Infection in Minor Gunshot Wounds

Ordog, Gary J.; Sheppard, Geron F.; Wasserberger, Jonathan; Balasubramanium, Subramanium; Shoemaker, William C.

doi:10.1097/00005373-199303000-00009

Cited by 67 publications

(32 citation statements)

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“…But there was a case of retropharyngeal abscess which was treated with drainage and broad spectrum antibiotics. 1.8 % of wound infection was observed by Ordog in minor gunshot injuries [4].…”

Section: Discussionmentioning

confidence: 96%

Missile injuries in head — neck and maxillo-facial region — an experience in eastern nepal

Wakode

Ghimire

Acharya

2008

Indian J Otolaryngol Head Neck S

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Ballistic injuries to head-neck and maxillofacial region is quite common problem nowadays. Most of the time the injuries seem to be dreadful but the mechanism of the injuries caused by ballistics and the anatomical conditions of maxillofacial and head-neck region mitigate the severity of the injuries. Proper primary management followed by reconstruction and management of associated injuries decreases the mortality and morbidity of missile injuries in head-neck and maxillofacial region. Eleven cases of missile injuries in head-neck and maxillofacial region are included in the present study. The mechanism of the injury and the ideal management strategy for the ballistics injuries in the region has been discussed in the article.

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Section: Discussionmentioning

confidence: 96%

Missile injuries in head — neck and maxillo-facial region — an experience in eastern nepal

Wakode

Ghimire

Acharya

2008

Indian J Otolaryngol Head Neck S

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“…In one series of over 3000 patients the overall infection rate was under 2%. 30 About 40% of these had antibiotic cover, but infection (mostly Staphylococcus aureus) was not significantly reduced by this. Risk factors for infection in such wounds include undue delay between wounding and treatment, the lack of basic wound cleansing before attendance, a wound size of between 1 and 2 cm, and failure to comply with instructions on wound care.…”

Section: 31mentioning

confidence: 97%

Management of Gunshot Wounds of the Limbs

Bowyer

Rossiter

1997

The Journal of Bone and Joint Surgery. British volume

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The incidence of bullet wounds in civilian trauma has increased in many parts of the world, sometimes approaching epidemic level.1 For surgeons with limited experience there is a bewildering range of apparently contradictory advice on management. 2-4 An attempt to clarify this for gunshot injuries of the limbs, without major vascular injury, must include current concepts of ballistic wounding, the pathology of soft-tissue wounds and fractures, and of bacterial contamination. Advice on clinical practice and treatment options cannot be prescriptive because of the wide range of injury patterns and settings, but an understanding of the general principles can guide clinical management. WOUND BALLISTICSThe interaction of projectiles and biological targets 5 should not be considered merely in terms of the missile velocity or its available energy. The important factor is its tissue interaction: a 'high-energy' bullet may sometimes produce a low-energy transfer wound. 6Energy transfer. The available kinetic energy of a missile depends on its mass (m) and velocity (v) according to the equation E = 1/2 mv 2 , but the tissues involved and other projectile factors will determine the amount of energy which is transferred (⌬ E). The rate of energy transfer (dE/ dt) is also important; this may vary along the wound track (dE/dx) and in terms of energy flux (⌬E/cross-sectional area). These unfamiliar terms are the major determinants of the pathological effects, 3,7 and mean that wound management cannot be based on the characteristics of the weapon, be it handgun, rifle, or shotgun. The key is to "treat the wound, not the weapon". 4

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“…Bu yazarlar dıştan ve içten tespit ile ilgili olarak, her dört hastanın birinde gerekli olduğunu ve ayrıca dıştan hareketsizlik zorunluluğunu rapor etmişlerdir. Yine içten ve dıştan tespit durumunun benzer şekilde yetişkinlerdeki kırık örneklerinden daha az olduğunu göstermişlerdir [5][6][7][14][15][16][17] . Çalışmamızda, 27 (%79.4) olguda kısa namlulu ateşli silah yaralanması görülmüş olup, üç tanesinde dıştan tespit, bir tanesinde de içten tespit yöntemi uygulanmıştır.…”

