Did I help or hurt him???? :( - page 3

I am a c.n.a/ starting nursing student and I got my first taste of some critical care tonight. Long story short a young boy got shot on my block and I ran to the scene to help him(couldn't help it, I was the only one). Gunshot... Read More

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    Bless you heart! I am sure that was very traumatizing. Gun shot wounds to the head are most often fatal. Be careful about compromising your own safety. The police want to help, but they don't want to add to the body count and you shouldn't either. From your description it's hard to say if you did exactly what you should have done or not. If his skull was fractured, you want to dress the wound with something sterile, but not apply direct pressure. If he was bleeding in his airway then moving to the side is good, but if his breathing was compromised due to CNS damage then you wouldn't want to move him. But in the end, honestly, even if you immediately did everything that you were supposed to do exactly how it should be done ...this boy most likely would have died anyway. The bullet is what hurt him, not you. <3
    Sugarcoma and Piglet08 like this.

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    My first thought is to apply pressure while holding c-spine, and inspect the oropharynx for the presence of blood or foreign bodies. Only if his airway were compromised would I have rolled him, and then I would have asked for bystanders to assist in log rolling him while I continued to hold c-spine. But that's just me.
    JustBeachyNurse likes this.
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    You did a good thing. Thank you.
    CountyRat likes this.
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    I just want to reassure you all that I absolutely assessed the scene first, not just rushed in naively. From what I saw, it was clear, and evidently I'm still here so I made the right choice. He was still breathing and I am so glad I did turn him on his side because it was only then that I noticed blood coming out of his mouth. When I turned him I did think about spinal injuries but from my prior e.m.t training I knew that he needed to be able to breathe before anything so I made that decision quickly. And btw... he's still ALIVE... it was only a rumor that he died and I'm absolutely joyous again and thankful as well for all of your input on this situation. If I could do it over... I would have and I truly believe that if i didnt, he wouldn't even be at point B right now. Thank you all and I surely next time will try to be more careful
    CountyRat, Sugarcoma, and hiddencatRN like this.
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    I think that you did great under the circumstances and it was generous of you to do it. I hope you can contact the health department so that they can possibly do the testing to make sure he didn't have any infectious blood borne pathogens for you to worry about.

    Good job.
    CountyRat likes this.
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    To madsmom1.... it was very traumatizing. I think the worst part wasn't seeing him or all the mess but the utter despair and hopelessness and shock of his friends when he got shot. They were hysterical and in their minds that was it.... their friend was dead in that moment, just like that. Like they never thought he might have a chance and they just left him there. Without a person to hold his hand or just say something to him. It was heartbreaking. To walk in the street and still see his blood stained on the ground is heartbreaking. Whenever I see a puddle it almost brings me to tears. I guess at work when someone dies its just so different than being there in the moment this boys life was almost taken and having to see his familiar face and those I know and to go through the aftermath with these people and look out my window and see his blood. Last night it rained and I watched his blood get wet again and start going down the street. I am traumatized and thank you so much for recognizing that.
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    Quote from Misslady113
    and for 15 min i held on to that boy, talking to him telling him to hold on
    You did good my friend! Applying pressure and offering comfort to that boy was the most important thing you could have done at that time.

    We can all second guess your actions, turn him or don't, pressure or not, chance of c-spine injury, skull fracture etc. but we were not there and did not see the kid. An argument could be made for and against every action you took. You are not a trained first responder or an RN trained to assess. Even those of us who are trained do not always get it right.

    I see a lot of people commenting on the fact that you did not wait for the scene to be secured and cleared. I wonder where you live? I know that in the area I used to work in a 15 minute response time had nothing to do with securing a scene and everything to do with the fact that the emergency response system is in shambles with broken units, personnel stretched too thin, and units routed from areas too far away to make prompt response possible. Add to that improper use by citizens and you have a recipe for disaster. Many people die waiting for help. In a situation like that the only thing you can do is use your best judgement. Some will call you a fool, others will commend your bravery. Only you can make the choice as to how much risk you are willing to assume.

    You will be shaken for awhile. It is not easy to witness something like that. It will change you. Sometimes in unhealthy ways. I am often thankful I did not enter nursing while my children were young. I am afraid I would have isolated them in a bubble if I would have and I don't even do ER or first response!

    Since you plan to become an ER RN I would encourage you to start cultivating a rock solid support network now. Make sure that network includes other emergency response personnel whether they be docs, RNs, EMT's, cops, etc. because they are the only ones who will ever truly understand what you deal with.
    CountyRat likes this.
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    Thank you for being responsible. I wish there were more people like you. As for the few who have lectured you about what you should or should not have done; ignore them! They were not there. They did not have to make any decissions under stress. They did not have to assess the risk you were taking by acting. It is real easy for them to waggle their finger at you from the comfort and safety of their computer keyboards and tell you what they would have done. It is real easy to be an expert and condem others when you do not have to take any responsibility. You did have to be responsible, and you did your best. Be proud! I would be honored to work with someone of your character.
    conroenurse and JRP1120, RN like this.
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    Despite those that nay-say, think they would get shot, not help, look first, wait for the police, I congrad. you for thinking of your safety . HOWEVER some of us RUN into the fire and not away from it. It is not something we think, we just do. AND TO THOSE OF US THAT DO, WE ARE ANGELS, and IF the occasion comes that we turn into actual angel,,,,,well we did what we know best and that is to help when others turn away. We can't change that part of us, and we don't think we are anytype of hero or angel, we just DO. IF that is bad, then so be it.
    I saw a robbery take place once yrs ago and a child was present. I could no more stop myself from protecting that child than stop breathing. IF it cost me my life. SO BE IT, but I would have died a thousand deaths if I had not protected and that child was shot.
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    Quote from CountyRat
    Thank you for being responsible. I wish there were more people like you. As for the few who have lectured you about what you should or should not have done; ignore them!
    She asked: "I was just hoping to hear that I followed the right procedures and what else could I have done maybe to make it better?"

    I guess we should all just pat her on the back and not offer any feedback?
    hiddencatRN likes this.

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