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Firearm injuries

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https://www.readbyqxmd.com/read/28183726/injury-region-and-risk-of-hospital-acquired-pneumonia-among-pediatric-trauma-patients
#1
Gretchen J Cutler, Anupam B Kharbanda, Jeffrey Nowak, Henry W Ortega
OBJECTIVE: To describe the relationship between injury region and risk of hospital-acquired pneumonia (HAP) in pediatric trauma patients. METHODS: Analyses included patients <19 years of age from the National Trauma Data Bank, during 2009-2011. Multivariable logistic regression was used to examine the association between injury region and odds of developing HAP stratified by age group. RESULTS: A total of 71 377 patients were eligible for analysis, and 1818 patients developed pneumonia...
February 9, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28182606/elevated-blood-lead-levels-associated-with-retained-bullet-fragments-united-states-2003-2012
#2
Debora Weiss, Carrie D Tomasallo, Jon G Meiman, Walter Alarcon, Nathan M Graber, Kristine M Bisgard, Henry A Anderson
An estimated 115,000 firearm injuries occur annually in the United States, and approximately 70% are nonfatal (1). Retained bullet fragments (RBFs) are an infrequently reported, but important, cause of lead toxicity; symptoms are often nonspecific and can appear years after suffering a gunshot wound (2,3). Adult blood lead level (BLL) screening is most commonly indicated for monitoring of occupational lead exposure; routine testing of adults with RBFs is infrequent (3). States collaborate with CDC's National Institute for Occupational Safety and Health (NIOSH) to monitor elevated BLLs through the Adult Blood Lead Epidemiology and Surveillance (ABLES) program (4,5)...
February 10, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28178967/geo-demographics-of-gunshot-wound-injuries-in-miami-dade-county-2002-2012
#3
Laura Zebib, Justin Stoler, Tanya L Zakrison
BACKGROUND: We evaluated correlates of gunshot wound (GSW) injuries in Miami-Dade County, Florida. Firearm-related injury has previously been linked to socio- and geo-demographic indicators such as occupation, income, neighborhood and race in other metropolitan areas, but remains understudied in Miami. METHODS: We reviewed 4,547 cases from a Level I trauma center's patient registry involving an intentional firearm-related injury occurring from 2002 to 2012. During this eleven-year study period, this trauma center was the only one in Miami-Dade County, and thus representative of countywide injuries...
February 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28164258/the-epidemiology-of-homicide-perpetration-by-children
#4
David Hemenway, Sara J Solnick
BACKGROUND: The United States has by far the highest rates of homicide perpetration among high-income countries. The perpetration of homicide by children is often newsworthy, but little is known about the incidence or the circumstances of child homicide perpetration. METHODS: We use data from the sixteen states reporting to the National Violent Death Reporting System (NVDRS) for all years 2005-2012. We read every violent death report that was classified a homicide with a child suspect (aged 0-14)...
December 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/28164044/accidental-bolt-gun-injury-to-femur-a-case-report
#5
Ravi Prasad Kattimani, Sanath Shetty, Humayun Mirza
INTRODUCTION: Bolt gun or slaughterer's guns are used in meat industry for "humane killing" of animals. Injuries caused by bolt gun are rare, reported exclusively from central European countries. We report a case of 28 year old male, who accidentally shot himself with a bolt gun to his right thigh. CASE REPORT: A 28 years old male presented to our Accident and Emergency department after accidental injury to his right thigh with bolt gun. He had an entry wound measuring 2 cm in length and 1 cm in breadth over anterior aspect of lower one third of thigh at lower and sustained Grade II compound fracture of right femur shaft at distal one third...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28149826/firearm-injury-in-a-child-an-uncommon-case-of-penile-trauma
#6
Mustafa Erman Dorterler, Mehmet Emin Boleken
Genitourinary system injuries generally occur due to blunt and penetrating trauma. Approximately 10% of all injuries encountered in the emergency department are related to the genitourinary system. Male genital trauma is a urological emergency because of the high risk of infection and the priority of protecting the sexual, endocrine, and reproductive functions. Blunt injuries to the penis are more often seen due to the mobility and localization of the penis than due to penetrating injuries caused by firearms or cutting instruments...
