• Introduction Among the factors related to survival among individuals with gun shot wounds (GSW) is distance to trauma care. (bmj.com)
  • I have to say it would be location, location, location" of the wound, said Dr. Michael Nance, director of the pediatric trauma program at Children's Hospital of Philadelphia, where three of the girls are being treated. (chicagotribune.com)
  • When a patient arrives at Shock Trauma with this type of injury, the staff's first priority is to gauge the person's level of consciousness. (chicagotribune.com)
  • Generally, patients transported to trauma centers with gunshot injuries to the head spend an hour being resuscitated, evaluated and stabilized before they're wheeled into surgery. (chicagotribune.com)
  • In a study at Brown University, gunshot wounds (see images below) required more orthopedic trauma resources than other surgical areas. (medscape.com)
  • This is dangerous in trauma patients because it may exacerbate a cervical spine injury. (medscape.com)
  • This review details the evaluation and management of traumatic injuries in pediatric patients and gives some recommendations for improvements to trauma care in LMICs. (frontiersin.org)
  • injury may be confined to the abdomen or be accompanied by severe, multisystem trauma. (msdmanuals.com)
  • Socio-demographic parameters, circumstances and times of onset of trauma, mode of transport, state of consciousness, sensory and motor deficit, American Spinal Injury Association (ASIA) Score, hemodynamic and respiratory status were assessed. (bvsalud.org)
  • This review discusses diagnostic and treatment modalities for commonly encountered injuries in pediatric blunt thoracic trauma, such as pulmonary contusions, rib fractures, pneumothoraces, and hemothoraces. (bvsalud.org)
  • However, it should be kept in mind that every chest trauma patient may also have polytrauma, and accompanying injuries should be carefully examined. (bvsalud.org)
  • Hundreds of residents have suffered severe injuries including gunshot wounds, debilitating injuries such as broken bones and extensive bruising as a result of the police violence. (hrw.org)
  • Risk of readmission was highest for patients who were older, suffered more severe injuries, stayed in the hospital longer during their initial admission or required surgery. (stanford.edu)
  • Treatment is supportive, with aggressive care for severe injuries. (msdmanuals.com)
  • Since the start of the Great March of Return in the Gaza Strip from March 2018 to 31 December 2019, 33,141 injuries and 322 deaths (including 65 children) have been reported. (who.int)
  • A gunshot wound is caused when a bullet or other projectile is shot into or through the body. (medlineplus.gov)
  • A gunshot wound (GSW) is a penetrating injury caused by a projectile (e.g. a bullet) from a gun (typically firearm or air gun). (wikipedia.org)
  • Moreover, gunshot wounds typically involve a large degree of nearby tissue disruption and destruction caused by the physical effects of the projectile correlated with the bullet velocity classification. (wikipedia.org)
  • The temporary cavity is the radial stretching of tissue around the bullet's wound track, which momentarily leaves an empty space caused by high pressures surrounding the projectile that accelerate material away from its path. (wikipedia.org)
  • A penetrating force injury resulting from a BB, pellet, or other projectile shot from a BB or pellet gun (a compressed air or CO2-powered BB or pellet gun). (cdc.gov)
  • A penetrating force injury resulting from a bullet or other projectile shot from a powder-charged gun. (cdc.gov)
  • High-velocity wounds with fracture are associated with an increased risk of infection. (medlineplus.gov)
  • It will cater for a wide range of patient needs from wound care, surgery, infection control and physiotherapy to mental health support," said Dr Gerald Rockenschaub, WHO's Head of Office for the occupied Palestinian territory. (who.int)
  • The wounds were cleaned, and the patient was treated with pain medicine and oral clindamycin, because of the increased risk of infection with methicillin-resistant Staphylococcus aureus in her community. (contemporarypediatrics.com)
  • There was no sign of infection or major injury at her initial visit and at 1-week follow-up. (contemporarypediatrics.com)
  • Long-term complications can include bowel obstruction, failure to thrive, neurogenic bladder and paralysis, recurrent cardiorespiratory distress and pneumothorax, hypoxic brain injury leading to early dementia, amputations, chronic pain and pain with light touch (hyperalgesia), deep venous thrombosis with pulmonary embolus, limb swelling and debility, and lead poisoning. (wikipedia.org)
  • 5 March 2020, Gaza Strip - Today the World Health Organization in partnership with the Ministry of Health launched a Limb Reconstruction Centre for Gaza Strip, providing hundreds of Palestinians injured with gunshot wounds, with permanent specialized and centralised care. (who.int)
  • The Limb Reconstruction Centre is a new centre of care and excellence, which will provide better quality, faster and more sophisticated treatment and rehabilitation to patients with gunshot injuries sustained during the Great March of Return. (who.int)
