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this is an observational case series study on penetrating trauma admissions in three teaching hospitals in tehran from 1996 to 1997. in order to describe the epidemiology and determine the ways of improving treatment of penetrating injuries, we selected 410 patients with penetrating injuries and injury severity scores (iss) of more than 7 (the maximum iss is 75) out of 3580 trauma patients, hos...

Doctors and nurses treating patients who have blast or gunshot injuries should remember that in nearly all cases there will be forensic or medicolegal consequences and that, although patient care is of prime importance, they have certain duties to record information with these consequences in mind. Such information may be required in subsequent legal prosecution or to help the victims to obtain...

CONTEXT Despite the absence of symptoms in the majority of patients carrying lead bullet fragments in their bodies, there needs to be an awareness of the possible signs and symptoms of lead intoxication when bullets are lodged in large joints like knees, hips and shoulders. Such patients merit closer follow-up, and even surgical procedure for removing the fragments. OBJECTIVE To describe a pa...

only 5 patients had documented seroconversion for CHIKV. However, high titers were found in all but 1 patient (>1,280 in 21 patients and 640 in 2 patients). This patient, who had a titer of 80, was an Italian who had probably not been previously exposed to CHIKV. Thus, the risk for misclassifi cation was low. PCR for early detection of infection was not used because only 3 persons were tested w...

A case of a suicidal gunshot wound of the head where the projectile ricocheted within the calvarium and exited through the entrance wound is reported. Findings at the scene and from examination of the victim and the suspect weapon are presented and discussed.