![]() I Danish Khan, Associate Professor, Army College of Medical Sciences and Base Hospital, New Delhi, IndiaĬraniofacial gunshot injuries encountered during CI/CT operations are involved in a situational complexity requiring astute battlefield care, streamlined evacuation logistics, and operative and critical life support capabilities at various echelons along the chain of evacuation.Secondary infections by ‘military superbug’ Acinetobacter baumanii complicating to sepsis can jeopardize survival.The discussion is focused on two combatants who sustained craniofacial gunshot injuries during CI/ CT operations in hilly jungle terrain of South- Asia.Having survived through initial assault of the gunshot and initial resuscitation, they were tactically evacuated on ventilator support to tertiary care facility located more than 1800 km from site of injury in South-Asia.In the backdrop of tissue devitalization, hemodynamic and renal compromise, extensive surgical and critical care interventions,īackground Craniofacial gunshot injuries encountered during counter-insurgency/counter-terrorism operations are involved in a situational complexity requiring astute battlefield care, evacuation, operative management and critical life support.Secondary infections by ‘military superbug’ Acinetobacter baumanii complicating to sepsis can jeopardize survival.Ĭases Two combatants sustained craniofacial gunshot injuries during counter-insurgency/counter-terrorism operations in hilly jungle terrain of South-Asia.Having survived through initial assault of the gunshot and resuscitation, they were tactically evacuated on ventilator support to tertiary care.In the backdrop of tissue devitalization, hemodynamic and renal compromise, extensive surgical and critical care interventions, secondary infection by multidrug resistant Acinetobacter baumanii led to sepsis and demise.Ĭonclusions Craniofacial gunshot wounds in the battlefield can initiate a domino effect leading to physiological complications which can predispose to secondary infections, leading to sepsis and demise. ‘Military Superbug’ Acinetobacter Baumanii Induced Sepsis in Craniofacial Gunshot Injuries ![]()
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