Crime scene forensic evidence may include audio gunshot recordings obtained from some known or assumed location with respect to the shooting position. The acoustic evidence of the gunshot depends significantly upon the relative orientation of the firearm's barrel and the recording microphone due to the inherent directional characteristics of the gun, the microphone, and the acoustical character...

our experience as a result of this war shows that early intubation, aggressive resuscitation and gcs score are important factors for survival. the time of arrival has great importance on mortality. despite the diversity of views in the literature, patients with gcs of 4 and above should be operated if surgical pathologies exist, and decompressive craniectomy must made wide. if duraplasty is nec...

This retrospective review of eight years of trauma registry data at an inner-city level-1 trauma center was undertaken to discover at what age urban children start to become at high risk of being victims of either a major gunshot wound or stabbing. We reviewed data from 2,191 patients who were the victim of either a gunshot wound or stabbing, were 18 years of age or under, and met pre-establish...

A gunshot injury is one of the main trauma injuries that affect the head and neck region. Severe esthetic, functional, and psychologic deficiencies are consequences of gunshot injuries. The use of implants anchored in the zygomatic bone has been advocated as an approach to the prosthetic rehabilitation of a severely deficient maxilla. This approach provides the patient with an immediate, high-q...

BACKGROUND The purpose of this study was to examine the mortality rate of penetrating cardiac trauma in a large urban hospital. METHODS This was a retrospective study over a period of 5 years and 5 months of all patients admitted alive with a stab or a gunshot cardiac injury. RESULTS There were 310 patients with a stab wound and 63 with a gunshot wound. The overall mortality rate was 19%. T...

Spontaneous migration of retained bullets in the brain is a recognized rare complication of penetrating cranial gunshot wounds to the brain. The authors report one rare case in a 55-year old male patient who presented with a penetrating cranial gunshot wound and a retained bullet. He had a dense right hemiplegia and expressive aphasia on admission. Skull x-ray confirmed the retained intracrania...

BACKGROUND Gunshot wounds to the cervical spine most frequently concur with serious injuries to the spinal cord and cervical vessels and often have a fatal outcome. CASE REPORT We describe the case of a 35-year-old male with a complex fracture of the C2 vertebra body and a mandibular fracture after a penetration gunshot to the cervical spine. Computed tomography (CT) at admission revealed the...

In this report, the authors present a case of suicide committed by a 66-year-old man, inside a grave at the local cemetery, with two gunshot wounds to the head. A multiple-paged, handwritten suicide note was found in an army type bag inside the victim's car, while a second one was found in his house. Medicolegal examination of the body revealed two typical contact gunshot entrance wounds and on...

Civilian penetrating injuries to the penis are quite rare. We present the case of a 48-year-old man with prosthetic implant surgery who referred to the emergency department of our clinic with penetrating gunshot injury to the penis. The damaged implant was removed and the defect on the anterior urethra was repaired primarily. To the best of our knowledge, there is no such report in the literatu...

We report on operational and rehabilitation management, as well as the outcome, of a patient who with sustained spinal cord injury from a high velocity gunshot wound to the lumbar spine. More specifically, a patient with a gunshot wound to the spine is more likely to sustain a complete injury and have a poor prognosis. As such, there should be concerns regarding associated and extended injuries...