Peripheral Vascular Trauma From Close-Range Shotgun Injuries

Meyer, Joseph P.; Lim, Leonardo T.; Schuler, James J.; Castronuovo, John J.; Buchbinder, Dale; Woelfel, George F.; Flanigan, D. Preston

doi:10.1001/archsurg.1985.01390340024004

Cited by 44 publications

(12 citation statements)

References 16 publications

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“…None of these scoring systems have proven to be more reliable than clinical judgment [11,13]. Our data supports other investigators, who have also recommend aggressive operative management of these wounds [1,14].…”

Section: Discussionsupporting

confidence: 79%

“…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%

“…Clinical judgment remains the most reliable guide when assessing the need for operative intervention [11,13]. Additionally, improved outcomes after shotgun injury have been attributed to aggressive operative management [1,14].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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: Discussionsupporting

confidence: 79%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

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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“…41,37,49,51,77 While low-velocity missile wounds are generally considered to be less severe and tissue damage more substantial with higher velocity military and hunting weapons, the bullet's striking velocity does not necessarily correlate with the resulting amount of tissue disruption. 40,48,60,83 Shotguns, for example, technically are low-velocity weapons, but incur significant rates of major soft tissue, nerve, vascular, bone, and joint injury, 31,38,74,112,100,106 resulting in a mortality rate approximately twice that of other weapons. 130 On the other hand, various reports have shown that military rifle bullets potentially can cause no greater tissue disruption than that found in wounds created by low-velocity projectiles.…”

Section: The Overemphasis Of Velocity and The Myth Of The High-velocimentioning

confidence: 99%

Common Misconceptions and Controversies Regarding Ballistics and Gunshot Wounds

Bartlett¹,

Bissell²

2006

Techniques in Orthopaedics

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“…The distribution of arterial injury in our series was comparable to that in other series. [678] These series also had an almost similar arterial distribution.…”

Section: Discussionmentioning

confidence: 73%

Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone

Wani

Ahangar

Ganie

et al. 2013

J Emerg Trauma Shock

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Background:Rubber bullets and pellet guns are considered non-lethal low-velocity weapons. They are used to disperse a mob during street protests. The present study was undertaken to analyze the pattern, presentation and management of vascular injuries caused by these weapons.Patients and Methods:This was a prospective study of patients with features of vascular injuries due to pellets and rubber bullets from June 2010 to November 2010. All patients with features of vascular injuries due to these non-lethal weapons were included in the study. Vascular injuries caused by other causes were excluded from the study.Results:A total of 35 patients who presented with features of vascular injury during this period were studied. All of them were males. The mean age was 22 years. Fifteen patients were revascularized primarily, 19 patients needed reverse saphenous vein graft and, in one, patient lateral repair was done. There were two mortalities in our series. Wound infection was the most common complication. The amputation rate was around 6%.Conclusion:Pellet and rubber bullets can cause serious life-threatening injuries. Vascular injury caused by these weapons need no different approach than other vascular injuries. Early revascularization and prompt resuscitation prevents the loss of limb or life.

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Peripheral Vascular Trauma From Close-Range Shotgun Injuries

Cited by 44 publications

References 16 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

Common Misconceptions and Controversies Regarding Ballistics and Gunshot Wounds

Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone

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