October 2016: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28142384/the-cumulative-burden-of-mental-substance-use-and-general-medical-disorders-and-rehospitalization-and-mortality-after-an-injury
#7
Douglas F Zatzick, Ali Rowhani-Rahbar, Jin Wang, Joan Russo, Doyanne Darnell, Leah Ingraham, Lauren K Whiteside, Roxanne Guiney, Margot Kelly Hedrick, Frederick P Rivara
OBJECTIVE: Each year in the United States, 1.5-2.5 million individuals require hospitalization for an injury. Multiple mental, substance use, and chronic general medical disorders are endemic among injury survivors with and without traumatic brain injury (TBI), yet few studies have assessed the association between the cumulative burden of these conditions and health care outcomes. This study of patients hospitalized for an injury assessed associations between comorbid mental, substance use, and general medical disorders, TBI, and violent events or suicide attempts and the postinjury outcomes of recurrent hospitalization and death...
February 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28139108/-late-presentation-of-traumatic-diaphragmatic-hernia
#8
J R Leiva Flores, J I Ramírez Rivera, M E Ramírez Rivera
Four years old male, who was operated four months ago to present chest injuries caused by a firearm projectile, where injuries in the diaphragm were not observed. Now is admitted because of an intestinal obstruction. By medial laparotomy, a defect of 3 cm in diameter was exposed in the left diaphragm, containing a transverse colonic segment of 5 cm and omentum. The treatment performed is described.
April 10, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/28134675/firearm-related-musculoskeletal-injuries-in-children-and-adolescents
#9
Cordelia W Carter, Melinda S Sharkey, Felicity Fishman
Firearm injuries are a major cause of morbidity and mortality among children and adolescents in the United States and take financial and emotional tolls on the affected children, their families, and society as a whole. Musculoskeletal injuries resulting from firearms are common and may involve bones, joints, and neurovascular structures and other soft tissues. Child-specific factors that must be considered in the setting of gunshot injuries include physeal arrest and lead toxicity. Understanding the ballistics associated with various types of weaponry is useful for guiding orthopaedic surgical treatment...
March 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28130901/trauma-center-youth-violence-screening-and-brief-interventions-a-multisite-pilot-feasibility-study
#10
Donna M Kazemi, David G Jacobs, Sharon G Portwood, Laura Veach, Weihua Zhou, Melissa Johnson Hurley
Every day, 16 American youths between the ages of 10 and 24 years are murdered; 84% of these fatalities involve a firearm. Nearly half of traumatic youth deaths result from violence-related injuries. In 2013, 580,250 youth suffered nonfatal, assault-related injuries, necessitating emergency department treatment. The aim of this multisite pilot study was to examine the process, feasibility, and challenges of violence brief interventions (VBIs). The participants were youth between 15 and 25 years of age, at 2 major Level 1 trauma centers (TCs; TC1, TC2) in the Southeastern United States...
January 27, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28123211/racial-ethnic-disparities-in-rates-of-traumatic-injury-in-arizona-2011-2012
#11
Vatsal Chikani, Maureen Brophy, Anne Vossbrink, Robyn N Blust, Mary Benkert, Chris Salvino, Conrad Diven, Rogelio Martinez
OBJECTIVE: The purpose of this study was to compare the rates of traumatic injury among five racial/ethnic groups in Arizona and to identify which mechanisms and intents of traumatic injury were predominant in each group. METHODS: We obtained 2011 and 2012 data on traumatic injury from Arizona's trauma registry and data on mortality from Arizona's death registry. We calculated location- and age-adjusted rates (aRs) of traumatic injury and rates of mortality per 100,000 Arizona residents and rate ratios (RRs) for each racial/ethnic group...
September 2016: Public Health Reports
https://www.readbyqxmd.com/read/28114442/undertriage-of-firearm-related-injuries-or-insufficient-granularity-of-data
#12
Marie Crandall
No abstract text is available yet for this article.
January 18, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28114435/undertriage-of-firearm-related-injuries-in-a-major-metropolitan-area
#13
Allison Lale, Allison Krajewski, Lee S Friedman
Importance: National anatomic triage criteria prescribe specific transport rules for injured patients. However, there is limited information about patients with firearm-related injuries undertriaged to nondesignated facilities (ie, hospitals without specialized trauma teams or units), including what clinical outcomes are achieved and how many are transferred to a higher level of care. Without these data, it is difficult to make informed regional or national policy decisions about triage practices...
January 18, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28100939/management-of-liver-trauma-in-minia-university-hospital-egypt
#14
Abdel Fattah Saleh, Emad Al Sageer, Amr Elheny
The aim of this study is to present the outcome of operative and non-operative management of patients with liver injury treated in a single institution depending on imaging. This study was conducted at the Causality Unit of Minia University Hospital, and included 60 patients with hepatic trauma from March 2012 to January 2013. In our study, males represent 80 % while females represent 20 % of the traumatized patients. The peak age for trauma found was 11-30 years. Blunt trauma is the most common cause of liver injury as it was the cause in 48 patients (80 %)...
