Treatment Of Gunshot Wounds Research Articles

The results of treatment of gunshot wounds to the brain in children

Thirty-three children ranging in age from 8 months to 15 years were treated for gunshot wounds to the brain. Half of the children were less than 10 years old. Fifty-eight percent died. Mortality was influenced by the trajectory of the bullet, intent to commit suicide, and the neurological status immediately after injury. The age and sex of the child and the caliber of the bullet did not influence survival. Three-fourths of the deaths occurred within 24 hours of injury, suggesting these patients had a mortal wound from the onset. Eleven of the children were attempting suicide, 9 of whom died; 13 were playing with a gun, 5 of whom died; 2 were shot as innocent bystanders to crimes in progress; 1 was shot while involved in a criminal act; 1 was shot in a hunting accident; and in 2 who died within minutes of arrival, the circumstances of the shooting were not documented. Of the survivors, none was left vegetative after 6 months, 3 had severe disabilities, 9 were moderately disabled, and 2 had a good outcome. The mortality rate is strikingly similar to that of adults with similar injuries; however, the morbidity appears to be less. On the other hand, with simple preventative measures, virtually each injury would have been avoided.

Influence of biliary decompression on results of surgical treatment of gunshot wounds of the liver

Influence of biliary decompression on results of surgical treatment of gunshot wounds of the liver

Removal of a bullet from the right infratemporal fossa: Report of a case

C onverse,l in 1945, stated that the treatment of gunshot wounds of the jaw may be divided into three distinct periods : Phase I (period of emergency care), Phase II (period of prercconstruction), and Phase III (period of final reconstruction). Phase I, the most critical for the patient, extends from the time of injury to 1 or 2 days after injury. Signs and symptoms of shock, asphyxia, severe blood loss, pain, and mental depression arc often observed. It is imperative that the patient’s physiologic needs be evaluated thoroughly and that emergency care be administered promptly. The wound is cleansed b;v the removal of small devitalized tags of tissue, loose detached bone fragments, and visible foreign bodies. Immobilization of the remaining fragments of bone by simple means is of great importance for the patient’s comfort. During Phase II, treatment consists of extraction of teeth in the line of fracture, removal of deeply located foreign bodies, securing of a definitive means of immobilizing fractured bones, and control of wound infection with antibiotics and irrigation. Phase III is the final reconstructive period. Heconstructive surgical procedures are simplified by the provision of adequate treatment during the earlier phases. The objectives of Phase III are to correct t.he deformity produced by loss of tissue and to establish adequate function of the jaws. Such reconstruction

TREATMENT OF GUNSHOT WOUNDS OF THE CHEST IN THE FIELD BY PENICILLIN THERAPY

Medical Journal of AustraliaVolume 1, Issue 12 p. 418-419 Correspondence TREATMENT OF GUNSHOT WOUNDS OF THE CHEST IN THE FIELD BY PENICILLIN THERAPY First published: 01 March 1946 https://doi.org/10.5694/j.1326-5377.1946.tb33556.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume1, Issue12March 1946Pages 418-419 RelatedInformation

RECONSTRUCTIVE TREATMENT OF GUNSHOT WOUND OF FACE AND NECK

In recent years a great deal has been written about battle injuries of the face. There have been several publications and reports dealing with emergency and early treatment of gunshot wounds of the face. This paper is based on experiences in a general hospital of the zone of the interior, and consequently it will deal exclusively with the late treatment of such injuries. It may therefore be considered as a continuation of the experience of medical installations in the theater of operation. It is not the purpose of this paper to describe the various standard reconstructive procedures, such as rhinoplasty, blepharoplasty and cheiloplasty, which are used frequently in treatment of gunshot wounds of the face; I shall rather discuss the problems which are fairly specific in the management of this kind of battle injury and with which the civilian physician may not be familiar. The majority of facial wounds are

X-ray Diagnosis in Gunshot Wounds of the Abdominal Cavity and its Significance in Field Surgery

X-ray diagnosis of gunshot wounds of the abdomen is as yet a new and imperfectly investigated section of military rontgenology and surgery. The World War of 1914–1918 provided immense material for military rontgenology and surgery, but the subject of X-ray diagnosis of abdominal trauma and especially of the abdominal trauma and especially of the abdominal cavity, has been scarcely touched upon in the appropriate literature. This is quite natural, having regard to the circumstances then prevailing. That war began at a time when surgeons the world over adhered to the strict principle of conservative treatment of gunshot wounds affecting the abdominal cavity. Only towards the middle and particularly towards the end of the war did surgeons begin to show a tendency towards the recognition of the importance of early operative treatment in cases of recent gunshot wounds of the abdominal cavity. It is for this reason that military radiologists of that period received no encouragement from surgeons to investigate ...

