Shotgun Blast to the Chest: A Rural Trauma Survival Story

Prepare to be inspired by the innovations of Dr. Bill Long and Dr. John Hill, the "Cardiac Cowboys," who have revolutionized trauma care. You'll gain deep insights into their use of the portable cardiopulmonary bypass (CPB) machine, a game-changer in emergency medicine that has saved countless lives. Hear the gripping tale of a 34-year-old patient from rural Walla Walla, Washington, who survived a life-threatening shotgun blast thanks to this groundbreaking technology.

Learn about the challenges Dr. Long and Dr. Hill faced, the nationwide expansion of their innovations, and the remarkable case of the Walla Walla patient whose heart and lungs were severely damaged by a shotgun blast. This narrative underscores the power of swift medical response, teamwork, and the unwavering confidence needed to tackle seemingly insurmountable medical emergencies.

This episode also dives into the complex cardiac surgery and rehabilitation process, revealing the meticulous steps taken to manage severe trauma and infections. From the insertion of an intra-aortic balloon pump to innovative bypass cannula techniques, discover how the patient ultimately stabilized and returned to a functional life. We delve into the collaborative efforts between specialized trauma surgeons and rural hospitals, highlighting the profound human resilience and dedicated partnerships that make these life-saving advancements possible. Join us for an unforgettable journey of innovation, survival, and the relentless commitment to patient care.

You can view the medical image referred to in the episode here. 

To learn more about these life saving strategies and techniques, look for Dr. Long’s upcoming book, Flatline to Lifeline.  

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Producer: Esther McDonald 
Director & Technical Support: Lindsey Kealey, Host of The PAWsitive Choices Podcast

© Flatline to Lifeline 2025