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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 ]
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.
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
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.
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 ...
The bullet's angle of trajectory at the point where it penetrates the skin can influence the shape of the abrasion collar. This can be used by forensic pathologists in discerning an approximate angle of entry and is important in investigations of gunshot wound victims, where evidence of the gunshot's origin is necessary to determine whether the death was homicidal, suicidal, or accidental.
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]
Common wound types include gunshots to the extremities. A person may achieve a similar effect by deliberately neglecting their health, e.g., by letting a minor wound become infected, or foregoing foot care in damp environments to trigger the development of diseases like trench foot and tropical ulcers, which are debilitating but not usually fatal or permanent if treated properly.