Evidence map›Paper›PMID 39623056›Full record

ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Assault rifle injuries in civilians: ballistics of wound patterns, assessment and initial management.

Panagiotis K Stefanopoulos, Stavros Aloizos, Georgios Mikros, Alexandra S Nikita, Nicholas E Tsiatis, Christos Bissias, Gustavo A Breglia, Bo Janzon

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Panagiotis K StefanopoulosMilitary College of Healthcare Administration (SEY), Greek Army, Athens, 11525, Greece. pan.stefanopoulos@gmail.com.ORCID http://orcid.org/0000-0002-2733-9923
Stavros AloizosIntensive Care Unit, NIMTS Army Share Fund Hospital, Athens, Greece.ORCID http://orcid.org/0000-0001-5868-7413
Georgios MikrosSecond Department of Surgery, 401 Army General Hospital, Athens, 11525, Greece.
Alexandra S NikitaRadiological Research and Medical Imaging Unit, Institute of Communication and Computer Systems (ICCS), University of Athens, National Technical University of Athens, Athens, Greece.
Nicholas E TsiatisForensic Science Division, Hellenic Police, Athens, Greece.ORCID http://orcid.org/0000-0001-8853-467X
Christos BissiasDepartment of Orthopaedic Surgery, Naval Hospital of Athens, Athens, Greece.ORCID http://orcid.org/0000-0001-7438-7867
Gustavo A BregliaNational University of Comahue Argentina, Cipolletti, Rio Negro, Argentina.ORCID http://orcid.org/0000-0003-3092-4506
Bo JanzonSECRAB Security Research, 147 63, Uttran, Sweden.ORCID http://orcid.org/0000-0001-6012-4716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWounds from assault rifles and their commercial offspring have been encountered with increasing frequency in civilian practice. Our aim is to summarize wound ballistics related to the main injury patterns that can also affect management strategies.

methodsAn online search of the PubMed was conducted for research and review articles published after 2000 in English, using the MeSH terms "gunshot wounds", "mass casualty incidents", "war-related injuries", "soft tissue injuries", "vascular system injuries", "colon injuries", "wound infection", "antibiotic prophylaxis", "debridement", "hemorrhage", "penetrating head injuries", "pneumothorax" and additional free-text terms. Other academic databases were also searched for relevant articles and book chapters.

resultsConsensus regarding recognition of high energy wounds from assault rifle projectiles is largely based on war experience. Studies of such wounds inflicted by expanding projectiles suggest that their wounding effects significantly increase tissue damage and adverse outcomes following injury, as a result of the temporary cavity and bullet fragmentation. The use of assault rifles in mass shootings has prompted utilization of tourniquet for control of life-threatening hemorrhage, also derived from military experience, while limited evidence indicates that tension pneumothorax rather than extremity wounds is the leading cause of potentially preventable death in these incidents.

conclusionsWound ballistics provides a system for evaluation of injuries from assault rifles and risk analysis of shooting incidents. Lessons learned from armed conflicts can improve the management of victims, with due consideration given to characteristics of civilian injuries. Further research is required to define the impact on survival by key life-saving procedures in the prehospital setting, in order to prioritize these interventions.

Indexed as

Mass Casualty IncidentsWounds, GunshotFirearmsForensic BallisticsHumansAssault riflesGunshot woundsMass shootingsVascular injuriesWound ballistics

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.