The Place of Imaging in Ballistic Trauma about 54 Cases in Ouagadougou (Burkina Faso)

Boubakar Ouattara,Daouda Ouattara,Maurice Zida,Rabiou Cissé,Soré Moussa Zanga,Siaka Ben Aziz Dao,Anick Ramdé

doi:10.4236/ojrad.2022.121003

Abstract

Introduction: The purpose of this study was to determine the role of medical imaging in the management of ballistic trauma in the experience of the Burkina Faso Army Health Service. Methods: This was a retrospective, prospective, cross-sectional study of 54 cases of ballistic trauma that occurred in Burkinabe military personnel on Burkinabe territory between January 2016 and October 2019 and were managed by the Burkina Faso Army Health Service. Results: The mean age of the ballistic trauma victims was 28.9 years. The patients were all male. Multiple injuries were present in 19% of cases. The limbs were predominantly affected, followed by the trunk. Medical imaging was used both for the initial assessment and for the search for complications and follow-up after treatment. Standard radiography was the most commonly used modality followed by CT scan, particularly for the search for visceral lesions or for a more precise bone assessment. Ultrasound (E. FAST) was sometimes used. Magnetic resonance imaging was rarely used because of the ferromagnetic projectiles often present in ballistic trauma patients. Conclusion: Medical imaging has an important place in the management of military ballistic trauma.

Highlights

The purpose of this study was to determine the role of medical imaging in the management of ballistic trauma in the experience of the Burkina Faso Army Health Service
This was a retrospective, prospective, cross-sectional study of 54 cases of ballistic trauma that occurred in Burkinabe military personnel on Burkinabe territory between January 2016 and October 2019 and were managed by the Burkina Faso Army Health Service
We identified military victims of Ballistic trauma (BT) who had a medical record and/or were available for interview to reconstruct the patient’s itinerary, radiological examinations performed, and time to imaging management since the occurrence of trauma

Summary

Introduction

The purpose of this study was to determine the role of medical imaging in the management of ballistic trauma in the experience of the Burkina Faso Army Health Service. Magnetic resonance imaging was rarely used because of the ferromagnetic projectiles often present in ballistic trauma patients. They are the cause of serious lesions. In Western countries, ballistic trauma is a public health problem and has increased in the last fifteen years [4]. This situation is favored by multiple factors such as the disintegration of the family structure, juvenile delinquency, the use of drugs, the dissemination of criminal acts by the mass media, and the easy access to weapons. In the United States, between thirty thousand (30,000) and fifty thousand (50,000) people die each year from ballistic trauma, which is the leading cause of death in the first two decades of life [5]

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