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A gunshot wound (GSW) is a penetrating injury caused by a projectile (e.g. a bullet) shot from a gun (typically a firearm). [ 11 ] [ 12 ] Damage may include bleeding , bone fractures , organ damage, wound infection , and loss of the ability to move part of the body . [ 2 ]
Penetrating trauma is an open wound injury that occurs when an object pierces the skin and enters a tissue of the body, creating a deep but relatively narrow entry wound.In contrast, a blunt or non-penetrating trauma may have some deep damage, but the overlying skin is not necessarily broken and the wound is still closed to the outside environment.
The treatment and rehabilitative care for polytrauma patients is a very extensive and time-consuming activity. The recommended staffing numbers (FTE = Full Time Equivalent) for six rehabilitation treatment beds are: [3]
Wound bed, wound edge and periwound skin should be examined before the initial treatment plan is devised. It should also be re-assessed at each visit or each dressing change. For wound bed, the following parameters are assessed: Tissue type; presence and percentage of non-viable tissue covering the wound bed; Level of exudate; Presence of infection
Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting. Trauma surgeons generally complete residency training in general surgery [1] [2] and often fellowship training in trauma or surgical critical care.
The field of wound ballistics largely comprises the study of the physical and physiological effects of ballistic trauma by projectiles (primarily, but not exclusively, bullets) on living humans or animals. It can be considered the interdisciplinary intersection of trauma medicine and terminal ballistics.