Jun 10, 2026 · 1 hr 1 min · 11 segments
Summary This episode features trauma experts Dr. Efron and Dr. Richards discussing penetrating trauma management, injury patterns, physical exam techniques, imaging, and critical decision-making in…
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Dave EfronGuestMustafaHost
Justin RichardsGuestOne of the things I learned early in EMT school is I remember my instructor saying, don't call them exit and entry wounds because you don't really know what you're looking at.
And the other thing I remember being told is just because a wound looks not too bad from the outside doesn't mean that there's not significant damage on the inside.
There are ways to tell, usually forensically, what the characteristics are of entrance and exits.
And we oftentimes in our investigation know exactly the directionality of injuries.
And you don't ever want to put into the medical record your opinion, especially if it's going to be directly at odds with, say, the medical examiner.
In Maryland, everybody who dies of violent death goes for a medical examiner autopsy.
A wound is a wound, and having said that, it's very important, for example, in the case of gunshot wounds, to be able to understand trajectory.
But again, we don't necessarily know where they entered and exits, but the path becomes vitally important.
severity of the injury.
When it comes to high energy penetrating objects like bullets, if you look at the kinetic energy, kinetic energy is when the force hits one medium to another.
One of the things I learned early in EMT school is I remember my instructor saying, don't call them exit and entry wounds because you don't really know what you're looking at.
And the other thing I remember being told is just because a wound looks not too bad from the outside doesn't mean that there's not significant damage on the inside.
There are ways to tell, usually forensically, what the characteristics are of entrance and exits.
And we oftentimes in our investigation know exactly the directionality of injuries.
And you don't ever want to put into the medical record your opinion, especially if it's going to be directly at odds with, say, the medical examiner.
In Maryland, everybody who dies of violent death goes for a medical examiner autopsy.
A wound is a wound, and having said that, it's very important, for example, in the case of gunshot wounds, to be able to understand trajectory.
But again, we don't necessarily know where they entered and exits, but the path becomes vitally important.
severity of the injury.
When it comes to high energy penetrating objects like bullets, if you look at the kinetic energy, kinetic energy is when the force hits one medium to another.
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