Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1994-6-28
|
| pubmed:abstractText |
The 10-year experience of a Level II trauma center with 122 gunshot wounds referred from a large rural area was analyzed to illustrate differences from the experience of urban centers. Most frequent causes of injury were attempted suicide in 38 (31%) patients, hunting mishaps in 32 (26%), unintentional accidents in 29 (24%), and intentional assault in 18 (15%). Of weapons specified, rifles were documented in 48 (39%) instances, shotguns in 25 (21%), and handguns in 24 (20%). Body regions injured were the trunk in 47 (39%) patients, head in 35 (29%), lower extremity in 31 (25%), and upper extremity in 29 (24%). Twenty-five patients (20%) died as a result of their injuries. The cause of death was brain injury in 18 (72%), exsanguination from truncal wounds in 5 (20%), myocardial infarction in 1 (4%), and multiple organ failure in 1 (4%). We conclude that the distributions of cause and type of gunshot wounds are unique in a rural setting. These differences have profound consequences in designing effective prevention programs for our area and support the design of more efficient trauma systems for rural North America.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
0003-1348
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
60
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
401-4
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:8198327-Accidents,
pubmed-meshheading:8198327-Adolescent,
pubmed-meshheading:8198327-Adult,
pubmed-meshheading:8198327-Aged,
pubmed-meshheading:8198327-Aged, 80 and over,
pubmed-meshheading:8198327-Child,
pubmed-meshheading:8198327-Child, Preschool,
pubmed-meshheading:8198327-Female,
pubmed-meshheading:8198327-Firearms,
pubmed-meshheading:8198327-Humans,
pubmed-meshheading:8198327-Infant,
pubmed-meshheading:8198327-Injury Severity Score,
pubmed-meshheading:8198327-Male,
pubmed-meshheading:8198327-Middle Aged,
pubmed-meshheading:8198327-Multiple Trauma,
pubmed-meshheading:8198327-Referral and Consultation,
pubmed-meshheading:8198327-Retrospective Studies,
pubmed-meshheading:8198327-Rural Population,
pubmed-meshheading:8198327-Suicide, Attempted,
pubmed-meshheading:8198327-Time Factors,
pubmed-meshheading:8198327-Trauma Centers,
pubmed-meshheading:8198327-Violence,
pubmed-meshheading:8198327-Wisconsin,
pubmed-meshheading:8198327-Wounds, Gunshot
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Gunshot wounds: 10-year experience of a rural, referral trauma center.
|
| pubmed:affiliation |
Department of Surgery, Gundersen Clinic, Ltd., La Crosse, Wisconsin 54601.
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|