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Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone

BACKGROUND: Rubber bullets and pellet guns are considered non-lethal low-velocity weapons. They are used to disperse a mob during street protests. The present study was undertaken to analyze the pattern, presentation and management of vascular injuries caused by these weapons. PATIENTS AND METHODS:...

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Autores principales: Wani, Mohd L, Ahangar, Ab G, Ganie, Farooq A, Wani, Shadab N, Lone, Gh Nabi, Dar, Ab M, Bhat, Mohd Akbar, Singh, Shyam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746434/
https://www.ncbi.nlm.nih.gov/pubmed/23960369
http://dx.doi.org/10.4103/0974-2700.115318
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author Wani, Mohd L
Ahangar, Ab G
Ganie, Farooq A
Wani, Shadab N
Lone, Gh Nabi
Dar, Ab M
Bhat, Mohd Akbar
Singh, Shyam
author_facet Wani, Mohd L
Ahangar, Ab G
Ganie, Farooq A
Wani, Shadab N
Lone, Gh Nabi
Dar, Ab M
Bhat, Mohd Akbar
Singh, Shyam
author_sort Wani, Mohd L
collection PubMed
description BACKGROUND: Rubber bullets and pellet guns are considered non-lethal low-velocity weapons. They are used to disperse a mob during street protests. The present study was undertaken to analyze the pattern, presentation and management of vascular injuries caused by these weapons. PATIENTS AND METHODS: This was a prospective study of patients with features of vascular injuries due to pellets and rubber bullets from June 2010 to November 2010. All patients with features of vascular injuries due to these non-lethal weapons were included in the study. Vascular injuries caused by other causes were excluded from the study. RESULTS: A total of 35 patients who presented with features of vascular injury during this period were studied. All of them were males. The mean age was 22 years. Fifteen patients were revascularized primarily, 19 patients needed reverse saphenous vein graft and, in one, patient lateral repair was done. There were two mortalities in our series. Wound infection was the most common complication. The amputation rate was around 6%. CONCLUSION: Pellet and rubber bullets can cause serious life-threatening injuries. Vascular injury caused by these weapons need no different approach than other vascular injuries. Early revascularization and prompt resuscitation prevents the loss of limb or life.
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spelling pubmed-37464342013-08-19 Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone Wani, Mohd L Ahangar, Ab G Ganie, Farooq A Wani, Shadab N Lone, Gh Nabi Dar, Ab M Bhat, Mohd Akbar Singh, Shyam J Emerg Trauma Shock Original Article BACKGROUND: Rubber bullets and pellet guns are considered non-lethal low-velocity weapons. They are used to disperse a mob during street protests. The present study was undertaken to analyze the pattern, presentation and management of vascular injuries caused by these weapons. PATIENTS AND METHODS: This was a prospective study of patients with features of vascular injuries due to pellets and rubber bullets from June 2010 to November 2010. All patients with features of vascular injuries due to these non-lethal weapons were included in the study. Vascular injuries caused by other causes were excluded from the study. RESULTS: A total of 35 patients who presented with features of vascular injury during this period were studied. All of them were males. The mean age was 22 years. Fifteen patients were revascularized primarily, 19 patients needed reverse saphenous vein graft and, in one, patient lateral repair was done. There were two mortalities in our series. Wound infection was the most common complication. The amputation rate was around 6%. CONCLUSION: Pellet and rubber bullets can cause serious life-threatening injuries. Vascular injury caused by these weapons need no different approach than other vascular injuries. Early revascularization and prompt resuscitation prevents the loss of limb or life. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3746434/ /pubmed/23960369 http://dx.doi.org/10.4103/0974-2700.115318 Text en Copyright: © Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Wani, Mohd L
Ahangar, Ab G
Ganie, Farooq A
Wani, Shadab N
Lone, Gh Nabi
Dar, Ab M
Bhat, Mohd Akbar
Singh, Shyam
Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone
title Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone
title_full Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone
title_fullStr Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone
title_full_unstemmed Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone
title_short Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone
title_sort pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746434/
https://www.ncbi.nlm.nih.gov/pubmed/23960369
http://dx.doi.org/10.4103/0974-2700.115318
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