2019
DOI: 10.1016/j.injury.2019.01.033
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Effects of a fragmenting handgun bullet: Considerations for trauma care providers

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Cited by 12 publications
(9 citation statements)
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“…Fragmentation can cause increased local tissue destruction, 11 decrease the likelihood of complete extraction of the foreign bodies, and increase the total surface area exposed to internal tissue. 12 , 13 Firearm injuries to the brain are some of the most lethal, with approximately 90% of patients dying prior to arrival and up to 50% of surviving patients succumbing to their injuries in the emergency department. 14–16 More recent evidence suggests that with modern trauma recommendations, such as prioritizing blood products over crystalloid, survival rates for cranial gunshot wounds (GSW) are increasing.…”
Section: Discussionmentioning
confidence: 99%
“…Fragmentation can cause increased local tissue destruction, 11 decrease the likelihood of complete extraction of the foreign bodies, and increase the total surface area exposed to internal tissue. 12 , 13 Firearm injuries to the brain are some of the most lethal, with approximately 90% of patients dying prior to arrival and up to 50% of surviving patients succumbing to their injuries in the emergency department. 14–16 More recent evidence suggests that with modern trauma recommendations, such as prioritizing blood products over crystalloid, survival rates for cranial gunshot wounds (GSW) are increasing.…”
Section: Discussionmentioning
confidence: 99%
“…14 The shape of individual fragments may indicate special types of bullets that are designed to fragment in a predictable manner, such as the Radical Invasive Projectile (RIP), which has been frequently encountered in recent years. [15][16][17][18] This frangible bullet consists of a solid base ('base slug') and six or eight trocar-shaped petals ('trocars'), depending on its calibre. [15][16][17][18] The 'trocars' expand radially after entering tissue, while the 'base slug' further penetrates the tissue along its trajectory.…”
Section: Extended Ct Scalementioning
confidence: 99%
“…[15][16][17][18] This frangible bullet consists of a solid base ('base slug') and six or eight trocar-shaped petals ('trocars'), depending on its calibre. [15][16][17][18] The 'trocars' expand radially after entering tissue, while the 'base slug' further penetrates the tissue along its trajectory. [15][16][17][18] The detection of these 'trocars' of the same shape enables the identification of these special bullets.…”
Section: Extended Ct Scalementioning
confidence: 99%
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“…Furthermore, improvised explosive devices and bullets that have been manually modified for sniper rifles by cutting an «X» on their tips are frequently used and associated with severe trauma due to their ballistic characteristics [7]. Such a bullet is a kind of deformed ammunition, causing fragmentation upon striking the target and creating more severe damage, including liver injury [8].…”
mentioning
confidence: 99%