Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A civilian perspective on ballistic trauma and gunshot injuries | Lichte et al. Scandinavian Journal ofTrauma Resuscitation and Emergency Medicine 2010 18 35 http content 18 1 35 SCANDINAVIAN JOURNAL OF it emergency medicine REVIEW k Open Access A civilian perspective on ballistic trauma and gunshot injuries Philipp Lichte 1 Reiner Oberbeck2 Marcel Binnebosel3 Rene Wildenauer4 Hans-Christoph Pape1 and Philipp Kobbe1 Abstract Background Gun violence is on the rise in some European countries however most of the literature on gunshot injuries pertains to military weaponry and is difficult to apply to civilians due to dissimilarities in wound contamination and wounding potential of firearms and ammunition. Gunshot injuries in civilians have more focal injury patterns and should be considered distinct entities. Methods A search of the National Library of Medicine and the National Institutes of Health MEDLINE database was performed using PubMed. Results Craniocerebral gunshot injuries are often lethal especially after suicide attempts. The treatment of non space consuming haematomas and the indications for invasive pressure measurement are controversial. Civilian gunshot injuries to the torso mostly intend to kill however for those patients who do not die at the scene and are hemodynamically stable insertion of a chest tube is usually the only required procedure for the majority of penetrating chest injuries. In penetrating abdominal injuries there is a trend towards non-operative care provided that the patient is hemodynamically stable. Spinal gunshots can also often be treated without operation. Gunshot injuries of the extremities are rarely life-threatening but can be associated with severe morbidity. With the exception of craniocerebral bowel articular or severe soft tissue injury the use of antibiotics is controversial and may depend on the surgeon s preference. Conclusion The treatment strategy for patients with gunshot injuries to the torso mostly depends on the hemodynamic status of the patient. Whereas .
