Principles of Ballistics Applicable to the Treatment of Gunshot Wounds

Swan, Kenneth G.; Swan, Roy C.

doi:10.1016/s0039-6109(16)45376-4

Cited by 57 publications

(24 citation statements)

References 9 publications

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“…meticulous wound cleaning/debridement, immobilization, delayed wound coverage and antibiotics. Meticulous recording and preservation of all findings, photographs and forensic evidence should be done in all civilian cases 5,6 . In a study of 90 low velocity GSW Byrne A et al 7 reported 70.5% soft tissue injury only.…”

Section: Discussionmentioning

confidence: 99%

Outpatient Management Of Low Velocity Gunshot Wound Experience In United Nations Level-Ii Hospital

Rahman

Sikder²,

Haque³

et al. 2012

J. Armed Forces Med. Coll.

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Introduction: Gunshot wounds are commonly encountered in war as well as in civilian situation. Experience of treating low velocity gunshot wounds (GSW) as outpatients in a war situation is depicted in this study. Aim: The aim of this study was to evaluate the experience of treating low velocity gunshot wounds by simple wound irrigation and marginal excision in war situation. Method: This was a retrospective observational study carried out in a Level-II Hospital of United Nations in Ivory Coast over a period of 7 months. All patients of low velocity GSW were treated with simple wound irrigation with normal saline and povidone iodine solution with excision of wound margin of doubtful viability under local anesthesia, rather than wound debridement. Result: All wounds healed with 6% superficial wound infection that was controlled with oral antibiotics. Conclusion: Outpatient management of low velocity GSW with wound irrigation and marginal excision is an effective method of treatment that can save time, money and hospital-stay.

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Section: Discussionmentioning

confidence: 99%

Outpatient Management Of Low Velocity Gunshot Wound Experience In United Nations Level-Ii Hospital

Rahman

Sikder²,

Haque³

et al. 2012

J. Armed Forces Med. Coll.

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“…subcutaneous fat) are more resistant to bullet injury. Bone modifies the behavior of bullets markedly, by altering their course, creating a tumbling effect, slowing them down and increasing deformity and fragmentation [8,9]. Evaluation of bone injuries and the distribution of bone and bullet fragments on radiographs can be helpful in determining the direction of travel, which is important not only for clinical assessment but also for forensic evaluation of the incident [10].…”

Section: Mechanism Of Gunshot Injurymentioning

confidence: 99%

“…Lead pellets tend to be deformed and fragmented by impact with soft tissue and bone. Simple analysis of a radiograph is all that is needed to determine if a patient with shot gun injury can be safely placed in MR imaging magnet [9].…”

Section: Mechanism Of Gunshot Injurymentioning

confidence: 99%

Role of Maxillofacial Radiologist in Ballistic Wound: Case Report with Literature Review

Sultana¹,

Sham²

2012

IJOHNS

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Gunshot injuries are rather serious but uncommon type of trauma in India. Radiologists can contribute substantially in evaluation and treatment of patients with a gunshot wounds. Plain films, CT, Angiography, and sometimes MR imaging are used to localize shots. This paper describes a case report of shotgun injury to the face and neck and also attempts to illustrate the spectrum of available imaging with relevant findings pertaining to bullets and shotgun pellets in gunshot injuries. Radiologists should be aware of the associated complications and forensic implications when they take on the task of interpreting these images.

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“…Entsprechend führt eine hohe kinetische Energie (hohe Projektilmasse, hohe Geschwindigkeit) zu einer potenziell massiveren Verletzung [14]. Während eine hohe kinetische Energie beim Austritt aus dem Körper darauf hindeutet, dass das Gewebetrauma gering ist, bedeutet ein völliges Abbremsen des Geschosses ein entsprechend hohes Gewebetrauma, da die gesamte kinetische Energie im Körper abgegeben wurde [85]. Ein Projektil mit größerer Aufprallgeschwindigkeit hat auch größere Bremskräfte im Gewebe und daher ein größe-res ∆KE.…”

Section: Terminale Ballistikunclassified

Behandlung von Schussverletzungen des Bewegungsapparates

et al. 2002

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In the view of efficiency and cost effectiveness the increasing incidence of gunshot wounds in Europe demands a modification of treatment protocols. The general basis are debridement of soft tissue injuries, antibiotics and fracture stabilization. The pathology of gunshot wounds and established treatment algorhithms, however have to be adjusted to the ongoing development of gun technology and the thereby caused specific lesions. The treatment of injuries caused by high velocity projectiles necessitates a proactive surgical strategy. Small caliber gunshot wounds can be treated more conservatively. The following review presents an overview on the ballistic and surgical basis for the treatment of gunshot wounds of the musculoskeletal system.

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Principles of Ballistics Applicable to the Treatment of Gunshot Wounds

Cited by 57 publications

References 9 publications

Outpatient Management Of Low Velocity Gunshot Wound Experience In United Nations Level-Ii Hospital

Outpatient Management Of Low Velocity Gunshot Wound Experience In United Nations Level-Ii Hospital

Role of Maxillofacial Radiologist in Ballistic Wound: Case Report with Literature Review

Behandlung von Schussverletzungen des Bewegungsapparates

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