According to 2007 data, gunshot wounds from homicides, suicides, and accidents caused 31,000 deaths in the United States, with even higher numbers of serious, nonfatal injuries. In recent years, new evidence on effective treatment of patients with gunshot wounds has come from military settings and is being adapted for civilian emergency departments (EDs). Effective, evidence-based management of...

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...

One hundred patients had surgical treatment for a gunshot injury to the femur at the authors' hospital. Each injury was classified (Grade 1-3) based on clinical and radiographic signs of deep soft tissue necrosis. All patients were followed up for a minimum of 6 months (average, 18 months; range, 6 months-72 months). Grade 1 injuries are defined by small entry and exit wounds (< 2 cm) and the a...

OBJECTIVES To compare the radiographic findings in patients with a low-velocity gunshot wound through the knee with the intraarticular pathology as documented by arthroscopy, and to evaluate arthroscopic management of these injuries. STUDY DESIGN Retrospective review of a protocol. MATERIALS AND METHODS Thirty-three patients with low-velocity gunshot wounds through the knee, no significant ...

We experienced a rare case with multiple gunshot entrance wounds due to a single bullet. A 60-year-old male hunter was accidentally shot by other hunter with a hunting shotgun from a long distance (about 70 m). The external examination showed two entrance wounds on his left knee and left lower fore chest, in spite of a single gunshot. By the autopsy, the extensive injuries to his organs such as...

Zygomatico-orbital injuries (ZOls) are the most common injuries treated by the oral and maxillofacial surgeons. A respective analysis of 375 pateints with 1Z0ls treated in Najmeia and Baqiet-Ullah University Hospitals during a six-year period from 1984 to 1990 is presented. Male cases accounted for 94.4% (354) 59.46% (223) of the fractures involved the zygomatic bone, 70.13% (259) were frac...

Penetrating injuries of the thorax and abdomen, such as gunshot stabbing, are rare in children. We present case a pediatric patient with history remote injury presenting late aneurysm left ventricle. ( Level Difficulty: Intermediate. )

BACKGROUND Deaths from motorcycle accident injuries have remained a major public health issue in Nigeria over the years. AIM The study is to determine the age and gender distribution of the victims and to identify the cause of death and the anatomical pattern of injuries seen. METHODOLOGY This is a 5-year autopsy-based study of all motorcycle accident deaths seen in Lagos State University T...