tory of penetrating trauma sustained multiple gunshot wounds to his torso and left leg. The patient was hemodynamically stable and received a score of 15 on the Glasgow Coma Scale. His clothing was removed, and he was noted to have six bullet wounds: one in the left upper quadrant, one in the left flank, one suprapubic, one in the midline of the lower back, one in the left lateral thigh and one...

Bullet embolization after penetrating trauma is an infrequent but important phenomenon. It presents an unexpected sequelae to the otherwise predictable injury pattern of penetrating missile injury mechanism and poses a challenging diagnostic and therapeutic dilemma. Bullets from penetrating wounds can gain access to the vasculature and migrate to nearly every large vascular bed. Patients can be...

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...

BACKGROUND Low-velocity pelvic gunshot injuries occur commonly in urban trauma centers, occasionally involving concomitant intestinal viscus injury leading to potential fracture site contamination. Surgical debridement of the fractures may be necessary to prevent osteomyelitis, although not routinely performed in many centers. The purpose of this study was to determine whether fracture debridem...

BACKGROUND Many types of projectiles, including modern hollow point bullets, fragment into smaller pieces upon impact, particularly when striking bone. This study was performed to examine the effect on time to union with retained bullet material near a fracture site in cases of gunshot injury. METHODS All gunshot injuries operatively treated with internal fixation at a Level 1 Trauma Center b...

Abstract Introduction Neurological deficit associated with firearm injury outside the head and neck region is a rare phenomenon. Multiple explanations, including pellet embolization, patent foramen ovale carotid intimal tear, have been suggested. Case Report We present case of an otherwise healthy 21-year-old male, who was received in emergency injury, unstable vitals, GCS 14/15. Bullet entry w...

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...