Section: Gereç Ve Yöntemunclassified

Gunshot Injuries in Children Treated in the Department of Orthopedics

Can¹,

Çakar²,

Gözen³

et al. 2012

BSBD

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bsbd@balikesir.edu.tr www.bau-sbdergisi.com ÖZET AMAÇ: Bu çalışmada, çocukların ateşli silahla yaralanmalarına (ASY) bağlı ölüm, yaralanma ve sakat kalma gibi pek çok sosyal soruna neden olan olaylara dikkat çekmek ve toplum duyarlılığını artırmak amaçlanmıştır. YÖNTEMLER: Çalışmamızda, Eylül 2005-Nisan 2008 tarihleri arasında Yüzüncü Yıl Üniversitesi Tıp Fakültesi (YYÜTF) Ortopedi Kliniği'ne ASY nedeniyle yatırılarak tedavi edilen 17 yaş ve altında 34 olgu geriye dönük incelendi. Olgular öykü, yaş, cinsiyet, doğum yeri, kullanılan silah türü ve yaralanma şekli, hayati tehlike ölçütleri, bedensel muayene bulguları ve radyolojik bulgular açısından değerlendirildi. BULGULAR: 34 olgunun tümü 17 yaş ve altında idi. Olguların yaş ortalaması 13.11±2.34 bulundu. Yaş dağılımı incelendiğinde, sekiz (%23.5) olgunun 15, yedi (%20.7) olgunun 13 yaş grubunda olduğu tespit edildi. Olguların 29'unun (%85.3) erkek, beşinin (%14.7) kadın olduğu saptandı. Olguların %55.9'unun Van ve ilçelerinden, %44.1'inin Hakkâri, Ağrı, Bitlis, Siirt ve Muş'tan geldiği saptandı. Olgulardan 27'sinde (%79.4) kısa namlulu silah (KNS) ile ekstremite yaralanması, dördünde ( %11.8) uzun namlulu silah (UNS) ile ekstremite ve pelvis yaralanması, üç olguda (%8.8) patlayıcılarla yaralanma tespit edildi. 20 (%58.8) olguda alt ekstremitelerde, 11 (%32.4) olguda üst ekstremitelerde, iki olguda (%5.8) alt ekstremite, göğüs ve batında, bir olguda göğüs ve batında yaralanma saptanırken, 14 (%41.2) olgunun da yaşamsal tehlike geçirdiği saptandı. Olguların öykülerine göre, 20'sinin kaza, 9'unun kasta bağlı, 5'ininde nedeni bilinmeyen sebeplerle olduğu tespit edilmiştir. SONUÇ: Çalışmamızda, özellikle bölgemizde çeyrek asırdır devam eden çatışma ortamı, giderek artan silah kullanma alışkanlığının, çocukların da ateşli silah veya patlayıcı madde ile yaralanmaları nedeniyle, yöremizde çocuk rehabilitasyon merkezi açılması ve başta ebeveynler olmak üzere toplum duyarlılığının artırılması gerekmektedir.Anahtar Kelimeler: Çocuk, ateşli silah, yaralanma, adli tıp SUMMARY OBJECTIVE: The aim of this study was to call attention to social problems related with morbidity and mortality due to gunshot injuries and call awareness in the community. METHODS: In this study, 34 cases aged 17 and below hospitalized due to gunshot injuries in the Department of Orthopedics at the University of Yuzuncu Yil were evaluated retrospectively between September 2005 and April 2008. Age, sex, place of birth, type of gun and injury, life threatening conditions, physical exam findings and X-Ray results of the cases were assessed. RESULTS: All 34 cases were aged 17 and below with a mean age of 13.11±2.34. Twenty-nine (85.3%) of the cases were males and five (14.7%) were females. Cases were living in and around the city of Van in 55.9% and Hakkari, Agri, Bitlis, Siirt and Mus in 44.1%. In 27 (79.4%) cases injuries on the extremities due to short barrel guns, in four (11.8%) cases injuries on the extremities and pelvis due to long barrel guns and in three (8.8%) cases injuries due to explosives we...

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Infection in Minor Gunshot Wounds

Cited by 67 publications

References 0 publications

Missile injuries in head — neck and maxillo-facial region — an experience in eastern nepal

Missile injuries in head — neck and maxillo-facial region — an experience in eastern nepal

Management of Gunshot Wounds of the Limbs

Gunshot Injuries in Children Treated in the Department of Orthopedics

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