An Evaluation of Firearm Injuries in the Emergency Department

Background There is a concern that firearm injuries are very common reported at lady Reading hospital Peshawar MTI, but the there are no contemporary studies. Gunshot wound are persistent burden on community as well as on hospitals Aim: To evaluate trends of firearm injuries reporting to LRH their anatomical distributions and their outcomes. Methods: This prospective randomized study (a pilot project for public health alert) was conducted in Accident & Emergency Department of Lady Reading hospital MTI, Peshawar KPK, from 1st May, 2020 to 1st October, 2020. Hundred patients with firearm injuries to different region shot were included in this study. Data collected on predesigned proforma and entries in HMIS used after stabilizing the patient. A prospective pilot study done over a period of six months from 1st May, 2020 to 1st October, 2020 in trauma section of Accident Emergency department of Lady Reading hospital MTI Peshawar. Results: Patients of all age groups with firearm injuries were included in this study from May 2020 to October 2020. Data was collected on predesigned proforma as well as HMIS (health management information system) of ED department. A total of 100 patients presented to LRH with firearm injuries during six months. Males outnumbered female by 6:1 accounting for 100(85%) of injured. : Domestic violence was found to be the most common reason for the firearm use 44(44%), Don’t know or refuse to share was 29(29%), rivalry 12(12%), land and property conflict 9(9%), street fight 3(3%) accidental gunshots 2%, (n=25) and robbery 1.1% (n=1).The most common firearm used for inflicting injury was pistol (70%), shot gun (2.2%), curiously 16% were either reluctant or were never knowing about the weapon Conclusion: Firearm injuries are common public health problem globally, in our set up situation is more grievous and less highlighted, the most common cause being domestic violence, lack of education, easy availability of arms, illegal or legal weapon ownership making situation worst in the form of premature deaths and disability. Understanding the nature of problem can prevent this violence Keywords: Firearms, violence, gunshot wounds, homicides, suicides

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Firearm injuries - a study of 110 cases

Annals of King Edward Medical University ◽

10.21649/akemu.v11i4.1095 ◽

2016 ◽

Vol 11 (4) ◽

Author(s):

Tajammul Hussain Ch ◽

Neelam Tajammul ◽

Muhammad Amjad Bhatti ◽

Shahid Hanif

Keyword(s):

Emergency Department ◽

Study Design ◽

Forensic Medicine ◽

Body Parts ◽

Medical College ◽

Firearm Injuries ◽

Accident And Emergency ◽

Accident And Emergency Department

Study Design: It is a perspective study of 110 cases of firearm injuries presenting at accident and emergency department Jinnah Hospital Lahore. The medicolegal services or provided by the department of forensic Medicine and Toxicology, Allama Iqbal Medical College, Lahore. Material and Method: Consecutive 110 cases of firearm injuries were recruited in the study presenting in the Accident and Emergency Department of Jinnah Hospital Lahore during period October 1998 to September 2000. Results: Out of the total of 110 cases, 100 cases were males (91%). And 10 were female (9%). The age ranged from 0 to above 60 years. The maximum numbers 42 (38%) were found between 21 to 30 years. Rifled weapon was used in 96 cases (87.3%) and non rifled weapon (shot gun) in 14 (12.7%) near distance fire was in 23 (21%) and for distance fire in (79%). Body parts involved were also analyzed i.e. head face neck, chest abdomen and limbs. Conclusion: The gravity of situation reemphasized and suggestions made to the relevant authorities for better, healthy and peaceful society.

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Analysis of the factors increasing the mortality in emergency department following firearm injuries

Eastern Journal Of Medicine ◽

10.5505/ejm.2020.90267 ◽

2020 ◽

Vol 25 (1) ◽

pp. 55-60

Author(s):

Mehmet Reşit Öncü

Keyword(s):

Emergency Department ◽

Firearm Injuries

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Abstract 27 Subsequent violent death among emergency department patients seen for firearm injuries

European Journal of Emergency Medicine ◽

10.1097/00063110-200602000-00015 ◽

2006 ◽

Vol 13 (1) ◽

pp. 46

Author(s):

C. S. Crandall ◽

L. Fullerton-Gleason ◽

R. Aguero ◽

J. LaValley

Keyword(s):

Emergency Department ◽

Violent Death ◽

Firearm Injuries ◽

Emergency Department Patients

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Firearm Violence Among High-Risk Emergency Department Youth After an Assault Injury

10.1542/9781610022750-firearm_violence ◽

2017 ◽

pp. 77-87

Author(s):

Patrick M. Carter ◽

Maureen A. Walton ◽

Douglas R. Roehler ◽

Jason Goldstick ◽

Marc A. Zimmerman ◽

...

Keyword(s):

Emergency Department ◽

High Risk ◽

Drug Use ◽

Urban Youth ◽

Study Data ◽

Firearm Injuries ◽

Firearm Violence ◽

Urban Level ◽

High Risk Youth

BACKGROUND The risk for firearm violence among high-risk youth after treatment for an assault is unknown. METHODS In this 2-year prospective cohort study, data were analyzed from a consecutive sample of 14- to 24-year-olds with drug use in the past 6 months seeking assault-injury care (AIG) at an urban level 1 emergency department (ED) compared with a proportionally sampled comparison group (CG) of drug-using nonassaulted youth. Validated measures were administered at baseline and follow-up (6, 12, 18, 24 months). RESULTS A total of 349 AIG and 250 CG youth were followed for 24 months. During the follow-up period, 59% of the AIG reported firearm violence, a 40% higher risk than was observed among the CG (59.0% vs. 42.5%; relative risk [RR] = 1.39). Among those reporting firearm violence, 31.7% reported aggression, and 96.4% reported victimization, including 19 firearm injuries requiring medical care and 2 homicides. The majority with firearm violence (63.5%) reported at least 1 event within the first 6 months. Poisson regression identified baseline predictors of firearm violence, including male gender (RR = 1.51), African American race (RR = 1.26), assault-injury (RR = 1.35), firearm possession (RR = 1.23), attitudes favoring retaliation (RR = 1.03), posttraumatic stress disorder (RR = 1.39), and a drug use disorder (RR = 1.22). CONCLUSIONS High-risk youth presenting to urban EDs for assault have elevated rates of subsequent firearm violence. Interventions at an index visit addressing substance use, mental health needs, retaliatory attitudes, and firearm possession may help decrease firearm violence among urban youth.

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