Management of Shotgun Injuries

Sherman, Roger T.; Parrish, Robert A.

doi:10.1097/00005373-196301000-00007

Cited by 79 publications

(22 citation statements)

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“…Shotgun wounds range from injuries with point blank blasts being very destructive, and longer range blasts rarely causing significant deep tissue damage [1,5]. Shotgun blasts also have the potential to affect multiple systems [6].…”

Section: Discussionmentioning

confidence: 99%

“…Severity of injury was measured using the Injury Severity Scale (ISS) and the Revised Trauma Score (RTS). Patients were grouped as having a mild (1)(2)(3)(4)(5)(6)(7)(8), moderate (9)(10)(11)(12)(13)(14)(15), severe (16)(17)(18)(19)(20)(21)(22)(23)(24), or most severe (>24) injury based on the ISS. The RTS was calculated from the first set of vitals obtained and analyzed in continuum.…”

Section: Methodsmentioning

confidence: 99%

“…Penetrating trauma, including firearm injuries, is increasingly managed nonoperatively [7][8][9][10]. Although there have been multiple attempts to develop a scoring system for shotgun wounds [5,11,12], no scoring system has proven to be successful in predicting the need for emergency operative management. Clinical judgment remains the most reliable guide when assessing the need for operative intervention [11,13].…”

Section: Introductionmentioning

confidence: 99%

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Despite the Increasing Use of Nonoperative Management of Firearm Trauma, Shotgun Injuries Still Require Aggressive Operative Management

Dozier

Miranda

Kwan

et al. 2009

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Despite the Increasing Use of Nonoperative Management of Firearm Trauma, Shotgun Injuries Still Require Aggressive Operative Management

Dozier

Miranda

Kwan

et al. 2009

Journal of Surgical Research

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“…20 In 2001, in the United States, shotguns, rifles, and handguns were involved in 44%, 44%, and 13% of the self-inflicted and 72%, 24%, and 1% of the two-party unintentional hunting-related shootings. 19 Shotguns are twice as lethal as handguns 21,22 and shotgun injuries typically are more serious and result in longer hospitalizations than wounds from other types of firearms. 20 a The Hunting Incident Clearinghouse is a component of the International Hunter Education Association (IHEA).…”

mentioning

confidence: 99%

Recreational Gun Use by California Adolescents

Vittes

Sorenson

2005

Health Educ Behav

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Most research on adolescents and firearms focus on urban populations, handguns, and homicide. The present investigation examines the prevalence and correlates of recreational gun use (RGU) -for hunting or target shooting -among 5801 community-residing 12-to 17-year old Californians. Data are from the first statewide California Health Interview Survey (CHIS), and person, design, and population weights were applied to the data. About one-fifth (22.4%) of California adolescents report that they have gone hunting or target shooting. Nearly two thirds (62.8%) have hunted with a family member, typically (67.3%) their father. Recreational gun use among adolescents appears to be linked to a few basic demographic characteristics; most notably, males had an AOR of RGU nearly five times that of females. Some of the variables associated with RGU are consistent with those for violent gun use; differences, however, suggest that separate approaches to preventing firearm-related injury may be warranted.

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“…This is of particular importance, because the maxilla and the mandible show different and distinct patterns of injury. Sherman and parish [7] have classified shotgun injuries into three groups. Long range injuries (type 1 = more than 7 yards distance between the weapon and the victim) are characterized by subcutaneous or deep fascial injuries only.…”

Section: Classification and Staging Systemsmentioning

confidence: 99%

Gunshot Injury in the Neck With an Atypical Bullet Trajectory

Godhi¹,

Mittal²,

Kukreja³

2010

J. Maxillofac. Oral Surg.

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Gunshot injuries are on a rise in both developed and developing countries, the reason for this may be increased access to firearms. Gunshot injuries to the neck and maxillofacial region are associated with high morbidity and mortality due to the complex anatomy and presence of various vital structures in this region. It is indeed a rare finding that a bullet's trajectory passes through the neck region and does not damage any vital structures. We present one such case of gunshot injury to the neck.

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Management of Shotgun Injuries

Cited by 79 publications

References 0 publications

Despite the Increasing Use of Nonoperative Management of Firearm Trauma, Shotgun Injuries Still Require Aggressive Operative Management

Despite the Increasing Use of Nonoperative Management of Firearm Trauma, Shotgun Injuries Still Require Aggressive Operative Management

Recreational Gun Use by California Adolescents

Gunshot Injury in the Neck With an Atypical Bullet Trajectory

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