  • More than 7,951 suffered from gunshot wounds, and 88% of these presented limb wounds. (who.int)
  • 14-year-old female in critical condition, gunshot wounds to chest and neck. (cnn.com)
  • Children have unique thoracic anatomical and physiological characteristics, often necessitating diagnostic and management considerations that differ from management of blunt chest injury in adults. (bvsalud.org)
  • Common causes of death following gunshot injury include bleeding, low oxygen caused by pneumothorax, catastrophic injury to the heart and major blood vessels, and damage to the brain or central nervous system. (wikipedia.org)
  • Oliver C, Kabala J. Air gun pellet injuries: the safety of MR imaging. (contemporarypediatrics.com)
  • This category includes gunshot wound from a BB or pellet rifle or pistol. (cdc.gov)
  • Injury to the right tibia caused by a puncture wound. (bigthink.com)
  • They discovered a cranium with a puncture wound that started above the right eye and went all the way to the back of the head. (bigthink.com)
  • The study also analyzed another puncture wound, at the top of a right tibia. (bigthink.com)
  • The nature and severity of abdominal injuries vary widely depending on the mechanism and forces involved, thus generalizations about mortality and need for operative repair tend to be misleading. (msdmanuals.com)
  • Understanding the pathological changes that can occur in fatalities caused by fire, particularly in relation to fire damage to the body, is paramount in attempting to distinguish ante-mortem and peri-mortem blunt traumatic injuries from fire-related damage to the body. (bvsalud.org)
  • The nine Amish girls shot in the head Monday by a deranged milk truck driver faced long odds: National statistics show that only 5 percent of people who sustain such gunshot wounds survive them. (chicagotribune.com)
  • What tends to be forgotten are the long-term effects these injuries have on the people who survive and the monetary costs to the health care system. (stanford.edu)
  • But with four of the girls still hanging on last night, surgeons who treat penetrating head injuries said several factors help determine whether a victim lives or dies. (chicagotribune.com)
  • Another victim had no visible injuries, they said. (kdvr.com)
  • Trying to reimagine what could have caused the terrible wounds, the authors propose the fatal strike at the scull took place first, with arrows puncturing the legs shortly after, when the victim was already dead. (bigthink.com)
  • The deputy loaded the teenager into his patrol car due to the "severity of the wounds" to bring him to the hospital, but "sadly that child died in the car," Bouchard said. (cnn.com)
  • The immediate damaging effect of a gunshot wound is typically severe bleeding with the potential for hypovolemic shock, a condition characterized by inadequate delivery of oxygen to vital organs. (wikipedia.org)
  • However, an epidemiologic shift has been noted, with relative increases in deaths from injuries and declines in deaths from poor nutrition and infections such as pneumonia and diarrheal diseases ( 2 ). (frontiersin.org)
  • ABSTRACT Few studies have analysed the bacterial pathogenesis of infections associated with war-wound in the Eastern Mediterranean region. (who.int)
  • We analysed surgical wound infections of 1200 patients injured during the Libyan conflict in 2011 and admitted to the emergency services at Tripoli medical centre. (who.int)
  • Multi-drug-resistant Gram- negative bacilli were an important complicating factor in wound infections associated with war injuries among injured patients in Libya. (who.int)
  • Nous avons analysé les infections des plaies après un acte chirurgical chez 1200 patients blessés pendant le conflit libyen en 2011 et admis au service des urgences du centre médical de Tripoli. (who.int)
  • Les bacilles à Gram-négatif multirésistants représentaient un facteur de complication important pour les infections de plaies associées à des blessures de guerre chez des patients blessés en Libye. (who.int)
  • Brown-Séquard syndrome is an incomplete spinal cord lesion characterized by a clinical picture reflecting hemisection injury of the spinal cord, often in the cervical cord region. (medscape.com)
  • As a person with spinal cord injury (SCI) advances through acute rehabilitation, physical therapy addresses mobility issues. (medscape.com)
  • Spinal cord injury constitutes a multidisciplinary therapeutic emergency. (bvsalud.org)
  • Patients admitted to the emergency department of any age for spinal cord injury and having performed a radiological examination were included. (bvsalud.org)
  • Conclusion: Spinal cord injuries are "time-dependent" medical and surgical emergencies. (bvsalud.org)
  • A CT scan reveals important features of the injury - such as major bleeding or damage to the brain stem, both of which bode poorly for the patient. (chicagotribune.com)
  • On average, the total cost of inpatient hospital care for a patient with a firearm injury was $32,700, the study found, and readmission accounted for 9.5 percent of that bill. (stanford.edu)
