This article is an overview of the management of femoral shaft fractures resulting from gunshot wounds. It deals with the initial patient evaluation, operative techniques of fracture stabilization and wound care, associated complications, and the postoperative rehabilitation of these complex fractures. The recommendations are based upon a large patient experience in an urban trauma center.
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The psychological impact of mass shootings on emergency physician mental health.
J Emerg Manag
March 2025
Department of Psychology, University of Nevada, Las Vegas, Nevada. ORCID: https://orcid.org/0000-0002-0955-1592.
On October 1, 2017 in Las Vegas, Nevada, the largest mass shooting in US history was committed by a shooter high above the Route 91 Harvest Festival. In light of this tragedy and the increasing incidence and prevalence of mass shootings in America, it is important to examine how exposure to traumatic events (specifically mass shootings) affects the mental health of hospital physicians through the treatment of victims. This study sought to examine how witnessing mass shootings through the treatment of shooting victims psychologically affects physicians.
View Article and Find Full Text PDFActive shooter preparedness for special education classrooms.
J Emerg Manag
March 2025
Georgetown University, Washington, DC. ORCID: https://orcid.org/0009-0008-0908-6783.
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View Article and Find Full Text PDFExtra-capsular proximal femoral fractures: a cohort comparison of union and complication rates after ballistic versus blunt trauma.
Eur J Orthop Surg Traumatol
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Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
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Medicolegal evaluation of asylum seekers alleging torture and ill-treatment: A 4-year retrospective study in Montpellier, France.
Forensic Sci Int
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EDPFM, Department of Legal Medicine CHU Montpellier, University of Montpellier, Montpellier, France. Electronic address:
The history of torture and other forms of ill-treatment or abuse is relied largely upon asylum seekers' self-reporting given that several forms of torture don't leave permanent marks. To the extent, however, that physical findings exist they are valuable confirmatory evidence in support of an asylum application. The aim of this study was to retrospectively document the self-reported history of torture and other forms of abuse, alongside the physical evidence and the degree of consistency observed during examinations of asylum seekers conducted at the Department of Legal Medicine, University Hospital of Montpellier, France, during a 4-year period.
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