PubMed HealthSearch

SEARCH · PubMed Health

Results for “firearm injuries”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

A profile of suspected female homicide cases at the Johannesburg and Diepkloof Forensic Pathology Service Medico-legal Mortuaries for 2020-2022.

This study profiles suspected female homicide victims in Johannesburg, South Africa, during the COVID-19 period marked by socio-environmental changes from lockdown restrictions. Guided by the Socio-Ecological Model, a retrospective case series of 369 victims was reviewed using medico-legal mortuary records from Johannesburg and Diepkloof Forensic Pathology Service facilities. Descriptive analyses were conducted, supplemented by a chi-square test to assess whether distributions of causes of death among women differed between COVID-19 and non-COVID-19 periods. No statistically significant association was found, χ2 (6, N = 339) = 6.68, p = 0.35. Key findings highlight that Black, unemployed, unmarried women aged 21-40 were at greatest risk. Cause of death was established in 97.0% (358/369) of cases, with firearm injuries predominating (43.9%), followed by sharp‑force (24.5%) and blunt‑force trauma (13.1%). Approximately 90% of victims were suspected to have been killed by males, with half of deaths attributed to intimate partner violence. Homicide frequency decreased during strict lockdowns but rose as restrictions eased, suggesting that movement and alcohol controls may reduce risk. Despite temporary disturbance caused by COVID‑19 restrictions, the underlying risk profile of female homicide victims remained unchanged. These findings inform multi-level prevention and intervention strategies in South Africa.

Humans

[Unusual case of fire-arm injury].

A rare case of firearm-injury is described. The bullet getting into the sigmoid colon by the antiperistaltics was transferred into the colon transversum.

Abdominal Injuries

So-called accidental firearm fatalities in children and teenagers in Tennessee, 1961-1988.

Tennessee State medical examiner reports of firearm fatalities classified as accidents involving victims aged 19 year or less from 1961 through 1988, were reviewed to evaluate circumstantial and contributing factors. A total of 225 were analyzed. The peak age for victims was 17 years, and there were more than five times more male than female victims. In Shelby County (Memphis), the racial distribution of fatalities was approximately that of the general population. Playing with a gun was the most frequent circumstance. The person responsible for pulling the trigger was equally likely to be a friend, a family member, or the victim. Head or neck were injured in most cases. The urban mortality rate was nearly twice that of the rural rate. More than half of the deaths in urban counties occurred indoors and involved handguns, whereas in rural counties only a third were due to handguns and the location was more often outdoors. Deaths in rural counties showed a seasonal variation that corresponded with the hunting season; by contrast, a peak in early summer was noted in the urban deaths. Defective guns or guns unsafe in design caused several deaths. (Semiautomatic pistols, which can be fired after unloading the ammunition magazine, are conspicuous examples of guns unsafe in design.) An important observation of this study is that medical examiners vary considerably in their classification of accidental manner, particularly when children are involved. Furthermore, medical examiner reports need to include much more information than is currently recorded if they are to be useful in guiding public policy to reduce firearm injuries.

Accidents

[Gunshot injuries of the limbs (5 years of experience; 1970-1975)].

In this study the authors present 19 patients with injuries caused by firearms. Six patients had injuries of soft tissues only, while the remaining 13 had bone fractures as well. Special attention was drawn to wounds inflicted by hunting and military rifles. The study provides data concerning the degree of injury caused by bullets with high muzzle velocities. The importance of early management of wounds and preventive treatment with antibiotics was pointed out. The fact that one patient died, and three patients had to undergo amputation does not tend to lessen the success achieved in the treatment of these severe, life endangering injuries.

Adolescent

Shotgun wounds of the abodomen: revisited.

A review of one hundred and sixty-seven patients with penetrating abdominal injuries caused by firearms showed that 17 patients (11%) had shotgun wounds. Nine patients were treated nonoperatively, whereas eight patients had immediate exploratory laporotomy. An analysis of shotgun wounds of the abdomen is presented to outline the principles in management. Factors influencing conservative versus operative treatment are discussed. Magnitude of the clinical problems have been illustrated by means of 4 cases.

Abdominal Injuries

Fatal non-intentional injuries in Greenland.

Accidents are one of the main killers in Greenland, responsible for 16% of deaths but 34% of potential years of life lost (PYLL). During 1968-89, 1310 deaths from accidents were recorded, equivalent to a mortality rate of 118 per 100,000 person-years-more than six times higher than in Denmark. There was a decreasing secular trend but only for certain types of accidents. Mortality rates were considerably higher in indigenous Greenlanders than in Danes, higher in males than in females and higher in settlements than in towns. Most accidents were related to the Greenlandic life style with drowning and boat accidents responsible for 45% of all fatal accidents, and injuries due to fire, cold, firearms or bites of dogs responsible for 23%. In certain age groups and in particular in females, at least 60% of the fatal accidents were alcohol related.

Adolescent

[Gunshot injuries--their incidence and surgical problems].

Since the time when firearms became readily available, surgeons have had to deal with the gunshot wounds which have presented for treatment. In middle europe, in peace time, gunshot wounds account for only a small percentage of the total number of trauma cases seen. This is reflected in our patient census in which a mere 0.065% of cases were associated with such injuries. It would seem that a relevant knowledge of the technical and physical attributes of firearms is important. With this understanding, the formulation of an according treatment plan is made easier. Gunshot wounds are frequently not confined to the extremities. The trauma surgeon, who largely deals with limb injuries, is now confronted with an increasing number of chest and trunk wounds and their particular therapeutic consequences.

Abdominal Injuries