![]() ![]() In the case of traumatic hypovolemic shock, this failure of adequate oxygen delivery is due to blood loss, as blood is the means of delivering oxygen to the body's constituent parts. The immediate damaging effect of a gunshot wound is typically severe bleeding with the potential for hypovolemic shock, a condition characterized by inadequate delivery of oxygen to vital organs. Moreover, gunshot wounds typically involve a large degree of nearby tissue disruption and destruction caused by the physical effects of the projectile correlated with the bullet velocity classification. Gunshot wounds can be particularly devastating compared to other penetrating injuries because the trajectory and fragmentation of bullets can be unpredictable after entry. Trauma from a gunshot wound varies widely based on the bullet, velocity, mass, entry point, trajectory, affected anatomy, and exit point. Economic costs due to gunshot wounds have been estimated at US$140 billion a year in the United States. Firearm-related deaths are most common in males between the ages of 20 to 24 years. In the United States, guns resulted in about 40,000 deaths in 2017. Of these deaths 161,000 (64%) were the result of assault, 67,500 (27%) were the result of suicide, and 23,000 (9%) were accidents. In 2015, about a million gunshot wounds occurred from interpersonal violence. Safer firearm storage may decrease the risk of firearm-related deaths in children. Firearm laws, particularly background checks and permit to purchase, decrease the risk of death from firearms. ![]() This is followed by stopping major bleeding, then assessing and supporting the airway, breathing, and circulation. īefore management begins it should be verified the area is safe. Where guns are more common, altercations more often end in death. These factors may include the illegal drug trade, easy access to firearms, substance misuse including alcohol, mental health problems, firearm laws, social attitudes, economic differences and occupations such as being a police officer. įactors that determine rates of gun violence vary by country. Long-term complications can include lead poisoning and post-traumatic stress disorder (PTSD). Damage depends on the part of the body hit, the path the bullet follows through the body, and the type and speed of the bullet. Damages may include bleeding, bone fractures, organ damage, wound infection, loss of the ability to move part of the body and, in more severe cases, death. a bullet) from a gun (typically firearm or air gun). Illegal drug trade, ignorance of firearm safety, substance misuse including alcohol, mental health problems, firearm laws, social and economic differences, some occupations įirearm safety, not being involved in crime ġ million (interpersonal violence in 2015) Ī gunshot wound ( GSW) is a penetrating injury caused by a projectile (e.g. PTSD, lead poisoning, nerve injury, wound infection, sepsis, brain damage, gangrene, disability, amputation Male skull showing bullet exit wound on parietal bone, 1950s. ![]()
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