Patient presents with a gunshot wound (GSW), exhibiting signs and symptoms consistent with ballistic trauma.  Entry and exit wound characteristics, if present, are documented, including location, size, and shape.  Assessment includes evaluation for hemorrhage, fractures, organ damage, and neurovascular compromise.  The patient's hemodynamic stability, including heart rate, blood pressure, and respiratory rate, is closely monitored.  Pain assessment using a standardized pain scale is performed and documented.  Initial management focuses on stabilizing the patient, controlling bleeding with direct pressure and or tourniquet application if indicated, and administering fluids or blood products as needed.  Advanced trauma life support protocols are followed.  Imaging studies such as X-rays, CT scans, or ultrasound may be ordered to assess the extent of injuries.  Surgical intervention may be necessary depending on the location and severity of the GSW.  The wound is cleaned and dressed appropriately.  Tetanus prophylaxis is administered as indicated.  Patient education includes wound care instructions, pain management strategies, and follow-up appointments.  ICD-10 codes for gunshot wound, open wound,  penetrating trauma, and other related diagnoses are applied.  CPT codes for wound debridement, wound closure, and other procedures are documented for billing purposes.  The mechanism of injury, including the type of firearm if known, is documented.  Forensic evidence collection is performed as per protocol.  Consultations with specialists such as trauma surgery, orthopedics, or neurosurgery are documented.  Discharge planning includes referrals to physical therapy, occupational therapy, or psychological support as indicated.  The patient's prognosis is discussed with the patient and or family.