and silicon to make him sleep. (Section II, Chapter 141) The surgeons administered an anesthetic which quickly sent me into a deep sleep. Most hospitals usually recorded the surgery procedure hence after feeling well I requested for the video tape to view the procedure.
The chief surgeon made cut my skin with a scalpel to gain access to the inside of my body and tied the artery that is connected to me, to prevent blood loss and further depletion of the blood cells. He then cut off the ligaments holding me in place and I was detached from the human body. The cut in my skin was then closed through suturing to begin the healing process. Suturing supports strengthens the edges of the wound formed and prevents continued bleeding and infections. A cutting and reverse cutting needle was used. As Adams, Anwar, Wrone and Alam, explained the cutting needle has a sharp edge on the inner curve of the needle which is directed towards the wound edge while the reverse cutting needle has a sharp edge at the outer edge directed away from the wound edge. This prevents the suture from pulling through the tissues. Toothed or untoothed forceps are used to gently grasp the tissue as the needle exited the tissue after a stitch was made. The needle penetrated the wound in a 90 degrees angle and 1-3mm from the wound edge. A square knot was made after stitching was complete. Absorbable sutures were used since I am located in the internal part of the human body and thus opening up the body to remove the stitches after the wound has healed is not appropriate. (306-316) According to Kirov and Konderrave “The gunshot injuries of the spleen are relatively uncommon by comparison with other abdominal trauma the rate is 1% to 3% of all injuries to the abdomen.”(37-42)
Not a day passes without a victim being rushed to the hospital due to gunshots. The crime rate has highly increased. As the future leaders we should be more responsible and prevent this and save more lives.
Word count: 1258
Kirov. G., Kondarev. M. “Gunshot injuries of the spleen.” Journal of khirurgiia(khirurgiia(Sofia)) 1.6: 37-42 (2005).
Mark H., MD. and Robert Berkow, MD., eds. The Merck Manual of Diagnosis and Therapy: Disorders of the Spleen. Whitehouse Station: Merck Research Laboratories, 2004.
University of Virginia health systems. 24Th January 2008
Warren E. Leary. “More Gun Violence and Better Care for Victims.” Newspaper of New York Edition 23rd October 1994, section 1: 32
YourTotalHealth. 6th November 2007<http://yourtotalhealth.ivillage.com/catheter.html>