2011
DOI: 10.4103/0974-2700.76827
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Vascular injuries after bear attacks: Incidence, surgical challenges and outcome

Abstract: Background:Bear mauling is rarely reported in medical literature due to its rare occurrence. Present study was undertaken to describe the pattern and management of bear maul vascular injuries in Kashmir.Patients and Methods:Study of patients with bear maul vascular injury from 1st Jan 2004 to 31st Dec. 2008. Fifteen patients with bear maul vascular injury were studied. All patients of bear maul without vascular injury were excluded from the study.Results:Most of the patients were treated by reverse saphenous v… Show more

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Cited by 14 publications
(16 citation statements)
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“…Our hospital (Sher-i-Kashmir Institute of Medical Sciences) is the only tertiary care hospital where facilities for the management of vascular injuries are available catering a population of more than ten million people (1-4). …”
Section: Introductionmentioning
confidence: 99%
“…Our hospital (Sher-i-Kashmir Institute of Medical Sciences) is the only tertiary care hospital where facilities for the management of vascular injuries are available catering a population of more than ten million people (1-4). …”
Section: Introductionmentioning
confidence: 99%
“…All these observations are consistent with the findings of previous studies. [21,22] In our study we observed that since most of the attacks occurred near foot hills, patients had to travel a long distance (10 to 40 Km) to reach the nearest medical centre and 65 to 150 Km to reach our tertiary hospital. Besides the struggle by the victim at the time of attack makes the contaminated with dust, grass and also the oral cavity of the wild animals at times contaminated with numerous bacteria.…”
Section: Discussionmentioning
confidence: 78%
“…Metalik olmayan atış ürünlerinin (plastik mermi, göz yaşartıcı gaz kapsülleri vs.) düşük namlu çıkış hızına sahip olsa bile, en kontamine penetran yaralara yol açtığı vurgulanmış ve sonuçta metalik olmayan atış ürünlerinin kesinlikle daha az ölümcül olmadığı, yüksek oranda enfektif, sakatlayıcı ve hatta öldürücü potansiyele sahip bulunduğuna dikkat çekilmiştir (6).…”
Section: Discussionunclassified
“…Bazı kaynaklar, kapsüllerin metal olmayan köpük gibi yumuşak ve hızla soğuyan, zarar verme potansiyeli çok düşük maddelerden oluşturulması, kullanım talimatlarına tamamen uyulması, atış mesafesi ve açısına dikkat edilmesi, kullanacak görevlilerin iyi eğitimli olması ve özenle seçilmesi ile zararların önleneceğini ifade etmektedir (6). Ancak, hafif ve geçici yan etkileri olduğu düşünülerek yaygın şekilde kullanılan göz yaşartıcı gazlar ve bunların kapsülleri; organların, duyuların, fonksiyonların kaybıyla sonuçlanan ciddi yaralanmalara hatta ölümlere neden olabilmektedir.…”
Section: Discussionunclassified