Ballistics for the Neurosurgeon

Jandial, Rahul; Reichwage, Brett; Levy, Michael L.; Duenas, Vincent J.; Sturdivan, Larry M.

doi:10.1227/01.neu.0000316015.05550.7a

Cited by 63 publications

(52 citation statements)

References 13 publications

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“…Without citing data in support for the claim, the otherwise excellent review paper, Ballistics for the neurosurgeon, 1 asserts that "hydrostatic shock" is a "relatively recent myth." However, remote effects of ballistic pressure waves known as "hydrostatic shock" or "hydraulic shock" have considerable support and a long history.…”

mentioning

confidence: 99%

History and Evidence Regarding Hydrostatic Shock

Courtney

2011

Neurosurgery

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This paper reviews the history and evidence related to remote wounding effects of ballistic pressure waves imparted to tissue by the impact of a bullet. Such remote effects are often referred to as hydraulic or hydrostatic shock. In spite of considerable published evidence and a long history, some medical professionals continue to regard the ability of a bullet to injure tissue that is not directly crushed or stretched as mythical (Jandial R, Reichwage B, Levy M, Duenas V, Sturdivan L. Ballistics for the neurosurgeon. Neurosurgery. 2008:62:472-480.) Early references to these effects date to the 19 th century; however, compelling experimental support and medical findings in human case studies did not become available until the late 20 th and early 21 st century.

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mentioning

confidence: 99%

History and Evidence Regarding Hydrostatic Shock

Courtney

2011

Neurosurgery

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“…Knowledge of wound ballistics plays an important role in better understanding craniocerebral ballistic injury condition (11). In this study, patients' traumatic conditions varied general traumatic condition and a post-treatment survival rate of 96.4% in this study.…”

Section: A B a Bmentioning

confidence: 84%

Surgical therapy for craniocerebral firearm injury

Wei¹,

Wang²,

Jing³

et al. 2012

Turkish Neurosurgery

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AIm:The current study aims to explore the clinical characteristics of craniocerebral firearm injury and to improve the diagnosis and treatment of this condition. mAterIAl and methOds: Data from 56 patients with craniocerebral firearm injury were analyzed retrospectively for projectile types, traumatic conditions, and treatment approaches.results: 43 patients exhibited intracranial foreign body residence. Of them, 40 were subjected to complete foreign body removal and 2 to partial removal, leaving 1 without receiving removal treatment. 54 patients (96.4%) survived and 2 (3.6%) died. Of the survivors, 36 (64.3%) recovered well, 15 (26.8%) were moderately disabled, 2 (3.6%) were severely disabled, and 1 (1.8%) lapsed into vegetative state. Patients receiving debridement within 8 h after injury had a significantly higher recovery rate than those receiving such treatment after 8 h (82.1% vs. 26.7%; P < 0.001).COnClusIOn: Craniocerebral firearm injury is characterized by rapid traumatic condition development as well as serious trauma and contamination. Accurately judging the traumatic condition and the ballistic tract, performing complete debridement as early as possible, reasonably deciding on the operative mode and approach for intracranial residing foreign body removal, and increasing vigilance regarding concomitant injuries are the keys to the improvement of the overall treatment of craniocerebral firearm injury. KeywOrds: Craniocerebral injury, Firearm injury, Surgery ÖZAmAÇ: Mevcut çalışma kraniyoserebral ateşli silah yaralanmasının klinik özelliklerini incelemeyi ve böyle bir durumun tanı ve tedavisini geliştirmeyi amaçlamaktadır. yÖntem ve GereÇler: Kraniyoserebral ateşli silah yaralanması olan 56 hastanın verileri projektil tipleri, travmatik durumlar ve tedavi yaklaşımları açısından retrospektif olarak incelendi.BulGulAr: 43 hastada intrakraniyal yabancı cisim vardı. Bunlar içinde 40'ında yabancı cisim tamamen çıkarılırken 2'sinde kısmen çıkarıldı ve 1 hastada çıkarma için işlem yapılmadı. 54 hasta (%96,4) yaşadı ve 2 hasta (%3,6) öldü. Yaşayanlar içinde 36'sı (%64,3) iyi iyileşti, 15'i (%26,8) orta derecede engelli kaldı, 2'si (%3,6) şiddetli engelli kaldı ve 1'i (%1,8) vejetatif duruma girdi. Yaralanmadan sonraki 8 saat içinde debridman yapılan hastalarda iyileşme oranı bu tedavinin 8 saatten sonra yapıldığı hastalara göre çok daha iyiydi (%82,1 vs. %26,7; P < 0.001).sOnuÇ: Kraniyoserebral ateşli silah yaralanması hızlı travmatik durum gelişmesi ve ayrıca ciddi travma ve kontaminasyonla ilişkilidir. Travmatik durumu ve balistik yolu doğru olarak belirlemek, mümkün olduğunca erken dönemde tam debridman yapmak, operatif mod ve intrakraniyal kalmış yabancı cismin çıkarılmasına yaklaşıma makul bir şekilde karar vermek ve eş zamanlı yaralanmalar açısından dikkatli olmak kraniyoserebral ateşli silah yaralanmalarında genel tedavi düzeyini arttırmanın temelleridir.AnAhtAr sÖZCÜKler: Kraniyoserebral yaralanma, Ateşli silah yaralanması, Cerrahi

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“…Ayrıca patlama sonucu taş ve çakıl parçaları gibi çevrede bulunan ve patlama etkisiyle enerji kazanıp dağılan yaralayıcı ajanlarda düşük hızlı yaralayıcı olarak çok sayıda penetran yaralanmalara neden olabilirler. Bu tür yaralanmalarda yaralayıcı ajanların enerjisi mermi yaralanmalarına göre daha düşüktür (22) .…”

Section: Balistik Ve Fizyopatolojiunclassified

“…Giriş noktasıyla son lokalizasyonu arasında hafif eğimli bir yol izler. Parçalı yaralayıcı ajanlarla olan yaralanmalarda her bir parça birbirinden bağımsız eğimli bir yol izler (4,12,22) .…”

Section: Kafatası Kırığıunclassified