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e-CASES: Polytrauma with abdominal wound from a sharp instrument

Attempted suicide with anterior abdominal wound from a sharp instrument (knife).


Initial examination by emergency services:

- Blood pressure 150/80 mmHg, Heart rate = 60.- Abdomen supple, not in much pain.

- Symmetrical pulmonary auscultation.


Presence of 3 skin wounds, 2 superficial presternal wounds (blade stopped by rib cage) and 1 deeper wound with a bayonet trajectory to the abdominal cavity. Hematology revealed a significant reduction in cell count in a patient taking anti-platelet medication (Plavix and Kardegic).