December 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28072893/a-pediatric-application-of-the-strac-regional-hospital-trauma-registry-database-pediatric-trauma-deaths-in-south-central-texas-during-2004-2013
#15
Michelle Buehner, Jay Aden, Mathew Borgman, Preston Love, Brandi Wright, Mary Edwards
The purpose of this study was to define the demographics of pediatric traumatic injuries and to understand the predictive value of injury type, prehospital, and emergency department (ED) data regarding the mortality of pediatric trauma patients (<14 years of age) in South Central Texas. We report a retrospective review of pediatric trauma patients presenting to Trauma Service Area P in South Central Texas during 2004-2013. The primary outcome was mortality; secondary outcomes were ventilator days, hospital days, and intensive care unit stay...
January 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28055064/association-of-drug-and-alcohol-use-with-adolescent-firearm-homicide-at-individual-family-and-neighborhood-levels
#16
Bernadette C Hohl, Shari Wiley, Douglas J Wiebe, Alison J Culyba, Rebecca Drake, Charles C Branas
Importance: Homicide is the third leading cause of death for adolescents in the United States and the leading cause of death for adolescents who are African American. Large cities have disproportionate homicide rates. Objective: To determine the relationships between exposures to drugs and alcohol at the individual, family, and neighborhood levels and adolescent firearm homicide and to inform new approaches to preventing firearm violence. Design, Setting, and Participants: Population-based case-control study from January 2010 to December 2012 of all 13- to 20-year-olds who were homicide victims in Philadelphia during the study period matched to randomly selected 13- to 20-year-old controls from the general population...
January 3, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28041607/firearm-injuries-in-a-pediatric-population-african-american-adolescents-continue-to-carry-the-heavy-burden
#17
M Bachier-Rodriguez, J Freeman, A Feliz
BACKGROUND: Firearm injuries have the highest case-fatality rate among pediatric trauma related deaths. We sought to determine whether demographics, mechanism of injury, and outcomes were age specific. METHODS: We performed a 5 year retrospective analysis of patients 0-19 years old with firearm related injuries. Children were divided into two cohorts based on age. Mann-Whitney and Pearson's X(2) were used to compare continuous and categorical variables, respectively...
November 3, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27998625/a-consensus-driven-agenda-for-emergency-medicine-firearm-injury-prevention-research
#18
Megan L Ranney, Jonathan Fletcher, Harrison Alter, Christopher Barsotti, Vikhyat S Bebarta, Marian E Betz, Patrick M Carter, Magdalena Cerdá, Rebecca M Cunningham, Peter Crane, Jahan Fahimi, Matthew J Miller, Ali Rowhani-Rahbar, Jody A Vogel, Garen J Wintemute, Muhammad Waseem, Manish N Shah
STUDY OBJECTIVE: To identify critical emergency medicine-focused firearm injury research questions and develop an evidence-based research agenda. METHODS: National content experts were recruited to a technical advisory group for the American College of Emergency Physicians Research Committee. Nominal group technique was used to identify research questions by consensus. The technical advisory group decided to focus on 5 widely accepted categorizations of firearm injury...
February 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27923800/school-shootings-during-2013-2015-in-the-usa
#19
Bindu Kalesan, Kinan Lagast, Marcos Villarreal, Elizabeth Pino, Jeffrey Fagan, Sandro Galea
BACKGROUND: Data on the factors associated with school shootings in the USA are limited. The public conversation has often suggested several factors that may be linked to these events, however with little empirical support. Aiming to fill this gap, we describe the characteristics of school shooting incidents in the USA between 2013 and 2015 and explore whether four factors that represent domains of firearm policy, educational policy and epidemiological risk factors for intentional firearm injuries-background check (BC) policies, per capita mental health expenditures (MHE), K-12 education expenditure (KEE) and urbanicity-were associated with school shootings during this period...
December 6, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27916723/surgical-treatment-of-metallic-foreign-body-embolization-in-the-middle-cerebral-artery-case-report-and-literature-review
#20
Chuan Chen, Bo Hou, Lun Luo, Guo Ying
BACKGROUND: Intracranial artery embolization cases caused by foreign bodies are extremely rare clinically. Twenty-four cases in total have been reported in the literature; among them, 20 cases were caused by firearms, and only 4 cases originated from nonfirearm injuries in daily life. CASE DESCRIPTION: We report a fifth case of foreign body embolization in the cerebral artery caused by nonfirearm injuries. We used microsurgery and successfully removed the metal piece that embolized the middle cerebral artery of a 30-year-old male patient in our center...
December 1, 2016: World Neurosurgery
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