This case includes both English and Spanish versions.

A 27-year-old arrives as a life-threatening emergency with multiple gunshot wounds. He is in severe hemorrhagic shock (BP 50/30 mmHg), with critical hypoxemia (O₂ saturation 60%), hypothermia, and neurological compromise (Glasgow Coma Scale 7/15). Bullets have penetrated his chest, abdomen, and extremities, but the wounds alone do not reveal which cavities are compromised or in what order to address them.

Are you ready to make critical, life-saving decisions? Start your training now.

This case trains you in surgical prioritization for multiple penetrating trauma: definitive airway management, hemostatic resuscitation vs. crystalloids, identification of compromised cavities, and decision-making for damage-control surgery. Every choice has immediate consequences, with detailed clinical feedback.

Estimated duration: 90–120 minutes
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