A retrospective review of 406 suicidal gunshot wounds to the head, investigated at the Medico-Legal Laboratory of Pretoria, between 1997 and 2000 was performed. Fifty-seven percent of fatal suicidal firearm injury to the head occurred in the 21- to 40-year age range in both male and female victims. Eighty-two percent of all these victims of suicidal firearm fatalities to the head were male. Of ...

OBJECTIVES Examine fatal and nonfatal firearm injuries among children aged 0 to 17 in the United States, including intent, demographic characteristics, trends, state-level patterns, and circumstances. METHODS Fatal injuries were examined by using data from the National Vital Statistics System and nonfatal injuries by using data from the National Electronic Injury Surveillance System. Trends f...

BACKGROUND Gun-related crime offences have increased in the Republic of Ireland steadily over the past number of years. Regional trauma units are witnessing unprecedented numbers of injuries in the Republic of Ireland with limited prior experience. AIMS Eight-year retrospective study analysing demographic data, management and outcome of firearm-related injuries. RESULTS Patients who experie...

When it comes to firearm fatalities, the main goal of forensic analysis is to distinguish firearm suicides from homicides and accidents. Apart from the location of the entrance wound, wound path trajectory and gunshot residue, blood stain pattern analysis of gunshot-related backspatter on the hands of the victim can be an essential tool not only to determine which hand was holding the firearm, ...

In the medico-legal assessment of cases of aggression with firearms, imaging techniques have a particularly important role, especially in the study of a bullet's path through the victim's body. The analysis of these trajectories can be performed by the use of three-dimensional reconstitution techniques, namely Three-Dimensional Multi-Slice Computed Tomography (3D-MSCT). This imaging technique h...

LAST SPRING, A GROUP CALLED MAYors Against Illegal Guns, a coalition of US mayors who want more stringent regulation of firearm sales, unveiled a television commercial featuring clips from speeches by the 3 leading presidential candidates. In these clips, Sen Hillary Rodham Clinton (D, NY), Sen Barack Obama (D, Ill), and Sen John McCain (R, Ariz) said they oppose a “gun show loophole” that allo...

The vertebral artery (VA) is well protected through its course at the cervical transverse foramina and penetrating injuries of VA are mostly caused by gun shot wounds. The mechanism of injury in these wounds is described as the kinetic energy transferred by the bullet, which always depends on its mass and speed. Thus, the size of the pellet is the most important factor for the tissue damage, sh...

Estimating the time since discharge of a spent cartridge or a firearm can be useful in criminal situations involving firearms. The analysis of volatile gunshot residue remaining after shooting using solid-phase microextraction (SPME) followed by gas chromatography (GC) was proposed to meet this objective. However, current interpretative models suffer from several conceptual drawbacks which rend...

BACKGROUND Gun violence is a controversial public health issue plagued by a lack of recent research. We sought to provide a 13-y overview of firearm hospitalizations in Pennsylvania, analyzing trends in mode, intent, and outcome. We hypothesized that no adjusted change in mortality or functional status at discharge (FSD) would be observed for gunshot wound (GSW) victims over the study period. ...

Embolization by a dislodged projectile is a rare complication that may occur in cases of gunshot cardiac injuries. We report a case of a firearm projectile cardiac injury that evolved, with dislocation of the projectile during cardiac surgery, into embolization of the right external carotid artery.