Janie's Got a Gun

While generally not a good idea to provoke your significant other, it's especially true is she's a gun-toting Annie Oakley with excellent aim.  Such was the lesson learned by one of our patients the other night after being rushed from home by EMS with his brachial artery pierced by a well-placed bullet.  Strong work by the medics, who found him with significant blood loss on scene, but quickly got pressure on the wound and brought him up to a systolic in the 100s with fluids.  Needless to say, he was taken straight up to the OR while the wife was taken into custody.