  • A study from Stanford researchers has found that readmissions account for 9.5 percent of the $911 million spent annually on gun-injury hospitalizations. (stanford.edu)
  • Hospital readmissions of patients within six months of suffering a firearm injury cost taxpayers, private insurers and uninsured families an average of $86 million a year from 2010 through 2015, according to new estimates from Stanford University School of Medicine researchers . (stanford.edu)
  • During that six-year period, the annual cost of hospitalizations for gun injuries averaged $911 million, with the government shouldering 45 percent of the bill through Medicaid and, to a lesser extent, Medicare and other public insurance programs, the researchers found. (stanford.edu)
  • By examining the structural elements of the wound, the researchers believe it was caused by an arrow that was spinning clockwise when it slammed into the head. (bigthink.com)
  • The Institute has established and strengthened registries for maternal and child health, mammography, gender-based violence, cancer, noncommunicable diseases, primary health care statistical reports, cause of death, and road traffic accidents and injuries. (who.int)
  • The World Health Organization (WHO) reports that the top five etiologies for unintentional injuries are road traffic accidents (RTAs), falls, burns, drowning and poisoning ( 3 - 6 ) (Figure 1 ). (frontiersin.org)
  • Here, prior relationship building efforts between police chiefs and community leaders proved successful and, save for a few injuries, there were no deaths. (hrw.org)
  • Of intentional injury deaths, more than 65% were due to self-harm. (msdmanuals.com)
  • In addition to deaths, injury results in about 37.9 million emergency department visits and 2.6 million hospital admissions annually. (msdmanuals.com)
  • These can damage the wound tissue and slow your healing. (medlineplus.gov)
  • This helps to explain why wounds produced by projectiles of higher mass and/or higher velocity produce greater tissue disruption than projectiles of lower mass and velocity. (wikipedia.org)
  • The velocity of the bullet is a more important determinant of tissue injury. (wikipedia.org)
  • Penetrating gunshot wounds or embedded ballistic fragments generally do not require removal and rarely cause problems when embedded in soft tissue. (contemporarypediatrics.com)
  • Burns are injuries of skin or other tissue caused by thermal, radiation, chemical, or electrical contact. (msdmanuals.com)
  • Exposure to cold may cause decreased body temperature ( hypothermia) and focal soft-tissue injury. (msdmanuals.com)
  • The patient's injuries were caused by handgun ammunition called 'snakeshot,' which is typically used to shoot small varmints or snakes. (contemporarypediatrics.com)
  • However, it could not be confirmed if the wounds came from the officer's weapon because of another handgun that was recovered from the scene. (ibtimes.com)
  • There is no precise formula for survival, but Nance and other surgeons said the bullet's direction plays a major role in the extent of injury. (chicagotribune.com)
  • This category does not include injury caused by a compressed air-powered paint gun or nail gun, which falls in the category "other specified. (cdc.gov)
  • This category does not include injury from other animal bites. (cdc.gov)
  • This category does not include injury resulting from a foreign body that does not block the airway (see foreign body). (cdc.gov)
  • Treatments for burn wounds include topical antibacterials, regular cleansing, elevation, and sometimes skin grafting. (msdmanuals.com)
  • The amount of damage depends on the location of the injury and the speed and type of bullet. (medlineplus.gov)
  • Gunshot wounds can get infected because material and debris can get pulled into the wound with the bullet. (medlineplus.gov)
  • A sudden blood gush may take effect immediately from a gunshot wound if a bullet directly damages larger blood vessels, especially arteries. (wikipedia.org)
  • A bullet with sufficient energy will have a cavitation effect in addition to the penetrating track injury. (wikipedia.org)
  • With each hemisphere divided into four lobes, the "best-case scenario" is a bullet that injures one hemisphere and a single lobe - limiting the functions lost to the injury. (chicagotribune.com)
  • According to Aarabi, 20,000 people in the United States die each year from gunshot wounds to the head. (chicagotribune.com)
  • Along with this 5-year-old girl, 7 other people were wounded during the shooting. (contemporarypediatrics.com)
  • I was inside getting my BART ticket at about 4:40 and I heard gunshots and a bunch of people running into the station screaming and running," said a witness Annabelle Teleki of Oakland, ABC7 reported . (ibtimes.com)
  • Bouchard said there were multiple other non-life-threatening injuries sustained by people as they were rushing out of the school. (cnn.com)
  • COLORADO SPRINGS, Colo. (AP) - The man suspected of opening fire at a gay nightclub in Colorado Springs was being held on murder and hate crime charges Monday, two days after the attack that killed five people and left 17 others with gunshot wounds. (kdvr.com)
  • Injury is the number one cause of death for people aged 1 to 44. (msdmanuals.com)
