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War at Sea: Burn Care Challenges-Past, Present and Future.
Eur Burn J
December 2023
Joint Trauma System, DoD Center of Excellence for Trauma, Joint Base San Antonio-Fort Sam, Houston, TX 78234, USA.
Throughout history, seafarers have been exposed to potential thermal injuries during naval warfare; however, injury prevention, including advances in personal protective equipment, has saved lives. Thankfully, burn injuries have decreased over time, which has resulted in a significant clinical skills gap. Ships with only Role 1 (no surgical capability) assets have worse outcomes after burn injury compared to those with Role 2 (surgical capability) assets.
View Article and Find Full Text PDFDelayed Posterior Fossa Hemorrhage Following a Tangential Gunshot Wound to the Occiput in a Patient With Chronic Liver Disease: A Case Report.
Cureus
October 2024
Department of Anesthesiology and Perioperative Care, University of California Irvine Health, Orange, USA.
Gunshot wounds (GSWs) to the head and neck are a common etiology of traumatic brain injury. Tangential GSWs (TGSWs) are a subset of GSWs wherein the missile penetrates tissue adjacent to the cranium, causing varying degrees of intracranial injury. Most patients sustaining TGSWs present with relatively benign neurological findings, and while a significant proportion have varying degrees of intracranial hemorrhage (ICH) on computed tomography, these tend to respond well to nonoperative management.
View Article and Find Full Text PDFNail Penetration in the Superior Sagittal Sinus: A Case Report of a Nail Gun Injury.
NMC Case Rep J
October 2024
Department of Neurosurgery, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.
Article Synopsis
- * Despite the nail's significant entry into the brain, the patient experienced only mild symptoms, such as slight bleeding and headache, with no intracranial hemorrhage detected via CT and angiogram.
- * The surgical procedure involved carefully removing the nail while preserving the SSS's function, leading to a successful recovery with no neurological deficits noted post-operation.
Unusual pattern of firearm injury to trunk and limbs: Two case reports and review.
Leg Med (Tokyo)
November 2024
Forensic Medicine and Clinical Toxicology, Faculty of Medicine Alexandria University, Egypt. Electronic address:
This article presents two cases of fatal injuries from rifled weapons with unconventional shapes of inlets and exits mismatched with the distance of firing. According to forensic literature, in long-distance ranges, we expected to see rounded entry wounds smaller than bullet size, circular in shape without associates with limited damage in the tissues. In the first case, there were large wounds which did not match a distance of more than 2 m, while in the second case, the distance was more than 30 m with large wounds 21 × 10 cm and massive damage to bones and lungs.
View Article and Find Full Text PDFPenetrating cardiac injury resulting in a bullet embolus: a case report.
J Trauma Inj
September 2024
Department of Emergency General Surgery, Trauma, Critical Care and Burns, Sarasota Memorial Health Care System, Sarasota, FL, USA.
Article Synopsis
- - Bullet embolism can occur as a complication of gunshot wounds from low-velocity bullets, as they may not exit the body but instead travel through blood vessels.
- - Once in the vascular system, a bullet can migrate and potentially cause serious issues like ischemia, infection risks, or blood clots.
- - The case presented involves a 72-year-old man who suffered a self-inflicted low-velocity gunshot wound that led the bullet to enter his heart and subsequently relocate to a vein in his pelvis, after which he declined further treatment.
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