War and Medicine

THE February issue of the Journal of Laboratory and Clinical Medicine contains an interesting article on war and medicine by Dr. Henry E. Sigerist, professor of the history of medicine at Johns Hopkins University. He remarks at the outset that the contribution of war to medicine is first of all negative. Not only are many of the élite of a nation killed or crippled, but also the civilian population are liable to be affected by famine and pestilence. On the other hand, war is a stimulus to medicine both technically and socially, as it provides opportunities for experimenting on a tremendous scale such as would never be available in time of peace. This applies particularly to surgery, as was first illustrated in ancient Greece when Greek surgeons travelled with the mercenaries in the army of the Egyptian pharaoh Psammetich. War was also responsible for the erection in ancient Rome of hospitals, which were unknown in ancient Greece. War surgery was revolutionized by Ambroise Pare, who, in his work on the treatment of gunshot wounds published in 1545, showed that these wounds heal much better without the brutal treatment of pouring on them boiling oil which destroyed so much of the tissues. The part played by John Hunter in the expedition to Belle Isle in 1761 was notable, in that the British Navy had the services not only of a surgeon but also of a man of science. Hunter gained invaluable experience on gunshot wounds, which he discussed in his great work on “Blood, Inflammation and Gunshot Wounds” published in 1794.

THE ORR METHOD FOR WOUNDS AND COMPOUND FRACTURES

To the Editor:— Because of many inquiries and some misunderstanding I should like to explain certain points with regard to the Orr method for wounds and compound fractures. A Wide World dispatch this morning from Kuibyshev stated that a modernized method of the Russian surgeon Pirogov is the one now being employed among the Russian troops for the treatment of gunshot wounds and fractures. It is said that airtight plaster of paris casts are a factor in the treatment. Similar statements about tight casts and foul smelling dressings have delayed the general acceptance of the program that I have been advocating. The surgical treatment program that I have been recommending for twenty years is immediate replacement of injured parts in correct position, open drainage of infected wounds, immobilization of the extremities in plaster of paris casts and infrequent dressing to protect against secondary infection. These are all essential for good

First Aid and Emergency Treatment of Gunshot Wounds of the Jaws

First Aid and Emergency Treatment of Gunshot Wounds of the Jaws

COMPLICATED INJURIES OF THE URINARY TRACT*

Summary (1) The surgical treatment of gunshot wounds of the urinary tract complicated by concomitant injuries often repays the surgeon for his enterprise and saves the life of the patient. (2) In cases of pluri-visceral wounding the prognosis is almost invariably determined by associated damage to the gastro-intestinal tract or to anatomical areas outside the urinary system. (3) Concomitant injury to neighbouring bone augments the gravity of the immediate prognosis, and in cases of damage produced by the missile of an adversary consequent sepsis retards convalescence and renders final cure less certain. (4) The involvement of the thorax and abdomen in gunshot wounds became less and less feared in the War of 1914–1918, and the prognosis in abdomino-thoracic wounds, where the solid abdominal organs such as the kidney were implicated, was on the whole good.

Surgical treatment of gunshot injuries of peripheral nerves

The issue of surgical treatment of gunshot injuries of peripheral nerves until the last war seemed to be extremely underdeveloped. Only the experience of the last World War clarified many aspects of this issue, significantly changing the surgeons' views on the treatment of nerve wounds. However, despite this, even at present the issue of surgical treatment of gunshot nerve injuries seems to be far from exhausted and deserves attention in many respects.

Epidiascopic Demonstration of Methods of Treatment of Gunshot Wounds of the Nose and Nasal Accessory Sinuses.

Epidiascopic Demonstration of Methods of Treatment of Gunshot Wounds of the Nose and Nasal Accessory Sinuses.

Book Review The Orthopedic Treatment of Gun-Shot Injuries . By Leo Mayer, M.D. Philadelphia and London: W. B. Saunders Company. 1918.

Book Review The Orthopedic Treatment of Gun-Shot Injuries . By Leo Mayer, M.D. Philadelphia and London: W. B. Saunders Company. 1918.

The treatment of gunshot wounds of the face accompanied by extensive destruction of the lower lip and mandible

The treatment of gunshot wounds of the face accompanied by extensive destruction of the lower lip and mandible

Treatment of Gunshot Wounds of the Abdomen, with a Summary of 500 Cases seen in an Advanced Casualty Clearing Station

Treatment of Gunshot Wounds of the Abdomen, with a Summary of 500 Cases seen in an Advanced Casualty Clearing Station

Ichthyol and ichthyol and glycerine in surgical conditions with a reference to other methods of treatment of gunshot wounds

Ichthyol and ichthyol and glycerine in surgical conditions with a reference to other methods of treatment of gunshot wounds

The Treatment of Gunshot Wounds by Packing with Salt Sacs

The Treatment of Gunshot Wounds by Packing with Salt Sacs

Treatment of Gunshot Wounds Involving the Knee-Joint

Treatment of Gunshot Wounds Involving the Knee-Joint

The Treatment of Gunshot Wounds of the Spine

The Treatment of Gunshot Wounds of the Spine

The Treatment of Gunshot Wounds of the Lung and Pleura

The Treatment of Gunshot Wounds of the Lung and Pleura