  • Gunshot wounds to the head or body (torso) are likely to cause more damage. (medlineplus.gov)
  • However, if a child falls and hits his head on a coffee table, the fall is the underlying cause (the action that starts the injury event), and the contact with the table is the direct cause (the action that causes the actual physical harm). (cdc.gov)
  • This may be performed while using the jaw-thrust (or head-tilt/chin-lift maneuver if cervical injury has been ruled out). (medscape.com)
  • 15-year-old male in critical condition, gunshot wound to head. (cnn.com)
  • Culture swabs or surgical wound debridement samples were collected and cultures were identified and tested for antimicrobial resistance. (who.int)
  • Gunshot wounds that pass through the body without hitting major organs, blood vessels, or bone tend to cause less damage. (medlineplus.gov)
  • Non-fatal gunshot wounds frequently have mild to severe long-lasting effects, typically some form of major disfigurement such as amputation because of a severe bone fracture and may cause permanent disability. (wikipedia.org)
  • Reporting nonfatal injury data by the underlying cause of injury is consistent with how fatal injury data are reported. (cdc.gov)
  • Your health care provider will tell you how to change your dressing and care for your wound. (medlineplus.gov)
  • So often gun injuries are talked about in terms of mortality, as one-time events for medical care," Spitzer said. (stanford.edu)
  • St. Louis County Police Chief Jon Belmar said two police officers were shot and seriously wounded shortly after midnight outside the Ferguson, Mo. (kcur.org)
  • Economic costs due to gunshot wounds have been estimated at US$140 billion a year in the United States. (wikipedia.org)
  • Overall, government insurance paid the most for hospitalizations related to firearm injuries during the six-year period, according to the study. (stanford.edu)
  • 17-year-old female in stable condition, gunshot wound to neck. (cnn.com)
  • 47-year-old female teacher who was discharged from the hospital, had a wound on her left shoulder, appears to be a "grazing wound. (cnn.com)
  • Online court records showed that 22-year-old Anderson Lee Aldrich faced five murder charges and five charges of committing a bias-motivated crime causing bodily injury in Saturday night's attack at Club Q. He remained hospitalized with unspecified injuries, police said. (kdvr.com)
  • This system uses the underlying cause rather than the direct cause of injury because the underlying cause is more important to prevention efforts. (cdc.gov)
  • Resource limitations in LMICs make it necessary to develop injury prevention strategies and optimize the use of locally available resources when injury prevention measures fail. (frontiersin.org)
  • Its use is restricted to those patients in whom cervical spine injury has been excluded. (medscape.com)
  • One man is dead and a second is in the hospital suffering from a gunshot wound after a shooting involving a BART Police Officer near the West Oakland BART station, Jan. 3, 2018. (ibtimes.com)
  • In 2015, about a million gunshot wounds occurred from interpersonal violence. (wikipedia.org)
  • With most gunshot-wound patients surviving their initial hospital stay, the analysis, which was published online Jan. 23 in PLOS ONE, sheds new light on the chronic nature of firearm injuries and the resulting medical costs. (stanford.edu)
  • Examining six years of data from the Healthcare Cost and Utilization Project's Nationwide Readmissions Database, Spitzer and her colleagues found that 93 percent of the patients initially admitted to the hospital with firearm injuries survived. (stanford.edu)
  • Gunshot wounds can be particularly devastating compared to other penetrating injuries because the trajectory and fragmentation of bullets can be unpredictable after entry. (wikipedia.org)
  • She had 5 small entry wounds: 2 in the arm, 2 in the buttocks, and 1 in the left torso. (contemporarypediatrics.com)
  • A study by UK archaeologists finds that longbows caused horrific injuries similar to modern gunshot wounds. (bigthink.com)
  • A recent study found that one of the most powerful medieval weapons, the English longbow , was so forceful it could create wounds as bad as from modern gunshots. (bigthink.com)
  • Our study brings into focus the horrific reality of such an injury. (bigthink.com)
  • While such systems are currently unfeasible in many LMICs, it is essential that capabilities for managing acute onset, severe but reversible disease and injuries are available in any country around the world ( 8 ). (frontiersin.org)
  • 10 measures for treating war injury are Outcome of wound treatment similar to those for any severe injury [2]. (who.int)
  • UK archaeologists discover medieval longbows caused injuries similar to modern gunshot wounds. (bigthink.com)
  • Both individuals had gunshot wounds," Watson explained. (ibtimes.com)
  • Electrical injury is damage caused by generated electrical current passing through the body. (msdmanuals.com)
  • Injury received when a person descends abruptly due to the force of gravity and strikes a surface at the same or lower level. (cdc.gov)