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  1. Sep 5, 2022 · Gunshot Wounds: Ballistics, Pathology, and Treatment Recommendations, with a Focus on Retained Bullets - PMC. Journal List. Orthop Res Rev. v.14; 2022. PMC9462949. As a library, NLM provides access to scientific literature.

    • 10.2147/ORR.S378278
    • 2022
    • Orthop Res Rev. 2022; 14: 293-317.
  2. Apr 17, 2023 · Gunshot wounds are complex, violent, traumatic injuries commonly encountered in forensic practice. These injuries are caused by penetration of the body with projectiles ejected from a barrel due to the ignition of gunpowder. The study of these injuries is also called wound ballistics.[1]

    • Rijen Shrestha, Tanuj Kanchan, Kewal Krishan
    • 2023/04/17
    • 2021
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  4. Apr 7, 2017 · Primary wound closure is counterproductive—open treatment is the method of choice for gunshot and blast injuries of the extremities, including re-evaluation. Following surgical revision, temporary wound coverings can be applied, e.g., negative-pressure wound therapy dressings or topical antiseptic wound gels.

    • Axel Franke, Dan Bieler, Benedikt Friemert, Robert Schwab, Erwin Kollig, Christoph Güsgen
    • 10.3238/arztebl.2017.0237
    • 2017
    • 2017/04
    • The Case
    • The Questions
    • Clinical Forensic Medicine and Gunshot Wounds
    • The Physical Characteristics of Entrance Wounds from Handguns
    • Conclusion

    The trauma radio alert advises EMS is five minutes out with a patient with gunshot wounds to the head. The patient was reportedly shot in the head after he attacked a state trooper during a traffic stop on the interstate. The paramedic reports that the patient has two head wounds, is orally intubated, is tachycardic at 120, has a blood pressure of ...

    What were the physical characteristics of each of the wounds you observed on the suspect’s scalp?
    Which wound was the entrance wound?
    How did you determine which wound was the entrance wound?
    Which wound was the exit wound?

    Patients who are victims of gun violence present to the emergency department with both medical needs and forensic issues. The patient is part of the crime scene, all evidence of which is only seconds away from being inevitably and irretrievably washed or debrided away. In these fleeting moments, both health and justice are held in the physician’s h...

    The physical characteristics of an entrance wound depend primarily on two factors: 1) the range of fire (the distance from the muzzle to the skin) and 2) the presence of any intermediate objects (eg, clothing, glass). Range of fire is divided into four general categories: distant (or indeterminate), intermediate, close, and contact (see Table 2). E...

    Emergency physicians are in an ideal position to evaluate and document the state of a gunshot wound because they see and explore it before it is disturbed, distorted, or destroyed by treatment or surgical intervention. Documentation of gunshot wounds should always include the anatomical location, size, shape, and distinguishing forensic characteris...

  5. Gunshot wounds. A review of ballistics, bullets, weapons, and myths. Rhee, Peter M. MD, MPH; Moore, Ernest E. MD; Joseph, Bellal MD; Tang, Andrew MD; Pandit, Viraj MD; Vercruysse, Gary MD. Author Information. Journal of Trauma and Acute Care Surgery: June 2016 - Volume 80 - Issue 6 - p 853-867. doi: 10.1097/TA.0000000000001037. Buy. Metrics.

  6. The following hypotheses will be advanced: (1) the concept of rapid transport is the most important therapeutic factor (as opposed to prolonged on-scene treatment) in the treatment of gunshot wounds in the urban setting; (2) the typical pattern of injury observed with gunshot wounds to the vertebral column would suggest that the role of potentia...

  7. Apr 1, 2023 · This article provides a comprehensive review on the management of ballistic injuries in the emergency department, including how to assess and manage gunshot wounds, how to recognize when further imaging or evaluation is needed, and how to recognize when transfer to another facility is required.

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