# SOMSA '25- Delayed Hemodynamic Collapse Following a Retroperitoneal Gunshot Injury During a Special Operation Training Exercise

Page: https://stenobird.com/podcast/prolonged-field-care-podcast-3929124/somsa-25-delayed-hemodynamic-collapse-following-a-retroperitoneal-gunshot-injury-during-a-special-operation-training-exercise
Text version: https://stenobird.com/podcast/prolonged-field-care-podcast-3929124/somsa-25-delayed-hemodynamic-collapse-following-a-retroperitoneal-gunshot-injury-during-a-special-operation-training-exercise.md
Podcast: [Prolonged Field Care Podcast](https://stenobird.com/podcast/prolonged-field-care-podcast-3929124)
Published: 2026-03-19T04:01:00+00:00
Episode link: https://podcasters.spotify.com/pod/show/dennis3211/episodes/SOMSA-25--Delayed-Hemodynamic-Collapse-Following-a-Retroperitoneal-Gunshot-Injury-During-a-Special-Operation-Training-Exercise-e3geabi
Audio file: https://traffic.megaphone.fm/APO7149069108.mp3
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JSON: https://stenobird.com/v1/public/podcasts/prolonged-field-care-podcast-3929124/episodes/somsa-25-delayed-hemodynamic-collapse-following-a-retroperitoneal-gunshot-injury-during-a-special-operation-training-exercise
Duration seconds: 1903

## Resource

The conversation revolves around a complex trauma case involving a 26-year-old male who suffered severe injuries from a live round during a training exercise. The discussion covers the patient's initial assessment, the challenges faced during his treatment, the surgical interventions performed, and the lessons learned from the case. The speakers emphasize the importance of timely interventions, effective communication, and the need for continuous improvement in emergency medical practices. Takeaways The patient was a 26-year-old male with severe injuries. Initial assessment showed signs of shock despite normal blood pressure. CT scans revealed significant internal bleeding. Surgical interventions were complicated by the patient's deteriorating condition. Massive transfusion protocol was activated due to significant blood loss. Lessons learned include the importance of timely blood product administration. Pre-hospital care plays a crucial role in patient outcomes. Effective communication among medical teams is essential. The case highlights the need for continuous training and preparedness. The patient ultimately required extensive rehabilitation after his injuries. Chapters 00:00 Introduction to the Case 02:52 Patient Arrival and Initial Assessment 06:05 CT Scan and Deterioration 08:50 Surgical Interventions and Challenges 11:58 Massive Transfusion Protocol and Outcomes 14:58 Lessons Learned from the Case 18:00 Discussion on Pre-Hospital and In-Hospital Care 20:48 Final Thoughts and Reflections For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠…

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