Investigation Of Firearm Injury Cases Presented To A Training And Research Hospital’s Emergency Service

Meral, Orhan; Sağlam, Caner; Güllüpınar, Birdal; Aktürk, Özlem Ezgi; Beden, Serdar; Parlak, İsmet

doi:10.14744/tjtes.2019.08949

Cited by 4 publications

(11 citation statements)

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“…In the study conducted by Meral et al [4], patients were most admitted to the hospital with gunshot wounds in April (13.2%) and May (11.6%), whereas in our study, gunshot wounds most occurred in November. While Meral et al [4] showed that 14.6% of the cases were injured in more than one body part, we found that this rate was 41% in our study. Similar to the other studies [3,4], lower extremity was the most common site of injury in this study.…”

Section: Discussioncontrasting

confidence: 77%

“…The average age of the patients who died was 28 years, and no significant relationship was detected between age and mortality (P=0.531, r=-0.063). The gunshot wounds mostly occurred between 18:00-24:00 [1,4]. Similarly, in this study, most of the gunshot wounds (50.8%) and highest mortality rate (66.7%) were observed between 16:01-24:00.…”

Section: Discussionsupporting

confidence: 75%

“…Compatible with the literature, in this study, the patients who presented to the ED with gunshot wounds were young males aged 30-40 years [1,3,4,13]. The average age of the patients who died was 28 years, and no significant relationship was detected between age and mortality (P=0.531, r=-0.063).…”

Section: Discussionmentioning

confidence: 80%

“…Due to the easy availability and portability of firearms, morbidity, and mortality rates due to gunshot wounds are increasing in our country as well as in the world [4]. The physician's recognition of the characteristic wound patterns in the trauma patient who was severely injured by a firearm in the ED can speed up the treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In the emergency department (ED), the trauma patient who was seriously injured by a firearm should be evaluated and intervened rapidly for airway obstruction, tension pneumothorax, massive internal or external hemorrhage, open pneumothorax, flail chest, and cardiac tamponade [4].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of patients admitted to the emergency department with gunshot wounds

Ertekin¹

2021

Journal of Surgery and Medicine

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Section: Discussioncontrasting

confidence: 77%

Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of patients admitted to the emergency department with gunshot wounds

Ertekin¹

2021

Journal of Surgery and Medicine

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Assessment of computed tomography indications and computed tomography reports for usefulness in clinical presentation at postoperative follow-up of gunshot wound cases

Üstüner

Eryılmaz

2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:The present study aimed to evaluate the results of lower thoracic tomography (LTT) and upper abdominal tomography (UAT) of the patients who were treated and followed at our tertiary center due to gunshot wounds (GSWs). METHODS:The present research was designed as a retrospective descriptive study. All patients, who were admitted to our clinic due to GSW between January 2016 and April 2020, were retrospectively analyzed. This study included 44 patients who had postoperative lower thoracic and upper abdominal tomography scans.RESULTS: Among the patients, 43 (97.72%) were male, and one (2.27%) patient was female, with a mean age of 27.45 (range: 20-53) years. The mean length of hospital stay was 14.93 (range: 5-38) days. The mean number of tomography scans per patient was 1.65 (1-4), and the mean Injury Severity Score (ISS) was 24.38 (12-43). Among the patients, 31 (70.45%) had a direct GSW from a pistol or a rifle, while 13 (29.5%) sustained secondary injuries from shrapnel emanating from a bomb explosion. Furthermore, 23 (52.27%) patients who were initially operated at another center were clinically observed, while 15 (34.09%) patients were operated for the first time, and six (13.63%) patients had their second operation. LTT scans were obtained due to dyspnea, direct thoracic trauma and in addition to abdominal tomography for follow-up in 25 (56.81%), 13 (29.54%) and six (13.63%) patients, respectively. UAT scans were obtained for postoperative follow-up in 29 (65.90%), preoperative assessment in 12 (27.27%) and assessment of blast trauma in the absence of ,direct abdominal trauma in three (6.81%) patients. The most common finding on LTT was effusion (47.7%). No pathology was observed in 61.36% of the UAT scans, while liver laceration was noted in 20.45%. The total cost of LTT and UAT was almost half that of a total thoracic tomography and a whole abdominal tomography. CONCLUSION:Selective lower thoracic and upper abdominal tomography obtained following a gunshot injury may be used not only to detect pathology but also as an efficacious, fast, reliable and cost-effective imaging method.

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Fatal Land Hunting-Releated Injuries in The Eastern Black Sea Region - Turkey

Özsoy¹

2021

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Hunting requires the use of various weapons or tools as professionals according to the characteristics of the creature to be hunted. Deaths during hunting activities may occur as a result of different reasons (firearm wounds, falling from a height, wild animal attack, or natural, etc.). These events’ forensic reports are prepared by the physician who performed the first intervention. Identification of wounds, taking measurement photographs of the wounds before treatment, specifying the shape/sizes of foreign bodies in radiological imaging will be beneficial for determining the type of firearm, the number of shots, and the shooting distance. METHODS: The cases that performed autopsy between 2007 and 2016 at The Council of Forensic Medicine Trabzon Group Chairmanship were analyzed, retrospectively. Twenty-six (4.1%) deceased were examined. Crime scene investigation reports, hunting equipment, wound characteristics, and causes of death were investigated. RESULTS: All of our cases consisted of men (92.3%; n=24) with a mean age of 42.5 years (14–81; SD: ± 17.4). It was determined that 42.3% of the incidents occurred in winter, 80.8% (n=21) occurred in the daytime, 69.2% occurred in open areas such as fields, and 26.9% occurred in forested land. It was found that 88.5% of the deaths were caused by shotgun pellet/buckshot injuries, 7.7% (n=2) by falling off a cliff, and 3.8% by wild boar attacks (vascular injury). It was determined that 57.7% of the shots were made from long shooting distance, 19.2% were made from close range, and 11.5% were made from contact distance. It was found that 73.9% of the perpetrators were other hunters and 26.1% were the deceased person himself. It was determined that 42.3% of the injuries occurred in the chest and 38.4% in the head-and-neck region. It was determined that 96.2% of the cases did not undergo first aid intervention even though there were eyewitnesses in approximately ¾ of the cases. Ethyl alcohol was detected in only 3 cases (11.5%). CONCLUSION: It is thought that similar deaths can be prevented to a certain extent thanks to the hunting and medical first aid training to be given by the local governments. Risk control mechanisms must work properly. Besides, it is necessary to ensure that forensic experts can access the results of the proceedings in such cases. It is thought that this will be more beneficial in terms of developing new behavior styles in similar events.

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Investigation Of Firearm Injury Cases Presented To A Training And Research Hospital’s Emergency Service

Cited by 4 publications

References 0 publications

Analysis of patients admitted to the emergency department with gunshot wounds

Analysis of patients admitted to the emergency department with gunshot wounds

Assessment of computed tomography indications and computed tomography reports for usefulness in clinical presentation at postoperative follow-up of gunshot wound cases

Fatal Land Hunting-Releated Injuries in The Eastern Black Sea Region - Turkey

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