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https://www.readbyqxmd.com/read/28718881/identification-of-bodies-by-unique-serial-numbers-on-implanted-medical-devices
#1
Melissa M Blessing, Peter T Lin
Visual identification is the most common identification method used by medical examiners but is not always possible. Alternative methods include X-ray, fingerprint, or DNA comparison, but these methods require additional resources. Comparison of serial numbers on implanted medical devices is a rapid and definitive method of identification. To assess the practicality of using this method, we reviewed 608 consecutive forensic autopsies performed at a regional medical examiner office. Of these, 56 cases required an alternative method of identification due to decomposition (n = 35), gunshot wound (n = 9), blunt trauma (n = 6), or charring (n = 6)...
July 18, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28717964/wound-morphology-in-contact-shots-from-blank-cartridge-handguns-a-study-on-composite-models
#2
Rebecca Pircher, Markus Große Perdekamp, Annette Thierauf-Emberger, Lena Kramer, Stefan Pollak, Dorothee Geisenberger
It is a well-known fact that blank cartridge guns can cause penetrating and even fatal injuries when discharged in contact or at very close ranges. In these cases, the gas jet perforates the skin leaving an entrance wound similar to that from a conventional gun. In order to investigate the wound morphology in contact shots from blank firearms, test shots were fired at composite models of pig skin and gelatin blocks using three different calibre 9-mm blank cartridge handguns (two pistols and one revolver) and two types of ammunition...
July 17, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28716518/virtual-animation-of-victim-specific-3d-models-obtained-from-ct-scans-for-forensic-reconstructions-living-and-dead-subjects
#3
C Villa, K B Olsen, S H Hansen
Post-mortem CT scanning (PMCT) has been introduced at several forensic medical institutions many years ago and has proved to be a useful tool. 3D models of bones, skin, internal organs and bullet paths can rapidly be generated using post-processing software. These 3D models reflect the individual physiognomics and can be used to create whole-body 3D virtual animations. In such way, virtual reconstructions of the probable ante-mortem postures of victims can be constructed and contribute to understand the sequence of events...
July 5, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28709823/intracardiac-foreign-body-resulting-from-a%C3%A2-transmediastinal-gunshot-mimics-an-extracardiac-foreign-body-an-image-presentation
#4
Hsun-Yi Fu, Mao Ting, Yi-Chia Wang, Hsi-Yu Yu
A transmediastinal gunshot wound (TMGW) is one of the most severe traumatic injuries, with a high mortality rate. Prompt diagnosis and emergency surgical intervention with or without cardiopulmonary bypass are usually required to save lives. We report a particular case of TMGW in which the computed tomography imaging findings indicated an extracardiac foreign body. However, intraoperative findings revealed an intracardiac foreign body, and urgent cardiopulmonary bypass was performed to remove the foreign body...
July 11, 2017: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/28705774/asia-a-sensory-and-motor-complete-is-not-different-than-asia-b-sensory-incomplete-motor-complete-in-gunshot-related-spinal-cord-injury
#5
Eric McCoy, Nima Eftekhary, Kenneth Nwosu, Dudley Fukunaga, Charles Liu, Kevin Rolfe
Background Context We receive a large number of spinal cord injury (SCI) patients due to penetrating gunshot wounds (GSW) at our national rehabilitation center. Though many patients are labeled American Spinal Injury Association (ASIA) B sensory incomplete due to sensory sparing, especially deep anal pressure, with purported prognostic value, we have not observed a clinical difference from ASIA A completes. We hypothesized that sensory sparing, if meaningful, should reduce the occurrence of pressure ulcers...
July 10, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28697085/humeral-shaft-fracture-intramedullary-nailing
#6
Sanjit R Konda, Hesham Saleh, Nina Fisher, Kenneth A Egol
INTRODUCTION: This video demonstrates the technique of intramedullary nailing for a humeral shaft fracture. METHODS: The patient is a 30-year-old man who sustained a gunshot wound to his right arm. The patient was indicated for humeral nailing given the comminuted nature of the diaphysis and to allow for minimal skin incisions. Other relative indications include soft-tissue compromise about the arm precluding a large surgical exposure. RESULTS: This video presents a case of a comminuted humeral shaft fracture treated with an intramedullary nail...
