Clinical characteristics of firearm-related injuries in children in Turkey

Vatansever, Göksel; Yılmaz, Hayri Levent; Nalbant, Tuğçe; Kangin, Murat; Almış, Habip; Köker, Alper; Çeleğen, Mehmet; Tekşam, Özlem; Bozlu, Gülçin; Havan, Merve; Arslanköylü, Ali Ertuğ; Güleryüz, Okşan Derinöz; Battal, Fatih; Özkaya, Pınar Yazıcı; Yener, Nazik; Yıldızdaş, Dinçer; Duran, Rıdvan; Tekin, Deniz; Ulukol, Betül; Kendirli, Tanıl

doi:10.24953/turkjped.2021.4564

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Аналізуючи наявну літературу, присвячену цій темі, привертає увагу те, що найчастіше відповідні дослідження проводились у країнах, де відбуваються соціальні сутички [1][2][3] або країнах з широким легальним розповсюдженням вогнепальної зброї серед населення [4][5][6]. У зв'язку із значною соціальною значущістю проблеми, останніми роками відзначається тенденція до проведення ретельнішого аналізу причин та наслідків вогнепальних поранень [7].…”

Section: обговоренняunclassified

“…Близько 63 % таких травм приходилось на дітей віком до 18 років. Найчастіше вогнепальні поранення отримують хлопчики -до 60-80 % випадків [1,[7][8][9]. Середній вік дітей коливається в різних дослідженнях від 7 до 14 років [1,8].…”

Section: обговоренняunclassified

“…На думку всіх дослідників, з метою зменшення випадків вогнепальних пошкоджень серед дітей, основною є потреба у посиленні контролю за вогнепальною зброєю у суспільстві [5,7].…”

Section: обговоренняunclassified

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A case of gunshot wound of the face, orbit and brain in a child: clinical presentation and consequences

Троніна,

Боброва

2023

Oftalmol Zh

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Section: обговоренняunclassified

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A case of gunshot wound of the face, orbit and brain in a child: clinical presentation and consequences

Троніна,

Боброва

2023

Oftalmol Zh

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Radiological method and findings in pediatric cranial firearm injuries

Arslan,

Koç,

Yöntem

2024

Preprint

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Background Firearm Injuries are growing problem due to rising civil wars, terrorist acts, and the spread of personal armament. Notably, there has been a reported rise in firearm injury and fatal cases among children and young people, who are particularly vulnerable to widespread violent behavior. Early diagnosis and treatment, including radiological imaging after initial intervention, can reduce mortality and morbidity in firearm injury cases Objective To explore the demographic characteristics and computerized tomography findings of pediatric patients with cranial firearm injuries and comparing the advantages and disadvantages of conventional radiography and tomography. Materials and methods This study included cases of cranial firearm injuries presented to the pediatric emergency department of XXX City Training and Research Hospital between January 1, 2018, and December 31, 2021. Data recorded for each case included age, gender, clinical course, and weapon type. Cranial tomography images were reviewed for entry and exit wounds, bullet trajectory, brain damage, bone fractures, distribution of bone fragments, bullet core fragments and their distribution. Results Of the 12 cases included in this study, 10 were male, 2 were female, with a mean age of 143 ± 46.5 months. In the five cases injured by a shotgun, subcutaneous pellets were seen in the penetration area at bone and parenchymal doses on cranial tomography axial images. In 2 cases of handgun injury, a subcutaneous bullet core was found in the temporal region while another bullet core had penetrated the skin and bone in the frontal region without causing any brain tissue damage. In four cases with handgun injuries, the bullet core penetrated the skin and cranial bones, causing brain tissue damage. Seven cases with subcutaneous pellets or bullet cores identified radiologically were treated in emergency department. Five patients with firearm injuries required hospitalization, of which two did not survive. Conclusion Cranial tomography has many advantages over x-ray ımaging. Axial images provide essential information on the bullet core, entry and exit wounds, primary and secondary parenchymal damage, hemorrhage, edema, bone fractures, and bullet or pellet residue. This imaging modality aids clinicians in deciding on medical or surgical interventions, selecting treatment types, monitoring treatment efficacy, and predicting mortality. It is an effective, recommended method that offers forensic physicians rapid and reliable insights into weapon type, bullet core trajectory, and skull fractures, thereby facilitating both clinical and forensic assessments.

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Cases Under the Age of 18 who Are Determined to Have Died due to Firearm Injury at Şanlıurfa Forensic Medicine Branch Directorate Examination

DÜNDAR,

ALTIN

2023

Phoenix Medical Journal

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Amaç: Türkiye'de nadir görülen ancak son yıllarda yaygınlaşan ateşli silah yaralanmalarına bağlı çocuk ölümlerinde; otopsisi yapılan vakalarda sosyodemografik, klinik ve olay yeri bilgilerini incelemeyi amaçladık. Gereç ve Yöntem: Adli Tıp Kurumu Şanlıurfa Şube Müdürlüğü’nde 1 Ocak 2013-1 Ocak 2023 tarihleri arasında ateşli silah yaralanması sonucu otopsisi yapılan 18 yaş altı 58 vaka belirlendi. Çocukların hastane dosyaları, otopsi raporları, otopsi fotoğrafları ve videoları, vücuttan alınan örneklerin kimyasal analiz raporları, histopatolojik inceleme raporları, olay yeri raporları, tanık-sanık ifadeleri ve bilirkişi raporları geriye dönük olarak incelendi. Çalışmada elde edilen veriler, IBM SPSS Statistics vn 20.0 yazılımı kullanılarak istatistiksel olarak analiz edildi. Bulgular: Türkiye’nin çocuk nüfus oranının ve çocuk ölüm hızının en yüksek olduğu Şanlıurfa’da, ateşli silah yaralanması sonucu ölen çocukların; yaş ortalaması 12.78±4.63 olup %70.7’si erkekti. Ölümlerin %50’si pandemi döneminde (2020-2021) olup, ölümler en sık kışın (%31), kırsal bölgede (%81), ev içinde (%60.4) yaralanma sonucu meydana gelmişti. Yaralanmaların sıklıkla kısa namlulu silahla (%56.9) tek atışta en sık baş-boyun bölgesinden (%48.2) bitişik atış mesafesinden (%37.9) kasıtsız yaralanma (%50) sonucu gerçekleştiği ve tıbbi müdahale sonrasında (%63.8) ölümle sonuçlandığı belirlendi. Sonuç: Ülkemizde mortalitesi yüksek çocuk ateşli silah yaralanmaları ile ilgili kısıtlı çalışmaların arttırılmalıdır. Ergenlik döneminde meydana gelen ateşli silah yaralanması sonucu ölümlerde psikolojik otopsiler yapılarak intiharlar azaltılabilir. Ayrıca merak ve keşfetme duyguları yüksek erken çocukluk döneminde silahlara ulaşılabilirliğin azaltılmasına yönelik önlem ve eğitimler verilmesi sonucu ölümlerin azalacağına inanıyoruz.

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Clinical characteristics of firearm-related injuries in children in Turkey

Cited by 3 publications

References 20 publications

A case of gunshot wound of the face, orbit and brain in a child: clinical presentation and consequences

A case of gunshot wound of the face, orbit and brain in a child: clinical presentation and consequences

Radiological method and findings in pediatric cranial firearm injuries

Cases Under the Age of 18 who Are Determined to Have Died due to Firearm Injury at Şanlıurfa Forensic Medicine Branch Directorate Examination

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