Important notice:

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), critical hypoxemia (O₂ sat 60%), hypothermia, and neurological compromise (Glasgow Coma Scale 7/15). Bullets have penetrated his chest, abdomen, and extremities, but no visible entry wounds indicate which cavities are affected or what order to address them.

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This case trains you in surgical prioritisation 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: 60–90 minutes
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Case 4 (EN): Multiple torso gunshot wounds. Don't get confused!

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