The American surgeon
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The American surgeon · Feb 2009
Letter Case ReportsShotgun pellet embolus to the right heart from forearm entrance.
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The American surgeon · Jan 2009
The number of gunshot wounds does not predict injury severity and mortality.
It is presumed that as the number of gunshot wounds (GSWs) increases, so do the Injury Severity Score (ISS) and mortality risk. We hypothesized that the number of bullet wounds relates to ISS and death; however, a single GSW to the head is ominous. We reviewed the charts of all GSW patients admitted to a trauma center from 2004 to 2006 (n = 531). ⋯ For those who sustained both head and body GSWs, each additional GSW did not increase mortality (r2 = 0.007). Our study shows that the number of GSWs has no affect on mortality or ISS. Internal triage and management of gunshot victims should not be affected by the categorization of patients as having a single versus multiple GSWs.
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The American surgeon · Jan 2009
Letter Case ReportsHigh-pressure water jet injury to the neck and arm.