August 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28697021/injuries-sustained-during-contact-with-law-enforcement-an-analysis-from-us-trauma-centers
#7
Morgan Schellenberg, Kenji Inaba, Jayun Cho, James M Tatum, Galinos Barmparas, Aaron Strumwasser, Daniel Grabo, Cynthia Bir, Alexander Eastman, Demetrios Demetriades
BACKGROUND: Injuries sustained by civilians from interaction with police are a polarizing contemporary sociopolitical issue. Few comprehensive studies have been published using national hospital-based data. The aim of this study was to examine the epidemiology of these injuries to better understand this mechanism of injury. METHODS: Patients entered into the NTDB (01/2007 - 12/2012) with E-codes E970.0-E976.0 (ICD-9-CM), identifying injuries associated with law enforcement in the course of legal action, were enrolled...
July 8, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28697020/good-news-bad-news-an-analysis-of-11-294-gunshot-wounds-gsws-over-two-decades-in-a-single-center
#8
Nathan R Manley, Timothy C Fabian, John P Sharpe, Louis J Magnotti, Martin A Croce
INTRODUCTION: Gun violence is a substantial public health problem accounting for significant physical, psychological and financial costs. While aggregate data sources demonstrate decreasing rates of firearm violence, analyses from individual trauma centers have shown that mortality and injury severity from GSWs are increasing. To evaluate the evolving characteristics of gun violence in our region, we studied all GSWs admitted to our trauma center over a twenty-year period. METHODS: A retrospective analysis of all newly admitted patients with GSWs was performed from 1996 to 2016...
July 8, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28690961/a-unique-presentation-of-an-intracranial-abscess-secondary-to-retained-projectile-after-debridement-with-dural-closure
#9
Jason Milton, Victor Awuor
Patients with penetrating head trauma with retained projectiles develop intracranial abscesses as a common complication. The most common presentation is a suddenly worsening headache. The most common pathogen identified is staphylococcus. Outcomes are related to adherence of Matson's tenets. This case study details the presentation of a 19-year-old patient that presented to the neurological surgery clinic without neurologic deficits. Further questioning revealed complaints of intermittent diffuse headaches with bilateral upper extremity shock-like sensation for two weeks...
June 9, 2017: Curēus
https://www.readbyqxmd.com/read/28669874/operative-versus-non-operative-management-of-civilian-gunshot-wounds-to-the-spinal-cord-novel-use-of-the-functional-independence-measure-for-validated-outcomes
#10
Peter T McCunniff, James S Raey, Meredith L Scott, Mary J Roach, Timothy Moore, Heather A Vallier, Michael L Kelly
No abstract text is available yet for this article.
June 29, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28640677/constant-lethality-of-gunshot-injuries-from-firearm-assault-united-states-2003-2012
#11
Philip J Cook, Ariadne E Rivera-Aguirre, Magdalena Cerdá, Garen Wintemute
OBJECTIVES: To investigate the validity of the apparent downward trend in the national case-fatality rate for gunshot wounds from assault. METHODS: We reanalyzed the estimated annual number of nonfatal firearm injuries the National Electronic Injury Surveillance System reported from 2003 to 2012. We adjusted the estimates for discontinuities created by the substitution of 1 hospital for another in the sample and for a downward trend in the percentage of gunshot injuries classified as "unknown circumstance...
August 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28638294/persistent-sciatic-artery-a-favorable-anatomic-variant-in-a-setting-of-trauma
#12
William Shaffer, Mary Maher, Michael Maristany, Bahri Ustunsoz, Bradley Spieler
BACKGROUND: Persistent sciatic artery (PSA) is a rare congenital anomaly of the circulation of the lower limb that results from the persistence of an artery that normally regresses early in embryonic development. PSA is usually an incidental finding and is exceedingly rare to find bilaterally. CASE REPORT: We present the case of a rare presentation of PSA that resulted in a favorable outcome for a patient who sustained a gunshot wound to his midthigh and discuss the history, embryology, anatomy, classification schema, imaging evaluation, complications, diagnosis, and management of PSA...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/28635868/-the-modern-possibilities-for-the-application-of-photogrammetry-in-forensic-medical-traumatology
#13
V A Fetisov, I Yu Makarov, A A Gusarov, A S Lorents, S A Smirenin, V B Stragis
The authors discuss the modern possibilities and prospects for the application of photogrammetry (FM) in forensic medical traumatology based on the results of the analysis of the many-year experience reported in the foreign periodicals with special reference to road traffic injuries, gunshot wounds, and animals' bites. The examples of objective difficulties and promising prospects for the further application of the FM techniques in the practical work of forensic medical experts and medical criminalists are considered with reference to the use of various FM-based methods and equipment including 3D laser scanners, chambers, stereoscopic mounting attachments, etc...
2017: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/28631580/bulletproof-heart-gunshot-wound-to-the-ventricular-septum-without-pericardial-effusion-or-hemodynamic-collapse
#14
Lora Alkhawam, Stephen J Greene
No abstract text is available yet for this article.
