Shotgun vs hand!
This patient was rushed to the hospital with an injury that most of us have only seen on television. Wounds created by shotguns are much larger than those created by handguns, and vary from massive disruption of the tissue during a contact discharge , or to a widespread pattern of pellet holes when fired at a distance. The process of ejecting the mass of shot from the barrel results in production of ‘secondary projectiles’ – these include components of the cartridge such as wadding and metal fragments from the cartridge case/ base, as well as flame, carbon deposits, soot, unburnt powder and combustion gases. Contact wounds will not usually demonstrate features of these secondary projectiles externally unless there is loose contact (everything enters the wound), whilst close range wounds usually demonstrate features of them all to a greater or lesser extent (depending upon how ‘close’ the weapon was actually discharged). As the range of fire increases to approximately 30cm to 1.2 metres, the presence of secondary projectile damage is reduced This emergency situation is dealt by stabilizing the patients vital signs followed by an extensive reconstructive surgery to allow the patient to regain a proper range of motion, either partial or full.
It’s also a magic trick. He made his finger just disappear into thin air. 😂
