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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 ]
A transmediastinal gunshot wound (TMGSW) is a penetrating injury to a person's thorax in which a bullet enters the mediastinum, possibly damaging some of the major structures in this area. Hemodynamic instability has been reported in about 50% of cases with a mortality rate ranging from 20% to 49%. Some studies have shown marked improvement in ...
In special cases where there is a higher risk with surgery, such as in the elderly, nonoperative management would include the infusion of packed red blood cells in an intensive care unit. [2] Typically hepatic injuries resulting from stab wounds cause little damage unless a vital part of the liver is injured, such as the hepatic portal vein ...
There are many causes of major trauma, blunt and penetrating, including falls, motor vehicle collisions, stabbing wounds, and gunshot wounds. Depending on the severity of injury, quickness of management, and transportation to an appropriate medical facility (called a trauma center) may be necessary to prevent loss of life or limb. The initial ...
He became America's leading authority on gunshot wounds [15] and was widely recognized for his skill as a surgeon. By the late 1950s, mandatory laparotomy had become the standard of care for managing patients with abdominal penetrating trauma. [16] A laparotomy is still the standard procedure for treating abdominal gunshot wounds today. [16]
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
She explained that there are two main categories of trauma: blunt and penetrating. Blunt trauma is like a beating, a fall. Penetrating is a gun or stab wound. “Unfortunately we get a lot of penetrating traumas,” she said. Temple sees 2,500 to 3,000 traumas per year, around 450 of which were gunshot wounds in 2016.
Founded in 1940, Birmingham Accident Hospital in Birmingham, United Kingdom, was the world's first trauma center. Trauma centres grew into existence out of the realisation that traumatic injury is a disease process unto itself requiring specialised and experienced multidisciplinary treatment and specialised resources.