June 20, 2017: CJEM
https://www.readbyqxmd.com/read/28631433/forensic-radiology-pitfalls-ct-imaging-in-gunshot-wounds-of-the-head
#15
Mark A Giffen, Jason A Powell, Jerri McLemore
Computed tomography (CT) imaging is increasingly used in emergency departments and trauma services and is being offered as a supplemental tool with autopsy in coroner's and medical examiner's offices throughout the United States. The availability of CT images in lieu of traditional X-rays for medicolegal autopsies may lead to misinterpretation of images for forensic pathologists who are not familiar with these types of images. Forensic pathologists must become familiar with CT imaging, the basis of CT image formation and how to interpret CT images appropriately...
June 20, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28630118/childhood-firearm-injuries-in-the-united-states
#16
Katherine A Fowler, Linda L Dahlberg, Tadesse Haileyesus, Carmen Gutierrez, Sarah Bacon
OBJECTIVES: Examine fatal and nonfatal firearm injuries among children aged 0 to 17 in the United States, including intent, demographic characteristics, trends, state-level patterns, and circumstances. METHODS: Fatal injuries were examined by using data from the National Vital Statistics System and nonfatal injuries by using data from the National Electronic Injury Surveillance System. Trends from 2002 to 2014 were tested using joinpoint regression analyses. Incident characteristics and circumstances were examined by using data from the National Violent Death Reporting System...
June 19, 2017: Pediatrics
https://www.readbyqxmd.com/read/28622832/management-of-war-related-vascular-wounds-in-french-role-3-hospital-during-the-afghan-campaign
#17
REVIEW
Fabien Beranger, Henri De Lesquen, Olivier Aoun, Cédric Roqueplo, Léon Meyrat, Claudia Natale, Jean-Philippe Avaro
OBJECTIVES: To describe the management of war-related vascular injuries in the Kabul French military hospital. METHODS: From January 2009 to April 2013, in the Kabul French military hospital, we prospectively included all patients presenting with war-related vascular injuries. We collected the following data: site, type, and mechanism of vascular injury, associated trauma, type of vascular repair, amputation rate and complications. RESULTS: Out of the 922 soldiers admitted for emergency surgical care, we recorded 45 (5%) patients presenting with vascular injuries: 30 (67%) gunshot-related, 11 (24%) explosive device-related, and 4 (9%) due to road traffic accident...
June 10, 2017: Injury
https://www.readbyqxmd.com/read/28616061/penetrating-cardiac-trauma-analysis-of-240-cases-from-a-hospital-in-bogota-colombia
#18
Andres Isaza-Restrepo, Dínimo José Bolívar-Sáenz, Marcos Tarazona-Lara, José Rafael Tovar
BACKGROUND: Trauma characteristics and its management is influenced by socioeconomic context. Cardiac trauma constitutes a challenge for surgeons, and outcomes depend on multiple factors including initial care, characteristics of the wounds, and surgical management. METHODS: This is a retrospective cross-sectional case series of patients with penetrating cardiac injuries (PCI) from January 1999 to October 2009 who underwent surgery in a trauma referral center in Bogotá, Colombia...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28612168/civilian-cerebral-gunshot-wounds-in-rural-south-african-patients-are-associated-with-significantly-higher-mortality-rates-than-in-urban-patients
#19
V Y Kong, J L Bruce, B Sartorius, G L Laing, J Odendaal, P Brysiewicz, D L Clarke
INTRODUCTION: This study focuses on a specific and often dramatic injury, namely gunshot wounds (GSW) of the head in order to determine whether there is a discrepancy in outcome between patients who sustain their injury in a rural setting and those who sustain it in an urban setting. MATERIALS AND METHODS: This study involves a retrospective review of our prospectively maintained regional electronic trauma registry. All patients who sustained a cerebral GSW from January 2010 to December 2014 were reviewed...
June 13, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28603241/-the-treatment-of-wounds-during-world-war-i
#20
Sergio Sabbatani, Sirio Fiorino
The First World War was a huge tragedy for mankind, but, paradoxically, it represented a source of significant progress in a broad series of human activities, including medicine, since it forced physicians to improve their knowledge in the treatment of a large number of wounded soldiers. The use of heavy artillery and machine guns, as well as chemical warfare, caused very serious and life-threatening lesions and wounds. The most frequent causes of death were not mainly related to gunshot wounds, but rather to fractures, tetanus and septic complications of infectious diseases...
June 1, 2017: Le Infezioni in Medicina
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