Ateşli Silah Yaralanmasına Bağlı 133 Ölüm Olgusunun İncelenmesi

Abstract

K a ra g ö z YM, K a ra g ö z SD, A tılgan M, D em ircan C. Ateşli Silah Y aralan m asın a B ağlı 133 Ölüm Olgusunun İn celen m esi, Acili Tıp B ülteni 1996; 1(3.). 1 2 2 -6 ÖZETYedi yıllık bir süre içerisinde Antalya'da ateşli silahla ya ralanma sonucu meydana gelen ve otopsisi yapılan 133 ölüm olgusunun raporları incelenerek: yaş, cinsiyet, orijin, atış mesafesi, silah cinsi, giriş-çıkış deliği sayısı ve özellikle ri, iç organ hasarları açısından değerlendirildi. Olguların %78.95'i erkek, %21.05'i kadındı. Ölümlere en sık 21-30 yaş grubunda rastlanıyordu (%30.08). Cinayet ori jini %66.92'lik oranla ilk sıradaydı. Uzak mesafeden yapılan atışlarla meydana gelen ölümler olguların yarısına yakınını oluşturuyordu (%46.62). Ölüme sebebiyet veren silah, olgu ların %55.64'iinde kısa namlulu ateşli silah olarak değerlen dirildi. Olgu başına düşen ortalama giriş deliği sayısı 1.49 olarak bulundu. İsabet en fazla kafa bölgesineydi ve beyin en fazla hasara uğrayan organdı.Anahtar kelimeler: Ateşli silah yaraları, Otopsi. SUMMARYIn a seven years study, between 1987-1993, 133 medico legal autopsy reports of deaths due to firearm injury were rewieved and classified according to age, sex, origin, w e apon type, range, characteristics and number of entranceextrance wounds and internal tissue damage. 78.95 % of all cases were male and the rest were female. Deaths were mostly in 21-30 of age (30.08 %). Homicide was the most common origin with 66.92 %. Deaths due to firearms injuri es at distant range were nearly half of the cases. % 55.64 of weapons leading to death were handguns. It was found that average entrance wound number per case was 1.49. Gene rally, head region was the most frequently effected area and brain was the most commonly damaged tissue.

An Analysis of Firearms-Related Deaths Between 1993-2010: A Retrospective Study

“…Previous studies in our country have reported this rate as between 7.4%-27.7%. [8][9][10][11][12] In a study by Norton and Langley in New Zealand, this rate was 0.3%, [13] Nizamo et al [14] reported this rate as 8.7% in Mozambique, and Biago Solarino [4] determined this rate to be 27.7% in Italy. In the current study, this ratio is higher because the population served by our health center has access to firearms.…”

“…[9][10][11][12] Parallel to literature, the cases in the current study ranged from 20-43 years of age. In a study by Azmak et al in Edirne, the cases were primarily in the 21-30 years age group, followed by the 31-40 years age group.…”

“…This rate has been reported as ranging between 0.13-24% in previous studies. [4][5][6]8,11,[33][34][35] Copeland and Ornehult made a detailed study of accidental firearms deaths together with crime scene investigation and it was reported that the firearms accidents could have occured as a result of playing with firearms, showing the weapon others or because of faulty firearms. [39,40] These features are similar to the findings of accidental deaths in the current study.…”

“…[6] In our country, studies evaluating forensic cases have stated mortality rates of 8.2-27.7% from firearms injuries. [8][9][10][11][12] This study aimed to analyze the demographic data of cases of firearms injury which underwent an autopsy in our department and to compare that data with other studies.…”

Evaluation of Gunshot Wounds in the Emergency Department

“…The Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), and the Trauma and Injury Severity Score (TRISS) probability of survival for blunt trauma and penetrating trauma were calculated for all patients. The extent of injury was graded according to the ISS as: mild (1)(2)(3)(4)(5)(6)(7)(8), moderate (9)(10)(11)(12)(13)(14), severe (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) and critical (≥25). [2] In the present study, the evaluated parameters included mechanism of injury, results and types of diagnostic imaging, modality of treatment, consulted departments, hospitalization ratio, length of stay and complication rate and type.…”