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 Flowchart for Evaluation of Officer Shot While Wearing Body Armor

Description
              Behind Armor Trauma Sustained

Standard ATLS® is priority
	Transport to nearest Emergency Department or Trauma Center
	Vest accompanies officer to hospital if possibleEvaluate Vest for Penetration

Yes. The vest was penetrated. Proceed with standard penetrating trauma management
	No. The vest was not penetrated. Identify the location of the shot and proceed as follows:
	**Anterior chest outside cardiac zone**: Imaging (CXR +/-CT). Management dependent on results.
		**Anterior chest inside cardiac zone**: (CXR +/-CT) and EKG. Management dependent on results.
		**Posterior thorax**:
		*Midline*: CXR +/- CT
			*If lateral to midline back/flank:* Use UA for presence of blood. If positive, consider contrast CT scan for further evaluation for renal conclusion. Management dependent on results.
		**Abdomen**: Pain, tenderness or outward signs of trauma: CT scan with contrast. Management dependent on results.
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